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hospice in the snf

Hospice services can be provided to patients that are residing in a skilled nursing facility, provided that the patient meets the eligibility requirements. In collaboration with the services provided by the SNF, hospice services are an added benefit that are specifically tailored for the needs of the terminally ill patient.

Why pursue Hospice care & practice in a long-term care facility?

    • Residents in long-term care facilities are entitled
      access to hospice care.

    • Patients can be offered increased & expanded
      services when hospice & long-term care facilities
      work together.

    • Long-term care facility staff can be exposed,
      trained, & become active participants in the
      provision of hospice care.

    • Possibility for increased public relations for long-
      term care facility & hospice.

    • Offers patients, families, & health care providers
      another option for continuity of care from the
      hospital and/or home.

    • Hospitals have improved access to long-term
      care placement for terminally ill patients in a
      specialty setting who otherwise would have died
      in the hospital awaiting long-term care placement.

    • The patient/family have access to greater support
      as they contemplate & make many difficult treatment
      & end-of-life decisions.

    • Hospice is a leader in helping health care providers
      meet the needs of terminally ill patients & families.

the potential hospice patient:

  • has a terminal illness (neoplastic or non-neoplastic)
    & is no longer receiving curative treatment, but
    requires palliative treatment

  • has a life expectancy of approximately six months
    or less

  • chooses hospice care, understanding the hospice
    philosophy

  • has a family member or other appropriate person
    willing to share responsibility for care & decision
    making

  • lives in the hospice service area

  • has any kind of insurance, or no insurance at all

 

 

hospice levels of care

 
  

Routine

Hospice provides full spectrum of hospice intermittent services, medications, DME & supplies related to terminal illness.

 

  

Respite

Respite care is short term inpatient care (at the same level as Inpatient Care) provided to a home patient when necessary to relieve the family members or other persons caring for the individual & to provide them a rest period.

 

Continuous

During periods of acute medical crisis for patients residing at home a change in status to "continuous care" may be necessary. The patient must require primarily nursing care for palliation or management of acute medical symptoms to be eligible to receive continuous care. Continuous home care is covered when it is provided to maintain an individual at home during a medical crisis.

 

General In-Patient

Patient may be moved from home or discharged from an acute hospital to a contracted facility to receive "inpatient care" or a Care Center patient on "routine care" may be changed to "inpatient care status". Inpatient care is provided when a patient requires increased skilled nursing care to manage acute medical crises. Hospice regulations require that the patient be at the facility's highest level of care with a Registered Nurse available 24 hours/day. The facility also agrees to admit 24 hours a day, 7 days a week & to provide daily documentation by licensed nurse of the patient's condition (much like the charting required for patients on Part A Medicare).

 

 

resources

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