Hospice Inpatient Care - California State Hospice Association
Hospice Inpatient Care - California State Hospice Association
Hospice Inpatient Care - California State Hospice Association
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Sharon O’Mary<br />
(619) 278-6286<br />
somary@sdhospice.org<br />
<strong>Inpatient</strong> Unit Comparison<br />
ICC and GlenBrook <strong>Care</strong> Centers<br />
SDHIPM has two inpatient care centers, staffed entirely by its own employees. SDHIPM MDs and<br />
NPs provide daily visits. Skilled pain and symptom management is provided on either unit with<br />
access to infusions, medications, and other therapies.<br />
License/Beds<br />
Levels of <strong>Care</strong><br />
Staffing Matrix<br />
Challenges<br />
Positive<br />
Outcomes<br />
Pharmacy<br />
<strong>Inpatient</strong> <strong>Care</strong> Center<br />
4311 Third Avenue<br />
San Diego, CA 92103<br />
Special Acute <strong>Care</strong> Hospital<br />
24 beds<br />
Primary teaching site for Institute for<br />
Palliative Medicine<br />
General <strong>Inpatient</strong> – <strong>Hospice</strong><br />
DRG Admission – Palliative <strong>Care</strong><br />
Adheres to RN staffing ratios required<br />
for acute care hospital.<br />
75 staff<br />
Manager + Charge RN (patient free)<br />
Unit Medical Director + 2 Attending<br />
physicians + NP<br />
RN 1:4<br />
CNA 1:6<br />
MSW 1:12<br />
SPC 0.8:12<br />
Unit clerk 1:12<br />
Licensing – Permanent Pilot Acute<br />
Hospital and ongoing adherence to<br />
regulatory requirements<br />
Organized Medical Staff<br />
Cost<br />
Internal competition for limited beds<br />
Quality.<br />
Total control of palliative setting,<br />
treatment protocols & integrative<br />
therapies, operations, staffing,<br />
expenses.<br />
Certified palliative physicians.<br />
Academic setting for all disciplines.<br />
Physical identity for hospice in San<br />
Diego. .<br />
On Site. Pharmacist consultation on<br />
daily rounds.<br />
GlenBrook <strong>Care</strong> Center<br />
1950 Calle Barcelona<br />
Carlsbad, CA 92009<br />
Skilled Nursing Facility<br />
12 beds, leased<br />
General <strong>Inpatient</strong> - <strong>Hospice</strong>,<br />
Respite - <strong>Hospice</strong>.<br />
2 licensed nurses all shifts,<br />
regardless of census<br />
Charge Nurse (patient assignment)<br />
24 staff<br />
Attending physician + NP<br />
RN 1:6<br />
CNA 1.6<br />
MSW 0.5:12<br />
SPC 0.4:12<br />
Unit clerk 1:12<br />
Licensing – SNF regulations &<br />
culture (Medication, age,<br />
documentation and care planning,<br />
removal of body, consent process,<br />
MDS completion)<br />
Semi-private rooms – beds limited by<br />
isolation precautions, gender<br />
Space for private conversation<br />
Short stay “residents” (ALOS 8 days)<br />
DHS consent for automated<br />
medication dispensing system<br />
(Pyxis)<br />
Cost - Staffing for fluctuating census<br />
Quality.<br />
Control of palliative setting, treatment<br />
protocols, operations, staffing<br />
Partnership with premiere Continuing<br />
<strong>Care</strong> Community in north county.<br />
Certified palliative physicians.<br />
Pyxis – managed by SDHIPM<br />
Pharmacy. Pharmacist consultation.
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