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Community Palliative Care Service Package |
Traditional Hospice Service Package |
| Patient Contact |
| Provider visits (Physician, PA, APRN and RN) |
Monthly (though could be more or less, depending on patient need), with access to interdisciplinary team as needed |
Frequent visits based on patient need (including daily and/or 24/7 visits) by a team that includes a provider, RN, social worker, chaplain and CNA visiting as needed |
| After-Hours Visits |
Services are generally Monday-Friday, with after-hours telephonic assistance, but not emergency visits |
Phone access with 24/7 emergency visits provided by RNs as needed |
| Response Time for Patient Support |
Medical consultant care and visits are not available urgently; phone response generally within the same business day; visits scheduled as "next available" |
24/7 Emergency support; quick response generally within a few hours with phone contact or visit |
| Clinical Authority |
| |
Generally a consultative model; the palliative care team may co-manage with patient's primary provider |
Hospice Team assumes full authority over patient's care related to the terminal diagnosis; patients may keep their primary provider for non-hospice related diagnosis |
| Support Services |
| Psychosocial |
Limited social work services; provides advance care planning and some counseling and referrals to community services |
Routine counseling and social support |
| Spiritual Care |
Limited chaplaincy support |
Routine chaplaincy support |
| Therapies |
Not part of the standard community palliative care package; available through arrangements with other providers |
Provides physical, occupational and speech therapy, and complimentary therapies such as massage, art and music |
| Nutrition |
Not part of the standard community palliative care package; available through arrangements with other providers |
Provided |
| Personal Care |
Not part of the standard community palliative care package; available through arrangements with other providers |
Support from certified nursing aides or personal care attendants |
| Bereavement |
Not part of community palliative care package |
Available to family for one year following patient's death |
| Volunteer Support |
Occasionally available, but not generally part of the package |
Provided |
| Other Services |
| Medication Coverage |
Not part of community palliative care services coverage per patient's insurance |
Medications paid for if related to hospice diagnosis/terminal prognosis |
| Durable Medical Equipment (DME) |
Not provided |
Provided (commode, hospital bed, etc.) |
| Medical Supplies |
Not provided |
Provided |
