Graduate project

A cost benefit analysis of adding a nurse practitioner to the Sharp Transitions program

Advances in healthcare and medical science have led to increased longevity of world populations. As the world population continues to age, healthcare systems struggle to keep up with the needs of an aging population with increasingly complex medical needs. Sharp Transitions is a community-based palliative care program consisting of registered nurses and medical social workers who visit patients with pre-terminal illness in their homes. The program aims to reduce unnecessary hospitalizations and emergency room visits for predictable exacerbations of chronic disease while also promoting quality of life for patients living with pre-terminal disease. There is currently no universally established delivery of care model for community-based palliative care services. This grant proposal intends to study the impact of adding a nurse practitioner to the existing framework of the Sharp Transitions program. The dependent variables in this proposal are the number of emergency room visits, hospital admissions, 30-day re-admissions, cost analysis, and patient or caregiver satisfaction scores measured by the Palliative Outcome Scale. This proposal is significant to nursing science as the data obtained can contribute to developing a delivery of care model for community-based palliative care services.

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