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DEVELOP A CHI PACC® PROGRAM


CHI PACC® EXPECTED OUTCOMES



With Existing System Extended Coverage through CHI PACC®
CARE FOR CHILDREN
  1. Child often isolated
  2. Fragmented, disjointed services with gaps
  3. Access difficulties
  4. Focus is acute care
--->
  1. Child & Family as unit of care
  2. Care management in continuum of comprehensive services
  3. 24-hour availability to speed access
  4. Focus is keeping child in community
CARE FOR FAMILIES
  1. Family on periphery
  2. Family in crisis
  3. Family with excruciating decisions
  4. Workplace disruption
  5. Social cost
--->
  1. Family as unit of care
  2. Ongoing support for family, including siblings
  3. Family not alone at difficult times
  4. Supportive services to reduce disruption
  5. Services to reduce costs to community, e.g. reduction of adolescents on alcohol and drugs, reduction of illnesses developing in other
  6. family members-due to unresolved grief
USE OF RESOURCES
  1. Crisis-driven utilization
  2. Hospitalizations because no alternatives
  3. Squeezes pennies to lose dollars
  4. Qualifications for reimbursement block access creating crisis
--->
  1. Macro management reduces crises and insures appropriate utilization
  2. Services in community reduce hospitalizations
  3. Improved use of resources gets more for same amount
  4. Access to services when needed reduces more costly utilizations
SATISFACTION
  1. Families burdened with guilt and grief
  2. Families forced to make decision what
  3. can be reimbursed, not what's needed Children receive inadequate pain control and symptom management
  4. Dying an event surrounded by confusion, distress, denial, guilt
--->
  1. Families receive counseling and support
  2. Families make decisions on what's best for the child
  3. Children are kept comfortable as illness progresses
  4. End of life prepared for and supported

 




Children's Hospice International; 1101 King Street, Suite 360; Alexandria, VA 22314; USA; 1-800-2-4-CHILD; 703-684-0330