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Hospice Inpatient Care - California State Hospice Association

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Madrone <strong>Hospice</strong>, Inc.<br />

255 Collier Circle<br />

Yreka, CA 96097<br />

Presenter:<br />

Audrey Flower, MA<br />

Executive Director<br />

(530)842-3160)<br />

Siskiyou County 5 th largest county in CA<br />

Population 45,000<br />

“Frontier”<br />

Yreka‐ County Seat Population 7,000<br />

Madrone <strong>Hospice</strong> House<br />

Madrone <strong>Hospice</strong> is a very small community‐based program<br />

ADC – 33<br />

ALOS – 58 days<br />

Serve 60% of all deaths<br />

No competition<br />

Situation in 1999 when we built the <strong>Hospice</strong> House<br />

3 SNF’s county‐wide, no Assisted Living Facilities<br />

Limited options for hospice patients unable to remain at home<br />

Madrone <strong>Hospice</strong> House<br />

6 beds (shared baths)<br />

CLHF Licensure<br />

90% occupancy<br />

Room & Board ‐ $145/day<br />

Negotiate reduced rates<br />

Limit stay to 30 day transitional period at “greatly” reduced pay<br />

Levels of <strong>Care</strong><br />

Routine Home <strong>Care</strong> (option for Continuous <strong>Care</strong>)<br />

No <strong>Inpatient</strong> <strong>Care</strong><br />

Staffing<br />

Director of Patient Services as p/t <strong>Hospice</strong> House Administrator<br />

LVN ‐ am/pm/NOC<br />

CNA – am/pm/NOC<br />

1/2x cook/housekeeping coordinator<br />

Prepares food, coordinates housekeeping<br />

CNA's provide light housekeeping and laundry<br />

Part‐time activities coordinator (2 hours/wk)<br />

Pharmacist & Dietitian contracts for drug disposal and menu oversight

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