Cost Effectiveness of a Palliative Care Program in a Rural Community Hospital

Lori s. Mcgrath, DNP, RN, ACNP-BC; Dorothy Gargis Foote, PhD, RN, FNP-BC, GNP-BC; Karen H. Frith, PhD, RN, NEA-BC; W. Michael hall, MD


Nurs Econ. 2013;31(4):176-183. 

In This Article


Key success factors for implementing the palliative care program included assessing the facility's desire to implement palliative care and a readiness for major change in medical and nursing practice. Additional success factors included integrating the Center to Advance Palliative Care's framework for implementing a successful palliative care program, securing hospital administration's support to access appropriate financial data, and identifying barriers that might exist to thwart the success of the implementation process.

Even in a small hospital, effective palliative care services can be provided with positive financial outcomes for dying patients and their families. This study demonstrated the important benefits of palliative care services and the need to offer this delivery care option to every patient regardless of the hospital's size, budget, or location.