Hospice Annual Report FY2015

Hospice

COMPASSION AND CARE YOU CHOOSE

FY15 Annual Report

CarilionClinic.org/hospice

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 home.

Our Mission at Carilion Clinic To improve the health of the communities we serve.

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

By the Numbers

$4,813,492 REVENUE

Charity Care

BILLABLE DAYS

20,857 VISITS

$10,360 Roanoke

Performance Measures

HOSPICE QUALITY MEASURES Carilion Clinic Hospice had a busy year implementing quality initiatives. We are in the process of transitioning to the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. 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 on which we can improve.

It also aligns hospice quality measurements with those used in the hospital and ambulatory settings.

MEASURE

Carlion Hospice

Benchmark

92.3%

79.48%

99%

95%

99.01%

96.19%

Screened for Pain Treated for Dyspnea Beliefs/values Addressed

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

Source: Benchmark  |  Data Source: SHP

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

WE OFFER

a Wide Variety of Services PATIENT-CENTERED CARE

SERVICES OFFERED BY CARILION CLINIC HOSPICE Skilled nursing care Bath aide services Volunteer services Bereavement care 24-hour on-call support Social work services Spiritual care Pet therapy M usic therapy M assage therapy P hysician Services/ Nurse Practitioner Tuck

in calls

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

HERE FOR

Our Community

MUSIC THERAPY Music therapy is a therapeutic intervention aimed

at reducing patient stress and improving quality of life. As the music therapist shares a familiar genre of music, patients often join in the singing or visibly relax in response to the familiar sounds.

SUPPORT PROGRAM Because hospice care is a concern 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 ongoing outreach dedicated to children who have lost a loved one.

SHARING THE HEART The holiday season is a poignant time for

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 300 patients and family members in 2015, delivering over 2,300 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 collecting supplies to distribute to patients and their families.

CARD PARTY The Hospice Card Party in Franklin County, now in its 17th

year, drew approximately 170 people in April and raised over $15,000 in funds for hospice services in Franklin County

BRIDGE TO CARING HANDS To help caregivers in our community, we offer 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, learn 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 that meets weekly for six to eight weeks.

MIFI Devices Both Carilion Clinic Hospice and Carilion Clinic Home Care clinicians depend on access to our electronic medical records 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 use this information while on home visits, we continue to use MiFi mobile devices, a wireless connection allowing clinicians to connect to the server or the Internet for educational purposes. This access allows field clinicians to view a more complete clinical picture. We partner with inpatient settings to prevent avoidable hospital admissions, so access to current and more complete information is invaluable.

Staff Education To ensure quality is delivered, a clinical educator assists with onboarding of new hires and develops education/ competencies for our current hospice and home care staff.

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.

Mazen Madhoun, M.D.

Manager, New River Valley Hospice

Medical Director, Hospice

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

Thomas Morel, 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. 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

Brian Unwin, M.D. Rachel Bryant, N.P. Hospice