Hospice care is a unique wholistic care that seeks to provide for you and your families’ physical, psychosocial, spiritual, and emotional needs. You can expect to receive care that is coordinated by a hospice team (commonly known as the Interdisciplinary Group (IDG) or Interdisciplinary Team (IDT), and services that are directed by your Plan of Care.
What is the Admission Process?
There are a series of steps to the hospice admission process. These steps may occur separately or simultaneously. They are:
- Your attending physician makes the hospice referral.
- You sign the Certification of Terminal Illness and Election of Hospice forms.
- You are admitted into the hospice of your choosing.
- Patient Rights Notice is given to you and your family.
- The initial and comprehensive patient assessment (RN assessment within 48 hours; Hospice team assessment within five calendar days) is performed.
- Your hospice team coordinates your Plan of Care and services with you, your family and an attending physician.
- Your hospice team trains and educates your family on drug and medical equipment management.
- Periodic visits from your hospice team will occur, as well as ongoing assessment of yourPlan of Care and eligibility.
What is a Plan of Care?
Once eligible for hospice, your individualized written plan of care, called Plan of Care (POC), will be established by your hospice team in collaboration with you or your representative, the attending physician (if any), and your primary caregiver before any services are rendered. This ‘roadmap’ of care will include all services necessary for the palliation and management of your terminal illness, related conditions, and may include problems, interventions and goals.
Your hospice must ensure that you and your primary care giver(s) receive education and training as appropriate to their responsibilities for the care and services identified in the POC.
Your hospice team (in collaboration with your attending physician, if any) will review, revise and document your individualized plan as frequently as your condition requires, but no less frequently
than every 15 calendar days.
What Are Levels of Care?
There are four levels of hospice care defined by law and paid for by Medicare, Medicaid, and most other insurance plans. The hospice or the attending physician will determine what levels of care you need by using standardized criteria. Not every level of hospice provides 24-hour care, and you may not use or need all levels of care. The goal of hospice is to empower your family by providing education and support.
ROUTINE CARE: You will receive hospice services at home or in a home-like setting, such as nursing home, assisted living facility or a hospice residential facility. Your family provides the primary care with the assistance of the hospice team.
CONTINUOUS CARE: Skilled nursing services are provided in your place of residence to help during a crisis period.
INPATIENT CARE: This care is provided in a facility (hospital, nursing facility, or hospice freestanding inpatient facility) for symptoms or a crisis that cannot be managed in your residence. Inpatient care is provided for a limited period of time, as determined by your physician and your hospice team.
RESPITE CARE: This service is provided in a facility (hospital, nursing facility, or hospice freestanding inpatient facility) and is designed to give your caregivers a rest. Respite care is up to five days and nights at a time. This service is often used to provide a break so your caregivers can participate in other family activities, such as holiday celebrations, or just to give rest and relief for a few days.