ABSTRACT
This chapter explores enrollment triggers, models, quality metrics, and challenges in the delivery of home palliative care services. This high-cost, high-need population can be identified through predictive modeling for home palliative care services. When starting a new home palliative care program, one should conduct a needs assessment, define the target population, establish the type of service being delivered, develop a sustainable business plan, outline a staffing model, and select key quality metrics to measure. Some home palliative care programs provide primary care services including prescribing refills of maintenance medications when the patient is becoming homebound or when primary care services are not readily available. This home palliative care program uses a nurse, social worker model with physician oversight and heavy reliance on telepalliative care to ensure increased access to services, especially during off hours.
