Hospice Inpatient Care - California State Hospice Association

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Hospice Operated Units/Facilities • San Diego Hospice – Sharon O’Mary – Special Hospital: Hospice – Contracted Hospice Unit in a SNF • Madrone Hospice – Audrey Flower – CLHF (Residential Care) • Hospice of the Foothills – Vanessa Bengston – Congregate Living Health Facility 13 Questions? 14 Selected Statistics 4-2010 5
Sharon O’Mary (619) 278-6286 somary@sdhospice.org Inpatient Unit Comparison ICC and GlenBrook Care Centers SDHIPM has two inpatient care centers, staffed entirely by its own employees. SDHIPM MDs and NPs provide daily visits. Skilled pain and symptom management is provided on either unit with access to infusions, medications, and other therapies. License/Beds Levels of Care Staffing Matrix Challenges Positive Outcomes Pharmacy Inpatient Care Center 4311 Third Avenue San Diego, CA 92103 Special Acute Care Hospital 24 beds Primary teaching site for Institute for Palliative Medicine General Inpatient – Hospice DRG Admission – Palliative Care Adheres to RN staffing ratios required for acute care hospital. 75 staff Manager + Charge RN (patient free) Unit Medical Director + 2 Attending physicians + NP RN 1:4 CNA 1:6 MSW 1:12 SPC 0.8:12 Unit clerk 1:12 Licensing – Permanent Pilot Acute Hospital and ongoing adherence to regulatory requirements Organized Medical Staff Cost Internal competition for limited beds Quality. Total control of palliative setting, treatment protocols & integrative therapies, operations, staffing, expenses. Certified palliative physicians. Academic setting for all disciplines. Physical identity for hospice in San Diego. . On Site. Pharmacist consultation on daily rounds. GlenBrook Care Center 1950 Calle Barcelona Carlsbad, CA 92009 Skilled Nursing Facility 12 beds, leased General Inpatient - Hospice, Respite - Hospice. 2 licensed nurses all shifts, regardless of census Charge Nurse (patient assignment) 24 staff Attending physician + NP RN 1:6 CNA 1.6 MSW 0.5:12 SPC 0.4:12 Unit clerk 1:12 Licensing – SNF regulations & culture (Medication, age, documentation and care planning, removal of body, consent process, MDS completion) Semi-private rooms – beds limited by isolation precautions, gender Space for private conversation Short stay “residents” (ALOS 8 days) DHS consent for automated medication dispensing system (Pyxis) Cost - Staffing for fluctuating census Quality. Control of palliative setting, treatment protocols, operations, staffing Partnership with premiere Continuing Care Community in north county. Certified palliative physicians. Pyxis – managed by SDHIPM Pharmacy. Pharmacist consultation.
Page 1 and 2: 9/23/2010 2010 CHAPCA Annual Confer
Page 3 and 4: 9/23/2010 Where Hospice Services ca
Page 5 and 6: 9/23/2010 Challenges to Providing I
Page 7 and 8: 9/23/2010 Inpatient Care in an ICF
Page 9 and 10: 9/23/2010 Questions or Comments? 9
Page 11 and 12: Types of Contracts for Inpatient Be
Page 13: Hospice Operated Unit in a Host Fac
Page 17 and 18: Madrone Hospice, Inc. 255 Collier C
Page 20: CHALLENGES REWARDS

Hospice Inpatient Care - California State Hospice Association

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