ArticleJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Keeping Track of DME Utilization-Lessons Learned.
Article in Journal for healthcare quality : official publication of the National Association for Healthcare Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
2 authors.
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Abstract
backgroundDisability is a major problem facing older adults. Durable medical equipment (DME) is used to reduce disability. DME cost is projected to continue to grow. The Program of All-Inclusive Care for the Elderly (PACE) is a managed care program for individuals who live in the community while being nursing home eligible. The program's goal is to prevent or delay institutionalization by attending to participant's needs including the need for DME. The institution, through its interdisciplinary team, noticed that not all DME provided was used. PURPOSE: To understand DME utilization for PACE participants, to identify barriers to use, and to assess financial costs associated with DME nonutilization.
methodThe institution developed a quality improvement project using the Plan-Do-Study-Act (PDSA) cycle to assess and understand DME nonutilization.
resultsAlthough the financial goal of reducing costs related to DME nonutilization was not met, quality improvements were observed, including reduced barriers to utilization and changes in prescription patterns, indicating progress toward more appropriate and targeted DME use.
conclusionsBarriers to DME utilization are complex. An educational session for the interdisciplinary team led to quality improvements and underscored the importance of a person-centered approach to prescribing, coordinated team interventions, and ongoing education and monitoring.
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