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Agenda

Agenda. Overview of Hospice Services Value of Hospice Services. Why is this information important?. Patients you work with may benefit from hospice services. Their families may benefit from hospice services.

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Agenda

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  1. Agenda • Overview of Hospice Services • Value of Hospice Services

  2. Why is this information important? • Patients you work with may benefit from hospice services. • Their families may benefit from hospice services. • Your own family, friends, and co-workers may benefit from these services, from end-of-life care to grief support. You can help them access hospice.

  3. In the Ministry Home Care Hospice (MHoC)Program… We provide high quality end-of-life and bereavement care, honoring the priorities, wishes, and values of those we serve.

  4. What is Hospice Care? Home • Private Home • Hospice Home • Nursing Home • Assisted Living Facility – RCAC/CBRF/AFH Inpatient • Respite Hospitalization • Acute Hospitalization Bereavement • 13 months of support to Hospice families • Grief Groups (open to community)

  5. What is Hospice Care? • Holistic end-of-life care that can be provided anywhere a patient lives. • Interdisciplinary Team • Comprehensive care including medications, medical supplies and equipment • On-Call availability - 24/7 • Family/Caregiver education and support • Coordination of Care - between home, hospital and other facilities • Grief Support

  6. The Truth About Hospice • Hospice is a service, not a place. • Hospice is for anyone of any age, not only the elderly. • Hospice serves patients with all diagnoses, not only those with cancer.

  7. The Truth About Hospice cont’d… • Patients are encouraged to experience life, and do not need to be homebound. • Patients maintain a relationship with their physician. • Patients may choose to opt out of hospice. • In addition to the patient’s care, hospice supports the entire family.

  8. The Truth About Hospice… Hospice is hope.

  9. The Differences BetweenHospice & Palliative Care • Palliative care is comfort care. • All hospice is palliative. • Not all palliative care is hospice.

  10. Hospice Life-limiting illness Home care Change from curative to comfort care 13 months of bereavement support Palliative Care Serious or chronic illness Inpatient & outpatient care Comfort care, but may still receive curative therapies Limited bereavement support The Differences BetweenHospice & Palliative Care

  11. Hospice Team Members • Patient/Family • Patient’s Primary Physician • Nurse • Home Health Aide • Social Worker • Spiritual Counselor • Volunteers • Bereavement Counselor • Nurse Practitioner • Medical Director • Therapists/Dietitian

  12. Criteria &Coverage • Life expectancy 6 months or less. • Ongoing re-certification 90-90-60…if they continue to meet the prognosis criteria. • Based on Medicare benefit, per diem coverage pays for all hospice services including medications, medical equipment and treatments (for comfort) related to the terminal condition and authorized by hospice.

  13. Who Pays for Hospice Care? • Medicare, Medicaid, private insurance. • MHoC Hospice does not deny hospice care to anyone who is medically eligible based on an inability to pay. • At MHoC Hospice, we rely on donations and contributions to cover the care of patients who are under-insured or uninsured.

  14. Importance of Early Referral • Allows the patient and family time to develop a relationship with the team, building comfort and trust. • With that, they are able to prepare • Emotionally • Socially • Spiritually

  15. Quality Improvement • Satisfaction Surveys • Family • Physician • Nursing Home • Referral Source • National Benchmarking • NQF Pain - Comfort within 48 hours • 3 QAPI Projects • Percent Excellent on care survey • Weekend/Evening Response • Caregiver Confidence

  16. Who Can Hospice Help? Anyone of any age who has been told their condition is terminal, who are no longer seeking curative treatment, and their families.

  17. Make a Referral • Share some basic information • Keep brochures on hand from area hospice providers • Invite hospice to do a consult with the patient/family even if they are not sure they are ready to enroll yet.

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