National Hospitalization Avoidance Program
Our Care Transition Program focuses on a full continuum of care to ensure patients receive the appropriate level of care when they choose it. Our program always honors the patient’s and family’s choice of provider, even if it is not one in our family of providers.
Patients participating in our Hospitalization Avoidance Program are 48.3% less likely to admit to the hospital in the first 30 days of hospice care (i.e. revoke hospice for hospitalization when hospice could manage/address the issue)
Our program provides appropriate coordination and care management techniques in order to avoid burdensome transitions. We layer care management services upon the traditional hospice care model to speciﬁcally focus on:
- Reducing hospitalizations
- Improving patient and caregiver satisfaction levels
- Providing a feedback mechanism for a higher level of care delivery
We focus on education needs and early identification of symptom management, and work in conjunction with the patient’s hospice care team:
- We layer “Comfort Care Calls” to provide an additional layer of support and relationship for patients at high risk for live discharge and re-hospitalization
- We engage our patients and their caregivers in “Call Us First” education for symptom and pain management
- The hospice agency ensures GIP contracts are in place so our patients may return for symptom management under the care of hospice without impacting readmission or mortality rates
Questions about our National Hospitalization Avoidance Program or Hospice Care? Contact our hospice agency near you.
* Hospice PEPPER (Program for Evaluation Payment Patterns Electronic Report) Compare Targets report, Four Quarters ending Q4FY2021 – 10/1/20 – 9/30/21 (Release Apr 2022); Developed by TMF Health Quality Institute under contract with CMS