Hospice in ECF Handout - Home Care Information Network
Hospice in ECF Handout - Home Care Information Network
Hospice in ECF Handout - Home Care Information Network
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HOSPICE EDUCATION NETWORKProvid<strong>in</strong>g <strong>Hospice</strong> <strong>in</strong> Extended <strong>Care</strong> Facilities by Carla BravemanHISTORY Omnibus Budget Reconciliation Actsof 1985 & 1989 allowed <strong>Hospice</strong> care<strong>in</strong> facilities as home care day rate Census today ranges 0% - 60% AARP projects 7 out of 10 will spendsome time <strong>in</strong> NH’s after age 65Copyright © 2007CONCERNS Operation Restore Trust (ORT) 1997 Fear of double dipp<strong>in</strong>g Fear of 488’s - AdditionalDevelopment Requests (ADR) Fear of fraud and abuse Staff did not like it anywayCopyright © 2007Quality of Life IssuesGAO study 1999-2000<strong>Hospice</strong> Patients vs. other NH patients: Better pa<strong>in</strong> assessment and treatment – 2times more likely to get narcotics for daily pa<strong>in</strong> Less likely to be hospitalized More likely to have dyspnea treated More likely to have depression/anxiety treated Less likely to be restra<strong>in</strong>ed, receive tube orparenteral feed<strong>in</strong>gs, IM or IV Meds, therapyCopyright © 2007HEN Copyright 2007www.hospiceonl<strong>in</strong>e.com2
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