The Realities and Vision of Value-Based Hospice Care
Jun 18, 2021
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As efforts to improve and overhaul the US healthcare system focus on a concept called value-based care, what can other medical providers learn from the hospice professionparticularly with its 40-year focus on care that meets patients needs?
And how are hospice providers themselves approaching value-based care?
Value-based care is a model that emphasizes preventive health for patients and rewards for physicians who coordinate care, provide appropriate care based on each patients situation and improve actual health outcomes.
Two VITAS executivesChief Medical Officer and Senior Vice President Dr. Joseph Shega, and Senior Vice President of Strategy and Innovation Brandon Stockrecently participated in a robust American Hospital Association panel discussion about value-based care.
Participants tackled the cultural, operational and financial challenges facing hospitals and health systems as they help patients near the end of life choose and transition to end-of-life care settings.
Following are what our experts said on leading topics:
How Hospitals and Healthcare Providers Redefine the Value of the Care They Provide
Shega says that hospitals need to be committed to serving patients from birth to death.
Setting that standard as the philosophy of your hospital or health system is a powerful message to communicate to patients and families as well as healthcare professionals, he says. Life is a journey. Were never going to abandon you on that journey, and well help you through the whole process. I think thats a powerful way that health system leaders can leverage population health and support their communities. And they need to develop necessary partnerships with hospice providers to ensure the right care to patients at the end of their lives.
When Costly, End-of-Life Care Collides with Patients Preferences for Comfort
To be covered under Medicare hospice benefits, patients have to sign a statement that they choose comfort care over care aimed at curing their illnesses, Shega says, describing the requirement as a big barrier.
Patients receiving specialized treatment may worry about getting the support they need when curative measures cease, he says. Because of this, some patients hesitate to enroll in hospice. Even a lot of clinicians think that hospices will stop all supportive medications that patients are on... This isn't the case. Hospices are paid a daily rate per patients by Medicare. We only get a predetermined amount of money, and then weve got to make it work financially. For some hospices, that means turning down high-acuity patients who require specialized treatments. VITAS' for-profit status provides resources that allow us to take on any eligible patient, regardless of the severity of their illness or the treatments they require.
(VITAS) recognizes that supportive treatments can improve the quality of life. Comfort care can include supportive treatments that aim to reduce disease symptoms or address short-term infections. These might include antibiotics, IV fluids, total parenteral nutrition and ACE inhibitors or inotropes (a heart pump medication) for heart failure. From a cancer perspective, it might be hormonal therapy, thermotherapy or radiation intended solely for symptom relief. These treatments can improve quality of life in a patients final months. Restorative treatments, such as physical and occupational therapy, also can be seen as supportive when they are intended to improve quality of life.
The Need for Seamless Healthcare/Hospital Hospice Partnerships
Stock says VITAS is evaluating many of the new value-based care models that the Center for Medicare and Medicaid Innovation is testing to understand how hospice and palliative care can fit into these innovative approaches.
VITAS is looking at questions such as:
What do these models look like from an operational and business perspective?
How can hospice and palliative care align with hospitals, primary care and other providers?
What changes would we have to make to be successful under these models?
Were hoping to inform partnerships between hospice providers and hospitals by identifying performance metrics that are important to our referral sources and community partners, Stock says. For example, hospice helps decrease hospital re-admissions and overall Medicare spend per beneficiary, while improving the patient and family experience.
In addition, we are developing an enterprise data warehouse which will be a single source of truth about our utilization patterns and other statistics. This is probably one of the largest, clinical data sets that exists for patients at the end of life, and we will be able to use that information to glean important insights.
Shega believes thats where a partnership with a hospice or palliative care provider can make a difference.
Hospitals can leverage their partners as a resource to identify when patients would benefit from hospice and for initiating discussions with patients and families about those services, Shega says. The hospice partner also can help clinicians and other staff to recognize when a hospice referral would be beneficial for patients. This might help to improve care team well-being. Studies show that nurses and doctors feel a lot of moral distress when they think that patients are receiving care that they dont think is right, such as intensive curative treatments that dont improve (patients) outcomes.
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Understanding Hospice Care in Western Slope, Colorado: Compassionate Support for Families
When faced with the difficult decision of caring for a loved one at the end of their life, many families in Western Slope, Colorado, turn to hospice care for comfort and support. Hospice care is designed to provide compassionate, specialized care for individuals in the final stages of a terminal illness. This service offers not only physical care but also emotional, spiritual, and psychological support for both patients and their families.What is Hospice Care?Hospice care focuses on improving the quality of life for individuals with a terminal illness rather than attempting to cure the illness. The goal of hospice is to ensure comfort, manage symptoms, and provide dignity for individuals at the end of life. The care team often includes doctors, nurses, social workers, counselors, chaplains, and trained volunteers.Unlike traditional medical treatments aimed at curing an illness, hospice care shifts the focus toward relief from pain and symptoms, allowing patients to live their final days in comfort and peace. Hospice can be provided at home, in a hospice facility, or within a hospital setting, depending on the patient's needs.Why Choose Hospice Care?Hospice care offers numerous benefits, especially for families seeking a holistic approach to end-of-life care. Some key advantages include: Comfort and Pain Relief: Hospice care ensures that patients are as comfortable as possible, providing pain relief through medications and alternative therapies. Emotional Support: Beyond physical care, hospice provides counseling and emotional support for patients and their families, addressing the mental and emotional toll of end-of-life issues. Spiritual Care: Hospice respects the spiritual beliefs of individuals and their families, offering spiritual support as part of holistic care. Care for the Family: The care team supports not only the patient but also the family, offering respite, counseling, and guidance on how to cope with the transition. 24/7 Care Availability: Hospice care offers the advantage of being available around the clock, giving families peace of mind knowing support is always accessible. Hospice Care in Western SlopeWestern Slope, Colorado, is home to numerous hospice providers that specialize in delivering personalized care. Whether you are in Grand Junction, Montrose, or another part of this beautiful region, there are hospice services that cater to the specific needs of the community.Many of these providers offer a range of services, including home hospice care, inpatient hospice care, and even pediatric hospice care. In addition to medical care, many hospice programs in Western Slope emphasize providing services that address emotional and spiritual well-being during this sensitive time.For those who need to learn more about available options in Western Slope, the Seniors Blue Book is an excellent resource for finding hospice providers in the area.How to Find Hospice Services in Western SlopeWhen considering hospice care, its important to explore all the options available to ensure that your loved ones needs are met. The Seniors Blue Book offers a comprehensive directory of trusted hospice providers in the Western Slope region, providing essential information about the services available.You can explore local providers and find detailed information on available services by visiting our directory:Explore hospice care options in Western SlopeDiscover other senior care resources in Western SlopeFinal ThoughtsHospice care is a vital resource for families facing end-of-life decisions. It allows families in Western Slope to ensure that their loved ones receive compassionate care, comfort, and dignity in their final days. By providing physical, emotional, and spiritual support, hospice care offers a holistic approach to managing this challenging time. If you are considering hospice care for a loved one, take the time to explore all the available resources in Western Slope, Colorado, to ensure you choose the best provider for your familys needs.
Understanding Hospice Care in Utah: Support, Compassion, and Dignity at Lifes Final Chapter
When facing the final stages of a serious illness, families in Utah often seek compassionate and expert care that supports both their loved one and the entire family unit. Thats where hospice care becomes an invaluable resource.Hospice services in Utah provide specialized care for individuals who are nearing the end of life. More than just a healthcare service, hospice focuses on comfort, dignity, and emotional supportallowing people to spend their remaining time on their own terms and in peace.What Is Hospice Care?Hospice is a type of end-of-life care for people with terminal illnesses, typically when curative treatment is no longer the focus. Care is centered around comfort, symptom management, emotional support, and quality of life, rather than trying to cure the illness.Care is usually provided wherever the patient calls homewhether thats a private residence, a nursing facility, or an assisted living community. Hospice can also be delivered in dedicated hospice centers for those who require more intensive medical care.Key Services Offered by Hospice Providers in UtahIn Utah, hospice providers follow best practices and compassionate models of care to ensure that patients and families are supported every step of the way. Common services include:Pain and symptom managementMedical equipment and medication deliveryEmotional and spiritual support24/7 on-call nursing assistanceGrief counseling for familiesVolunteer support and companionshipThe care team typically includes physicians, nurses, social workers, spiritual counselors, and trained volunteers who work collaboratively to meet the patients physical and emotional needs.Why Hospice Is Important in UtahUtah has a growing senior population, and with it comes a rising need for holistic care that respects personal wishes at the end of life. Many Utah families value faith, community, and connection, all of which are integral aspects of hospice care.Additionally, many families in Utah appreciate the flexibility and in-home options that hospice offers. These services allow patients to remain in familiar surroundings while receiving professional care that relieves suffering and enhances dignity.Who Qualifies for Hospice Care?Hospice care is typically recommended for individuals with a life expectancy of six months or less, as certified by a physician. This may include individuals with:CancerHeart failureChronic obstructive pulmonary disease (COPD)Dementia or Alzheimers diseaseAdvanced kidney or liver diseaseOther terminal conditionsThe goal is not to hasten death or prolong life unnaturallybut to support comfort, peace, and family presence during a deeply personal time.How to Find Hospice Services in UtahIf youre seeking hospice in Utah, its important to explore your options carefully. Every familys needs are unique, and selecting the right hospice provider can make a meaningful difference in your loved ones experience.To browse trusted providers and services in your area, explore these local resources:Utah Home Health Directory Seniors Blue BookUtah Hospice Services DirectoryThese directories offer a neutral, comprehensive list of options across Utah to help families make informed, compassionate choices without the pressure of advertising or sponsorship.Questions to Ask When Evaluating a Hospice ProviderWhen choosing hospice care, ask the following questions:What services are included and what support is offered to families?How quickly can care begin after referral?Are there specialized programs for dementia, veterans, or pediatric care?Is 24/7 support available for emergencies or concerns?How are care plans created and reviewed?Clear communication and a team-oriented approach are essential hallmarks of a quality hospice provider.The Role of Hospice in Supporting FamiliesWhile hospice focuses on the comfort of the patient, it also plays a critical role in supporting caregivers and families. From education and emotional support to grief counseling, hospice helps loved ones feel less alone during one of lifes most difficult journeys.In Utahs close-knit communities, the family-centered nature of hospice resonates deeplyallowing family members to participate in caregiving while still receiving professional backup and respite when needed.Conclusion Choosing hospice care is a deeply personal decisionone that reflects love, compassion, and the desire for dignity in lifes final chapter. For families in Utah, understanding what hospice offers and how to access care can provide peace of mind and much-needed support.