Residential’s Guide to
Hospice Care
Michigan p: (866)902-5854 f: (866)903-4000 Illinois p: (855)902-5100 f: (866)903-4000 www.residentialhospice.com
Understanding Hospice hospice Hospice is a philosophy of care focused on optimizing quality of life, comfort, and dignity for patients.
Hospice Fulfills Patients' Wishes
8 out of 10 patients with chronic diseases say they want to avoid hospitalization and intensive care when they are dying
Patient & Caregiver Family s
Care Team Primary Physician
Registered Nurses
After-Hours Team
Certified Nurse’s Aides
Massage & Aroma Therapists
Spiritual Care Counselors
Hospice Physicians
Grief Counselors
Social Workers
Pharmacists
Music Therapists
Volunteers
ntial Hospice Reside Care Team
The Hospice Challenge 49%
70% of Americans say they would prefer to die at home, but only 25% actually do
49% of U.S. hospice patients receive care for under 2 weeks
70% 25%
We must ensure that healthcare providers and families are having clear conversations earlier in the course of an illness about patient preferences regarding quality of life, where they prefer to receive care, and the type of care they wish to have. One of the most frequent comments hospice professionals hear from the families they care for is that they wished they knew about and received hospice earlier. - J. Donald Schumacher, National Hospice and Palliative Care Organization President & CEO
Together,
we can help change the state of hospice.
Common Misconceptions hospice
Hospice is only for patients who are close to death or actively dying
Starting hospice does not mean that death is imminent. True, hospice is an end-oflife service, but we focus on criteria that a patient must meet to qualify. Primary care physicians sign a document that if the disease should run its normal course, the patient has six months or less to live. Yet sometimes disease processes do not run their ‘normal’ course and a patient can continue on hospice for longer than six months.
Hospice is only for cancer patients
Though cancer is the most common hospice diagnosis, accounting for 36.5% of hospice patients nationally in 2013, many other diagnoses are hospice-appropriate. Dementia and lung disease each accounted for 15.2%, and heart disease accounted for 13.4% of hospice patients in 2013.
A patient’s existing doctor can no longer be involved in care
Maintaining the patient and physician relationship throughout the hospice care is of utmost importance, and the primary care physician is still very much involved in overseeing his or her patient’s care. Residential Hospice reinforces this relationship by coordinating care with the patient’s physician. The Residential Hospice Medical Director can serve as a second physician for patients and can make house calls, when needed, to help patients become more comfortable.
Hospice is a place where patients go to get service
Whether a patient’s ‘home’ is a house or apartment, assisted living facility, nursing home, or hospital, Residential Hospice goes there to provide patients and their families with physical, emotional, and spiritual support.
Physicians cannot bill for hospice patients
Hospitalists and attending physicians may continue to see patients for the management of their terminal illness. The part B physician benefit remains intact for all services unrelated to the terminal illness.
Patients and families cannot afford hospice
All Residential Hospice services are covered by Medicare and Medicaid, as well as many other insurances, with no out-of-pocket costs for eligible beneficiaries. Medication, medical supplies, and medical equipment related to the hospice diagnosis are also covered.
Hospice patients have to sign a DNR
Medicare does not allow anyone to force a patient to have a DNR (Do Not Resuscitate) order. Our team educates patients and caregivers on what it means to have a DNR (or not) and supports whatever decisions are made.
Residential Hospice care team members cross over from home health to hospice Our staff is hospice-only, with our entire team trained and ready to provide care to our hospice patients, families, and caregivers. While patients who transfer from Residential Home Health to Residential Hospice experience a seamless transition, the providers and focus of care do change.
When to Consider Hospice hospice Curative treatment ending or no longer desired
Frequent trips to the ER or a recent hospitalization
Weight loss and decrease in appetite
Increase in weakness or fall risk
More help required with activities of daily living
Worsened shortness of breath or need for oxygen most/all of the time Multiple changes and adjustments to medication because of ineffectiveness or an increase in the number of medications required to control symptoms
A PATIENT DOES NOT HAVE TO BE BED-BOUND OR CRITICALLY ILL TO RECEIVE HOSPICE SERVICES.
If a patient is diagnosed with a chronic disease, Residential Hospice can start or join the 'hospice conversation' with patients and family members.
Overlooked for Hospice? hospice
Stage 3 Cancer
Going back to the hospital makes me feel helpless... I wish I had more options.
Dementia & Diabetes
I feel tired and overwhelmed... I wish someone had talked to me about hospice sooner.
CHF & COPD
My family does so much for me... I wish someone was there for them like they're here for me.
Family Testimonial ....Having to deal with hospice for the first time was needless to say a little uncomfortable, however I am writing you to tell that the experience me and my family endured was 'unbelievably' gratifying. You took the time (and all involved) to answer any questions we may have had AND returned our calls (at any hours of the day or night). Your kindness, thoughtfulness, and concern, was and is greatly appreciated! - Joe P.
The
Residential
hospice
NATIONAL AVERAGE
Residential Hospice Outcomes Better than the National Average in:
We Are
Responsive From our large clinical capacity to our separate after-hours and weekend staff, Residential is poised for action – we're there when patients and families need us most. Every referral is addressed within 24 hours, and we sign on and support patients any day of the year, day or night.
We Are
Compassionate
Our care teams are well-rounded to address social and spiritual pain – for us, caring is not only physical, but emotional as well. Residential's bereavement support continues to guide families and caregivers for 13 months after the loss of a loved one.
We Are
Connected
From managed care organizations to numerous insurance providers, Residential's reach extends across a broad network – we have positive relationships to call on when patients are in need. We are honored that more than 200 physicians, 100 nursing homes, and 40 hospitals trust their patients to our dedicated care.
Hospice Difference hospice
• Timeliness of care • Emotional support • Symptom management
• Spiritual support • Pain medication explanation - CAHPS Hospice Scores & Benchmark, 2015
We Are
Accountable
Secure and meticulous compliance is Residential's hallmark – we strive to ensure that no one is left vulnerable. With thorough documentation and individualized protocols, we endeavor to satisfy regulatory requirements and meet our vital obligations to care partners, patients, and Medicare.
We Are
Prepared
Every patient has different needs, and we have the resources and know-how necessary to meet those challenges – we can be brought in with confidence for any patient, at any stage, with any concern. Across the Residential team, our staff has specialized training, including national certifications in palliative care.
Experts in End-of-Life Care Residential Hospice is here for the residents both day and night, and comes not only for the residents but for their families. They build strong relationships with the staff, which benefits patient care. Residential Hospice demonstrates expertise in end-of-life care, which includes collaborating with residents, families, physicians, and staff. - Facility Administrator and Hospice-Referring Customer
Let Us Educate Your Patients Do you have a patient who may benefit from hospice? Contact Residential Hospice to start care or to have us begin or join the 'hospice conversation' with a patient, family, and caregivers. We will help your patients consider hospice as a care option, and we will collaborate with you to empower them. No matter how you choose to connect with Residential Hospice, we make it easy.
MI - (866)902-5854 PHONE: IL - (855)902-5100 Residential CareForce mobile app hospice
ONLINE:
ECIN Physician portal: www.rhhpatients.com
FAX:
( 866)903-4000, Attn: Hospice Include a face sheet and a physician order that says: "Evaluate and admit to Hospice if appropriate."
Residential CareForce
R
to refer & trackResidential patients! CareForce
R
Our proprietary smartphone application makes it even easier for you to coordinate home care and hospice for your patients and follow their progress.
REFER
Dictate and submit a recorded referral to Residential Home Health or Residential Hospice.
REACH OUT
Call your patients directly from the app and contact your Residential Home Care or Hospice Consultant easily. phone: MI - (866)902-5854 / IL - (855)902-5100 | www.residentialhospice.com | fax: (866)903-4000