Center to Advance Palliative Care

I've had several patients with trauma-induced quadriplegia with rapid onset advancing decubiti, rapidly decreasing albumin due to anorexia, and general clinical decline, and whose goals of care are consistent with an exclusively comfort-focused careplan. However, they don't yet meet the hospice FTT criteria and do not have another active illness that is end-stage. These folks have prognoses of 6 months or less, consistently confirmed in hindsight, but they weren't accepted into hospice until death was imminent because they didn't meet formal "established" criteria. I absolutely respect the pressures hospices are under to demonstrate the appropriatness of hospice. Does anyone have a creative way of demonstrating this in a way the auditors accept? I have another patient now who would benefit tremendously from hospice but we're back in the pickle of proving it. Thanks for everyone's help.