Tag Archives: Medicaid

Hospice Facts and Figures

Stats

The latest report from the National Hospice and Palliative Care Organization (NHPNO) offers important and meaningful statistics regarding hospice care in the United States. The most recent year for which full stats were available is 2013.

The average time that a patient was on hospice in 2013 is 72.6 days.

Among hospice patients in 2013, 34.5% were on hospice 7 days or less before death occurred. 14.3% were on hospice for 8-14 days. Another 12.7% were on hospice for 15-29 days. This means 61.5% received care for less than a month. (We presume that many of that 61.5% might have qualified for hospice sooner and received a more complete assortment of hospice services.)

66.6% of hospice patients were at home in 2013 when they passed away. That number is composed of 41.7% who were in private residences. 24.9% were in nursing homes or other residential facilities.

Approximately 84% of hospice patients in 2013 were age 65 or older. 41.2% were 85 or older.

Of those admitted to hospice in 2013, 36.5% had a cancer diagnosis. The majority, 63.5%, had non-cancer diagnoses. Those included dementia (15.2%), heart disease (13.4) and lung disease (9.9%).

Family evaluations of hospice care after their family member’s death included this positive result: 73.5% of those surveyed rated their family member’s care “excellent.”

According to NHCPO estimates, the number of hospice volunteers serving patients topped 355,000 during 2013. They provided approximately 16 million hours of volunteer service.

The Medicare hospice benefit covered 87.7% of hospice patients in the U.S. during 2013. Medicaid, managed care and private insurance covered 10.0%.

These cold, hard stats are useful but they cannot describe the warmth and compassion that most hospice employees and volunteers have for their patients and families. The numbers are impressive, but it is important to remember that, ultimately, hospice care is about quality rather than quantity.

For information about hospice care in metro St. Louis, please call Hope Hospice at 314-984-9800.

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Why Hospice?

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  1. Because your loved one, even if he or she is bedridden, would prefer to be at home instead of in a hospital.
  2. Because the top priority of hospice care is patient comfort including relief from pain.
  3. Because going on hospice does not mean giving up.
  4. Because hospice focuses on the quality of a patient’s remaining time, instead of continuing treatments to prolong life.
  5. Because hospice team members guide family members and/or private care personnel on proper caregiving for each individual patient.
  6. Because hospice patients, on average, live longer than those who are not on hospice. This result has been repeated by numerous studies.
  7. Because hospice care includes necessary medical equipment such as oxygen, hospital beds, wheelchairs, etc.
  8. Because spiritual and emotion support is available to the patient and family members.
  9. Because hospice is fully covered by Medicare, Medicaid and most insurance plans.
  10. Because hospice is not just for the last few days of a person’s life.
  11. Because hospice is not just for cancer patients. While hospice provides care for many cancer patients, people with other life-limiting conditions such as Alzheimer’s, renal failure, congestive heart failure may also be eligible for hospice.
  12. Because hospice care is delivered with compassion.

For information about hospice care in metro St. Louis, please call Hope Hospice at 314-984-9800.

(photo credit:  http://www.flickr.com/photos/44124395312@N01/442372023, via http://photopin.com,  https://creativecommons.org/licenses/by-sa/2.0/)

Hospice: The First Steps

Where does a family member begin when the need for hospice care for a loved one becomes more than just a vague, distant possibility?

Begin with research. Go to your computer. Numerous online resources offer information about hospice care.

Talk to friends, neighbors, co-workers and fellow church members. Those who have had family members in hospice may be able to share useful input. Realize that one family’s experiences may vary widely from those of another.

Talk to medical personnel. Your loved one’s doctor, your physicians and others you know in the medical community.

Call us at Hope Hospice. If we cannot answer your specific questions immediately, we’ll get back in touch with the information you need. Our number is 314-984-9800.

Here are some of the basic facts of hospice care in the U.S.:

  • Most hospice care happens at home or in a nursing home or assisted living facility.
  • A person is deemed eligible for hospice care when a doctor determines that he or she has a life expectancy of 6 months or less.
  • The cost of hospice care is fully covered by Medicare. Also, many state Medicaid plans and private health insurance plans cover hospice care.
  • A primary goal of hospice care is pain and symptom control. Hospice works to help a patient maintain a good quality of life for his or her remaining time.
  • Hospice care is a team effort involving doctors, nurses, home health aides, social workers, chaplains and other support personnel. (Hope Hospice has a massage therapist to help with patient comfort.)
  • Hospice does not provide 24/7 nursing or personal care. It is up to family members or other loved ones (or hired caregivers) to serve as primary caregivers.
  • Hospice team members can provide guidance to caregivers who may be unfamiliar with all the necessary elements of home care.
  • A hospice agency may provide equipment such as hospital type beds and adult diapers.

The more you learn about hospice care before you or the doctor makes the call to the hospice agency, the better it is for you, the caregiver and for the patient.

You can call Hope Hospice (based in St. Louis county) with questions at 314-984-9800. You may also visit our website: http://hopehospicestl.com/

 

 

 

 

 

 

 

 

 

 

 

 

The Value of Hospice Care

Here is an excerpt from the Wikipedia article on Hospice:

“Hospice is the only Medicare benefit that includes pharmaceuticals, medical equipment, twenty-four hour/seven day a week access to care and support for loved ones following a death.

Hospice care is also covered by Medicaid and most private insurance plans.”

This information is one of the most important elements of the hospice story. When a patient is referred to Hope Hospice of St. Louis, our representatives share details about the care we provide. After we list the many aspects of our patient care, the question is asked, “How much will this cost?”

Upon learning that the costs of hospice care are covered by Medicare/Medicaid/private insurance, there is frequently an audible sigh of relief from the patient and/or family members.

When you consider that hospice care includes much more than visits by nurses and home health aides, the value of hospice care becomes obvious. Addressing a patient’s emotional, spiritual and social needs, as well as physical/medical needs, allows hospice to play a huge role in a patient’s end-of-life process. The support and assistance offered to the patient’s family—before and after the patient’s death—also contribute to the value of hospice care.

Patients and families should take advantage of any hospice service that is offered. At Hope Hospice of St. Louis, we are proactive in making patients and families aware of all we can do. A conversation with one of our chaplains can be comforting. Advice from our social worker can help in dealing with a variety of issues. Our massage therapist can provide relief from pain and general stress relief.

Based on comments we regularly receive from families following a patient’s death, we are gratified to learn the real value of our work. We are frequently told that being able to spend those final weeks and months at home—with hospice care—made things easier for the patient. We hear about patient and family appreciation for our high levels of compassion and concern.

One of the greatest values of hospice care is the knowledge that, following the patient’s death, family members will not receive an invoice for services rendered. That can provide genuine peace of mind for all concerned.