Finance Matters in Nursing LeadershipThe Business Case to Care for Persons With Serious Illness Using Home-Based and Community-Based Palliative CareKnighten, Mary Lynne DNP, RN, NEA-BC Author Information Doctoral Programs Department, School of Nursing, Azusa Pacific University, Azusa, California. Correspondence: Mary Lynne Knighten, DNP, RN, NEA-BC, Doctoral Programs Department, Graduate Division, Azusa Pacific University, 701 E. Foothill Blvd, Azusa, CA 90702 ([email protected]). The author expresses heartfelt thanks to the stellar interdisciplinary palliative care team with whom she worked and from whom she learned. They designed and delivered innovative supportive care to persons with serious illness in their home. Project director: Katrina Ling, palliative care nurse practitioner: Cecile Kokozian, case management director: Crystal Burrous, palliative care social worker: Annabelle DelaTorre, and palliative care physicians: Nicholas Jauregui and Harding Young. The author is a reviewer for NAQ. The author declares no conflict of interest. Nursing Administration Quarterly: October/December 2022 - Volume 46 - Issue 4 - p 309-315 doi: 10.1097/NAQ.0000000000000547 Buy Metrics Abstract The number of persons with serious illness in America has dramatically increased over the last half decade, while the cost for health care quadrupled. The trajectory of these chronic conditions can mean declining health, frequent emergency department visits and more hospitalizations, driving up health care costs, and reducing quality of life. Palliative care, a viable solution to reducing disease burden, improving quality of life, and decreasing costs, has been offered in hospitals for many years and is now a standard of care and practice. Palliative care can be provided while concomitantly offering disease-targeted treatment. Home-based and community-based palliative care models offer new and innovative avenues for the provision of palliative care outside the hospital walls. Definitions to differentiate between palliative care, hospice, and long-term services and support will be presented. How to make the business case for home-based or community-based palliative care will be made, with insights, resources, and tools for calculating the return on investment. The role and competencies for palliative care nurse leaders will be explored. © 2022 Wolters Kluwer Health, Inc. All rights reserved.