Supportive Care Management
Enhancing quality of life through innovative care.
Staying confident wherever you call home with Supportive Care Management
Supportive Care Management from the Wisconsin Hospice and Palliative Care Collaborative (WHPCC) is a wrap-around service for people living with advancing chronic diseases like heart disease, cancer, stroke, respiratory illness, Alzheimer’s disease, kidney disease and others. It helps improve quality of life for for those living in a private residence, assisted living or nursing home.
Why Supportive Care Management?
Seriously ill people may not be receiving the care they need to manage their disease. Insurers cover palliative care (physician and NP), but other critical supportive services (nurses, social workers, and chaplains) factor heavily in avoiding unplanned care for symptom relief. Case managers see the gaps in care and have struggled to fill it.
WHPCC’s Supportive Care Management program is intended to fill the gap.
What does Supportive Care Management Provide?
Enables the provider to have a practice without walls
Program providers collaborate with the provider, as requested
Protocols for symptom assessment
Chronic disease management
Medication reconciliation and management
Psychosocial support to reduce patient anxiety and fear
Advance care planning
Member and caregiver illness education
Contingency planning
Safety and mobility assessment
Social work access to community resources
Care Members Can Count On
Around-the-clock availability
24/7 access to RN telephone support with provider backup
Assistance with symptom management
Regular check-in calls
Home-based visits
Scheduled and urgent social work, RN, Nurse Practitioner, chaplain and provider visits to address physical symptoms and spiritual needs of both the patient and their support system.
Documentation of advance directives and goals of care discussions
Social worker collaboration with community resources
Patient and family education
Physician oversight
Articulated care plans that specify patient goals, shared collaboratively with the patient’s primary care physician
Active prescribing with Supportive Care Management provider and primary care physician
Monthly interdisciplinary meetings to assess progress on patient goals
Avoid stressful hospitalizations
Patients with specialized support from supportive care management programs have fewer emergency department visits, hospital admissions, hospital re-admissions and shorter hospital lengths of stay.* WHPCC partners with insurers to monitor data that tracks quality, experience of care, symptom management, access, utilization and cost-of-care measures.
Expert symptom management
Interdisciplinary teams review and manage symptoms, address gaps in care, establish goals of care and develop care plans in conjunction with the patient’s primary care physician. Team members help those with serious illness and their families define their evolving goals of care throughout the course of their illness. This helps providers match treatments and avert costly, often unwanted care. WHPCC has built strong relationships with physicians in the marketplace over many years, making provider education and referrals easier.
Whole-person
care
WHPCC’s Supportive Care Management program uses evidence-based practices that lead to better outcomes for seriously ill patients. The care team consists of a physician or advanced practice provider, registered nurse, social worker and chaplain who provide expert symptom management in the patient’s home – whether that is in a nursing home, assisted living facility or private residence.
*Johnson, Amanda J., MSM, PA-C. “Advanced Illness Management – The Impact of a Community Based Palliative Care Program.” Center to Advance Palliative Care (CAPC) National Seminar, Measuring Impact and Value, Atlanta, Georgia, November 14, 2019.
Broad Geographic Coverage
WHPCC member organizations are licensed to serve in 38 counties in Wisconsin—including our two largest cities. This vast service area is home to 80 percent of the Badger State’s residents, about 5.8 million people.
About WHPCC
The Wisconsin Hospice and Palliative Care Collaborative is a partnership of the state’s five leading non-profit hospice and palliative care organizations: Adoray Home Health & Hospice, Hospice Alliance, Rainbow Hospice Care, Sharon S. Richardson Community Hospice and Unity Hospice.
The goal of this partnership is to improve the patient experience and quality of care while demonstrating value to the market by achieving improved clinical outcomes and cost savings. With Supportive Care Management, payors can access the expertise of the WHPCC’s teams with a single contract. Learn more about WHPCC here.
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