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The Liverpool Care Pathway for the Dying Patient (LCP) was a care pathway in the United Kingdom (excluding Wales) covering palliative care options for patients in the final days or hours of life. It was developed to help doctors and nurses provide quality end-of-life care , to transfer quality end-of-life care from the hospice to hospital setting.
COBRA was not a complete solution, and in the years after its passage, hospitals struggled with creating appropriate discharge protocols and the cost of providing health care for homeless patients. [14] Statistically, Texas and Illinois had the highest rates of patient dumping because of economic difficulties. [5]
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
CMS defines a hospital readmission as "an admission to an acute care hospital within 30 days of discharge from the same or another acute care hospital. [1]" It uses an "all-cause" definition, meaning that the cause of the readmission does not need to be related to the cause of the initial hospitalization.
A 1997 review found rates of survival to discharge of 14%, although different studies varied from 0 to 28%. [142] In those over the age of 70 who have a cardiac arrest while in hospital, survival to hospital discharge is less than 20%. [143] How well these individuals manage after leaving the hospital is not clear. [143]
Patients are less likely to request extensive acute care, nursing facility care, or in-patient services. [9] [11] Under this method, PACE serves as a cost-saving elderly care program that emphasizes on preventative, up-stream care. Notably, PACE programs saved California State $22.6 million in health care cost for elderly. [12]
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Pediatric care is complex due to developmental and dependency issues associated with children. How these factors impact the specific processes of care is an area of science in which little is known. Throughout health care, providing safe and high-quality patient care continues to provide significant challenges.