Our Pal Care service has deliberately avoided automatic consults because the added volume makes it very difficult to focus their resources on appropriate consults. I think most pal care physicians anecdotally know these findings, and you will see that when they push back against the reconsult for the end-stage something patient who just isn’t “realistic.”
It sounds like a similar thing happened here - the palliative care services got overwhelmed at some if not all the hospitals. Only about half of the patients with an automatically triggered consult were actually seen by palliative care. thanks for writing.
Our Pal Care service has deliberately avoided automatic consults because the added volume makes it very difficult to focus their resources on appropriate consults. I think most pal care physicians anecdotally know these findings, and you will see that when they push back against the reconsult for the end-stage something patient who just isn’t “realistic.”
It sounds like a similar thing happened here - the palliative care services got overwhelmed at some if not all the hospitals. Only about half of the patients with an automatically triggered consult were actually seen by palliative care. thanks for writing.