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Hospital and Hospice Partnerships

In Reply To: Place of death of patient
Next Reply: Re:Re:Place of death of patient
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Post Re:Place of death of patient
Author: Deb
Date: Jan 29, 2008 6:19 pm
At my facility we have a hospice as part of our healthcare system with a liason in the hospital to see pt's. They have asked (with approval from the medical groups) that I follow pt's on palliative care who are imminent within hours to days. This is for a number of reasons. They state it is more cost effective for them. I am a nurse consultant and am an employee of the hospital, and do not bill. Also families are unhappy when their loved one dies in transport and usually prefer to stay here, besides feeling abandoned by the hospital and physicians when they are sent away...
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Re:Re:Place of death of patient (by SharolHerr on 02/04/2008)
You will want to be cautious providing care for patients that the hospice has not been ordered or consulted on to provide care. Medicare has guidelines that hospice is not to "give away care." If your position is partially funded by hospice and the hospital that needs to be clear and where and how you document will reflect this. Discharging patients that are imminently dying is a challenge for most acute palliative care programs. You walk the line of appropriateness for continued acute inpatient care with the patient meeting acute criteria, vs. stable for discharge with ongoing care at different levels such as long term care vs. appropriateness for conversion to inpatient hospice in the hospital. At Mt. Carmel Health in Columbus, Ohio we have staff that have responsibilities with the acute palliative care service and with the hospice program. The hospice program is under the Mt. Carmel umbrella. Mt. Carmel is available to schedule a conference call to discuss this issue further if that would be helpful. Response submitted by: Sharol Herr, RN, MSEd, CHPN Mt. Carmel Health System Palliative Leadership Centers Columbus, OH VM: 614-234-0222 to schedule a call

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