The physicians who work closely with us know many of these answers, but if you’re new to hospice referrals, this set of frequently-asked questions may provide you with the answers you’re looking for. If you don’t find your question listed, please call Shangrila Hospice at (866) 981-4065 to speak with an admissions representative.
When should a patient be referred to hospice?
When the patient has six months or less to live, all attempts to cure have been abandoned and the patient/family has been told of the prognosis, then the patient should be referred to hospice.
It is best not to wait until death is imminent since the team will not have time to establish rapport or intervene effectively. We want to stress that it is not necessary for the patient/family to be accepting of the prognosis for referral to hospice to be made.
Who is eligible for hospice care?
To be admitted to the hospice program, a patient must meet the criteria noted on our eligibility guidelines page. However, the overriding guideline is a simple one: the patient must be certified as having a life expectancy of six months or less. All definitive curative therapies must be over.
What is the admission procedure?
Anyone, including the patient, family member, or physician may make the initial request for service by calling (866) 981-4065. The admissions RN will record the vital information and, if necessary, contact the patient’s physician for orders and permission to admit the patient to the hospice program.
How long will it take to see someone?
An initial visit is usually made within twenty four hours of the referral. At that time, the patient’s condition and needs are assessed. The RN will explain services, discuss how other team members will be visiting and answer any questions.
Who pays for Hospice care?
Medicare, Medicaid and some private insurance pay for the care given by the hospice team. If a patient does not have any payment source, he/she may pay all or part of the bill, personally. The important thing to remind your patients is this: no one is denied service because of an inability to pay.
Will I continue to take care of the patient?
The referring physician may choose to maintain control of the care of the patient. This is the most common arrangement. If the patient is to be admitted to the inpatient unit of the hospital and the referring physician does not have admitting privileges there, the medical director will take responsibility for the inpatient care and return the patient to his doctor on discharge from the hospital.
What is the hospice team?
A team made up of representatives from a variety of disciplines provides hospice care. These include:
- The Registered Nurse (RN) is the team leader and performs the initial assessment. The RN monitors the patient’s condition, reporting changes and problems to the physician. After the initial assessment, a Licensed Vocational Nurse (LVN) may perform many of the same tasks as the RN.
- The Medical Social Worker provides psychosocial support for the patient, family and the hospice staff. The MSW also assists with community referrals and financial concerns.
- The Home Health Aid provides personal care of the patient such as bathing, shampooing the hair, or changing the linens.
- Chaplains are an important part of the Shangrila Hospice Team. The provide needed emotional and spiritual support to the patients and their families. They can help with referrals to other clergy in the community and are available for helping the family with funeral planning or a graveside service.
- Hospice Volunteers help patients and families, just as a friend might, by assisting with household tasks, running errands, telephoning or visiting. They are a Medicare mandated member of the team, and invaluable to the care of each and every hospice patient.
- The Medical Director serves as consultant to staff and referring physicians, attends team meetings and oversees the medical aspects of the hospice program.