Harbor:Home hospice from ED - Revision history

Rossdonaldson1 at 14:12, 25 November 2021

2021-11-25T14:12:14Z

← Older revision		Revision as of 14:12, 25 November 2021
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	***Silverado (310) 634-4311 - COVID, HFNC, thora/paracentesis		***Silverado (310) 634-4311 - COVID, HFNC, thora/paracentesis
	***Hope International (310) 782-7070 - thora/paracentesis, Chinese, Korean, Japanese speakers		***Hope International (310) 782-7070 - thora/paracentesis, Chinese, Korean, Japanese speakers
	*
	*		[[Category:Admin]]

Andreawu: /* HOSPICE ELIGIBILITY: */

2021-01-05T19:21:52Z

HOSPICE ELIGIBILITY:

← Older revision		Revision as of 19:21, 5 January 2021
Line 1:		Line 1:
	==HOSPICE ELIGIBILITY:==		==HOSPICE ELIGIBILITY:==
			[[:File:EmergencyDepartmentEligibiltyCheckList.pdf]]
	*1) “Would I be surprised if this patient dies in the next 6 months?”		*1) “Would I be surprised if this patient dies in the next 6 months?”
	*Terminal illness with prognosis of ≤ 6 months		*Terminal illness with prognosis of ≤ 6 months

Andreawu: /* HOME HOSPICE REFERRAL */

2021-01-05T19:14:57Z

HOME HOSPICE REFERRAL

← Older revision		Revision as of 19:14, 5 January 2021
Line 34:		Line 34:
	***Silverado (310) 634-4311 - COVID, HFNC, thora/paracentesis		***Silverado (310) 634-4311 - COVID, HFNC, thora/paracentesis
	***Hope International (310) 782-7070 - thora/paracentesis, Chinese, Korean, Japanese speakers		***Hope International (310) 782-7070 - thora/paracentesis, Chinese, Korean, Japanese speakers
			*
			*

Andreawu: /* HOME HOSPICE REFERRAL */

2021-01-05T19:13:32Z

HOME HOSPICE REFERRAL

← Older revision		Revision as of 19:13, 5 January 2021
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	** Since Home Health is not here, you will make the referral to hospice agency directly		** Since Home Health is not here, you will make the referral to hospice agency directly
	** Please still place “Home Hospice” order in orchid so that our Home Health Department can follow up and track the referral		** Please still place “Home Hospice” order in orchid so that our Home Health Department can follow up and track the referral
	** Afterhours, the ED can directly contact the home health agency Vitas 855.977.4042 or VITAS.com/Referrals		** Afterhours, the ED can directly contact the home health agency
			***Vitas 855.977.4042 or VITAS.com/Referrals - has COVID care, HFNC, thora/paracentesis if already has catheter
			***Roze Room (818) 783-1002 - has COVID care, HFNC, thora/paracentesis if already has catheter
			***Silverado (310) 634-4311 - COVID, HFNC, thora/paracentesis
			***Hope International (310) 782-7070 - thora/paracentesis, Chinese, Korean, Japanese speakers

Andreawu: /* HOME HOSPICE REFERRAL */

2021-01-05T18:56:21Z

HOME HOSPICE REFERRAL

← Older revision		Revision as of 18:56, 5 January 2021
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	==HOME HOSPICE REFERRAL==		==HOME HOSPICE REFERRAL==

	# ORCHID Order for “Home Hospice”		*ORCHID Order for “Home Hospice”
			**Will require NPI and License #
	# Will require NPI and License #		**Please add to the order comments the physician contact #/pager, terminal diagnosis and any medical care needs patient may require for comfort
			** ie: high flow O2, therapeutic para/thora, local wound care, ostomy care, foley etc.
	# Please add to the order comments the physician contact #/pager, terminal diagnosis and any medical care needs patient may require for comfort		* This will be received by our Home Health Department who processes the referral and finds a hospice agency who can accept the patient
			* Hospice agency will contact patient/family and sign consent for services
	* ie: high flow O2, therapeutic para/thora, local wound care, ostomy care, foley etc.

	# This will be received by our Home Health Department who processes the referral and finds a hospice agency who can accept the patient

	# Hospice agency will contact patient/family and sign consent for services

	*Home Health Hours: M-F 8am-5:30pm, Saturday 9am-6pm		*Home Health Hours: M-F 8am-5:30pm, Saturday 9am-6pm
	**They will coordinate everything after the order is placed and call the provider's Spectralink with f/u on ETA or any questions		**They will coordinate everything after the order is placed and call the provider's Spectralink with f/u on ETA or any questions

	*Weekends/Holidays/After work hours		*Weekends/Holidays/After work hours

	** Since Home Health is not here, you will make the referral to hospice agency directly		** Since Home Health is not here, you will make the referral to hospice agency directly

	** Please still place “Home Hospice” order in orchid so that our Home Health Department can follow up and track the referral		** Please still place “Home Hospice” order in orchid so that our Home Health Department can follow up and track the referral

	** Afterhours, the ED can directly contact the home health agency Vitas 855.977.4042 or VITAS.com/Referrals		** Afterhours, the ED can directly contact the home health agency Vitas 855.977.4042 or VITAS.com/Referrals

Andreawu: /* HOSPICE ELIGIBILITY: */

2021-01-05T18:55:07Z

HOSPICE ELIGIBILITY:

@@ Line 2: / Line 2: @@
 *1) “Would I be surprised if this patient dies in the next 6 months?”
-**Terminal illness with prognosis of ≤ 6 months
+*2) Patient/family has chosen to focus on comfort
 *need some support at home, whether it's family, friends, neighbors. (e.g. cannot be completely dependent for ADLs).
 ==HOME HOSPICE REFERRAL==

Andreawu: Created page with "==HOSPICE ELIGIBILITY:== *1) “Would I be surprised if this patient dies in the next 6 months?” Terminal illness with prognosis of ≤ 6 months Declining functional..."

2021-01-05T18:54:16Z

Created page with "==HOSPICE ELIGIBILITY:== *1) “Would I be surprised if this patient dies in the next 6 months?” **Terminal illness with prognosis of ≤ 6 months **Declining functional..."

New page

==HOSPICE ELIGIBILITY:==

*1) “Would I be surprised if this patient dies in the next 6 months?”

**Terminal illness with prognosis of ≤ 6 months

**Declining functional status:

**Dependence in 3 of 6 Activities of Daily Living (ADLs)

**Predominately chair or bedbound

**Change in nutritional status, e.g., > 10% loss of body weight over last 4-6 months

**Observable and documented deterioration in overall clinical condition in the past 4-6 months, as manifested by at least one of the following:

***≥ 3 hospitalizations or ED visits

***Decrease in tolerance to physical activity

***Decrease in cognitive ability

***Other comorbid conditions

**2) Patient/family has chosen to focus on comfort
*need some support at home, whether it's family, friends, neighbors. (e.g. cannot be completely dependent for ADLs).

==HOME HOSPICE REFERRAL==

# ORCHID Order for “Home Hospice”

# Will require NPI and License #

# Please add to the order comments the physician contact #/pager, terminal diagnosis and any medical care needs patient may require for comfort

* ie: high flow O2, therapeutic para/thora, local wound care, ostomy care, foley etc.

# This will be received by our Home Health Department who processes the referral and finds a hospice agency who can accept the patient

# Hospice agency will contact patient/family and sign consent for services

*Home Health Hours: M-F 8am-5:30pm, Saturday 9am-6pm
**They will coordinate everything after the order is placed and call the provider's Spectralink with f/u on ETA or any questions

*Weekends/Holidays/After work hours

** Since Home Health is not here, you will make the referral to hospice agency directly

** Please still place “Home Hospice” order in orchid so that our Home Health Department can follow up and track the referral

** Afterhours, the ED can directly contact the home health agency Vitas 855.977.4042 or VITAS.com/Referrals

Harbor:Home hospice from ED - Revision history

Rossdonaldson1 at 14:12, 25 November 2021

Andreawu: /* HOSPICE ELIGIBILITY: */

Andreawu: /* HOME HOSPICE REFERRAL */

Andreawu: /* HOME HOSPICE REFERRAL */

Andreawu: /* HOME HOSPICE REFERRAL */

Andreawu: /* HOSPICE ELIGIBILITY: */

Andreawu: Created page with "==HOSPICE ELIGIBILITY:== *1) “Would I be surprised if this patient dies in the next 6 months?” **Terminal illness with prognosis of ≤ 6 months **Declining functional..."

Andreawu: Created page with "==HOSPICE ELIGIBILITY:== *1) “Would I be surprised if this patient dies in the next 6 months?” Terminal illness with prognosis of ≤ 6 months Declining functional..."