Carilion Clinic Hospice FY14 Annual Report

Hospice A COMFORTING HAND AT HOME

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By the Numbers

$4,875,524 REVENUE

BILLABLE DAYS

24,632 VISITS

At the end of life, when the important things like family and faith come into focus, Carilion Clinic Hospice supports patients and those close to them.

Experienced and compassionate caregivers provide skilled care and meet the needs of the entire family, all in the comfort of the

patient’s residence.

Charity Care

Our Mission at Carilion Clinic At Carilion Clinic, our mission is to improve the health of the communities we serve.

Our Mission at Carilion Clinic Hospice At Carilion Clinic Hospice, our mission is to provide those entrusted to us, quality and compassionate care as we walk their final journey together.

$46,563 Roanoke

$17,201

New River Valley

$14,245 Franklin

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HOSPICE QUALITY MEASURES WE OFFER

a Wide Variety of Services

Carilion Clinic Hospice had a busy year preparing for upcoming quality initiatives.

We are in the process of transitioning to the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for 2015. The hospice CAHPS tool will allow a more accurate reporting of caregiver satisfaction with services provided and will provide valuable insight to our hospice staff on areas that we can improve upon. It also aligns hospice quality measurements with those used in the hospital and ambulatory settings.

We also implemented the mandated Hospice Health Information Set (HIS) data requirements. The HIS collects data on seven quality outcomes for our HO patients that will eventually be publicly reported. This includes the outcomes listed below, among others. All locations are currently meeting or exceeding the benchmark in all of the upcoming publicly reported outcomes, based upon our preliminary review.

PATIENT-CENTERED CARE

SERVICES OFFERED BY CARILION CLINIC HOSPICE Skilled nursing care Bath aide services Volunteer services Bereavement care

SERVICES OFFERED BY AGREEMENTS WITH OTHER PROVIDERS Home medical equipment Respiratory/IV therapy G eneral inpatient and respite care

24-hour, on-call support

MEASURE Screened for pain

Carlion Hospice 100%

National 95.22%

Social work services P hysical, occupational and speech therapy Spiritual care

Treated for dyspnea

98%

92.6%

Beliefs/values addressed

99%

93.46%

These indicators show that our hospice program helps to address the physical, spiritual, and emotional needs of our patients and their families.

Pet therapy M usic therapy M assage therapy

GOALS and OBJECTIVES Our scorecard provides staff and leaders a forum in which they can access and monitor the key performance indicators, goals, targets, and benchmarks defined by the organization for the year.

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HERE FOR

Our Community

MUSIC THERAPY Music therapy has proved to be an effective and

often requested way for patients and families to be comforted as the end of life approaches. It is currently available in all communities we serve.

CAMP TREEHOUSE Because we are concerned for families as well as patients, we make

bereavement education and support available for at least a year. One way we accomplish this is through Camp Treehouse, a program dedicated to children who have lost a loved one. This year marked the camp’s 16th year. Volunteers helped the program run smoothly for the 35 children who attended.

SHARING THE HEART The holiday season is a poignant time for

MIFI Devices Both Carilion Clinic Hospice and Home Care clinicians depend on access to McKesson’s electronic medical record to review important patient information, such as discharge summaries or clinical information related to a recent hospitalization or office visit. To enable our clinicians to utilize this information while on home visits, we continue to use MiFi mobile devices, a wireless connection allowing clinicians to connect to the McKesson server, the Epic server, or the Internet. This access allows field clinicians to view a more complete clinical picture. As we partner with inpatient settings to prevent avoidable hospital admissions, access to current and more complete information is invaluable.

hospice patients and their families, and we help make it special through our Sharing the Heart of Christmas at Home program. Our caring physicians and staff adopted more than 250 patients and family members, purchasing gifts to make the holidays a time of joy and gratitude.

WE HONOR VETERANS We Honor Veterans is a program created by the National Hospice and Palliative Care Organization to serve our veterans. We proudly participate by recognizing our veterans with gratitude for their service. We also have veteran volunteers who pin our veterans in recognition of their valor and sacrifice for our country.

Staff Education

CARD PARTY The Hospice Card Party in Franklin County, now in its 16th

A clinical educator was hired to assist with on-boarding of new hires and developing education/competencies for our current hospice staff.

year, drew approximately 170 people in April and raised about $10,000 in funds for hospice services in Franklin County.

BRIDGE TO CARING HANDS To help caregivers in our community, we began

offering the Bridge to Caring Hands program in the New River Valley. In a series of classes taught by our hospice team, caregivers learn about physical care and safety for both caregiver and patient, how to give medications properly, and receive training on medical equipment (oxygen tank, wheelchair, hospital bed, etc.), among other helpful tips.

FAMILY TREASURES Family Treasures is a program that allows our patients to tell their life story in their own words, and in their own way, as a gift for their loved ones. Our staff can guide patients in finding the best way to tell a complete life story, or just a memorable chapter, through a variety of options, such as video memoirs, oral history, audio memoirs, legacy books, photo collages, legacy letters, recipe collections, and more.

JOURNEY OF HOPE Losing a loved one can be a lonely and painful experience. To help ease the pain we offer Journey of Hope, a facilitated education and support group led by an experienced bereavement staff member and meets weekly for six to eight weeks.

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LEADERSHIP TEAM Lisa T. Sprinkel, R.N., B.B.A, M.S.N. Senior Director, Home Care and Hospice

Renee Altizer, R.N., M.S.N.

Aubrey Knight, M.D.

Manager, New River Valley Hospice

Medical Director, Hospice

Sarah Browning, R.N., D.N.P.

Mazen Madhoun, M.D.

Director, Systems Operations and Support Home Care and Hospice

Medical Director, Hospice

Krichelia Ely, R.N., B.S.

Medical Director, Hospice

Manager, Roanoke Hospice

Elaine Gravely, B.S. Manager, Revenue Cycle, Home Care and Hospice

Renee Poff, R.N., M.S.N. Manager, Quality, Home Care and Hospice

Mary Riddle, R.N., B.S.N., MS.Ed.

Thomas Morel, M.D. Brian Unwin, M.D. Medical Director, Hospice

Rachel Bryant, N.P. Hospice

Kathy Finney, N.P. Hospice

Manager, Franklin Home Care and Hospice

Virgil Thompson, O.T.R./L, B.S. Manager, Rehabilitation Services, Home Care and Hospice

Our Locations Roanoke | 540-224-4753 1615 Franklin Road, Roanoke, VA 24016 540-224-4753

Franklin | 540-489-6503 390 S. Main St., Rocky Mount, VA 24151

New River Valley | 540-633-9370 701 Randolph St., Radford, VA 24141

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