Hospice
A Comforting hand at home
FY13 Annual Report
CarilionClinic.org/hospice
At the end of life, when the important things like family and faith come into focus, Carilion Clinic Hospice supports patients and those close to them. Experienced and compassionate caregivers provide skilled care and meet the needs of the entire family, all in the comfort of the
patient’s home.
Our Mission at Carilion Clinic At Carilion Clinic, our mission is to improve the health of the communities we serve.
Our Mission at Carilion Clinic Hospice At Carilion Clinic Hospice, our mission is to provide those entrusted to us, quality and compassionate care as we walk their final journey together.
By the Numbers
$6,699,732 revenue
billable days
28,582 Visits
Charity Care
$21,265.50
$17,201.35
$27,192.30
$31,757.24
Bedford
Franklin
Radford
Roanoke
Performance Measures Carilion Clinic Hospice had a busy year preparing for upcoming quality initiatives. We continue to receive patient/caregiver experience data from the National Hospice and Palliative Care Organization (NHPCO), but will transition to the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey in 2015. The hospice CAHPS tool will allow a more accurate reporting of caregiver satisfaction with services provided and will provide valuable insight to our hospice staff on areas that we can improve upon. It also aligns hospice quality measurements with those used in the hospital and ambulatory settings. A new data collection tool will be implemented in 2014 to help collect patient data and prepare hospice agencies for public reporting. We have experienced significant improvement in our overall NHPCO scores in the areas listed below. In areas where our scores did not meet our target, action plans were put into place at each agency to address improvement.
Measure
Roanoke Target
Lower scores desirable
NRV
Target
Bedford
Target
Right amt medicine received for patient’s pain
6.7
< 12.5
0
2.4
0
< 10.5
Enough help with feelings of anxiety/sadness
0
< 3.8
16.7
20.0
0
< 9.1
Received right amt of religious or spiritual contact
0
< 1.3
0
4.0
0
< 1.3
These indicators show that our hospice program helps to address the physical, spiritual, and emotional needs of our patients and their families.
Goals and Objectives Our scorecard provides staff and leaders a forum where they can access and monitor the key performance indicators, goals, targets, and benchmarks defined by the organization for the year.
We offer
a Wide Variety of Services patient-Centered Care
Services offered by Carilion Clinic Hospice and Bedford Hospice Care
Services offered by Agreements with other providers
Skilled nursing care
Home medical equipment
Bath aide services
P hysical, occupational, and speech therapy
Volunteer services Bereavement care 24-hour on-call support Social work services Spiritual care Pet therapy M usic therapy
Respiratory/IV therapy G eneral inpatient and respite care
here for
Our Community
Music Therapy
Music therapy has proved to be an effective and often requested way for patients and families to be comforted as the end of life approaches. It is currently available in all the communities we serve.
Camp treehouse
Because hospice care is a concern for families as well as patients, we make bereavement education and support available for at least a year. One way we accomplish this is through Camp Treehouse, a program dedicated to children who have lost a loved one. This year, volunteers helped the program run smoothly for the 35 children who attended.
Sharing the heart The holiday season is a poignant time for
hospice patients and their families, and we help make it special through our Sharing the Heart of Christmas at Home program. Our caring physicians and staff adopted more than 270 patients and family members, purchasing gifts to make the holidays a time of joy and gratitude.
We honor veterans
We Honor Veterans is a program created by the National Hospice and Palliative Care Organization to serve our veterans. We proudly participate by collecting supplies to distribute to patients and their families.
card party The Hospice Card Party in Franklin County, now in its 14th
year, drew approximately 170 people in April and raised about $10,000 in funds for hospice services in Franklin County.
Bridge to Caring Hands To help caregivers in our community, we began offering the Bridge to Caring Hands program in the New River Valley. In a series of classes taught by our hospice team, caregivers learn about physical care and safety for both caregiver and patient, how to give medications properly, and receive training on medical equipment (oxygen tank, wheelchair, hospital bed, etc.), among other helpful tips.
Family Treasures Family Treasures is a program that allows our patients to tell their life story in their own words, and in their own way, as a gift for their loved ones. Our staff can guide patients in finding the best way to tell a complete life story, or just a memorable chapter, through a variety of options, such as video memoirs, oral history, audio memoirs, legacy books, photo collages, legacy letters, recipe collections, and more.
Journey of Hope
Losing a loved one can be a lonely and painful experience. To help ease the pain we offer Journey of Hope, a facilitated education and support group led by an experienced bereavement staff member that meets weekly for six to 12 weeks.
MIFI Devices Both Carilion Clinic Hospice and Home Care clinicians depend on access to McKesson’s electronic medical record to review important patient information such as discharge summaries or clinical information related to a recent hospitalization or office visit. To enable our clinicians to utilize this information while on home visits, we acquired MiFi mobile devices, a wireless router that acts as a mobile Wi-Fi hotspot. MiFi mobile network devices allow clinicians to connect to the McKesson server, Epic (another highly secure electronic medical record), or the Internet for searches. Safety surrounding patient care is tightened and it allows field clinicians to view a more complete clinical picture. As we partner with inpatient settings to prevent avoidable hospital admissions, access to current and more complete information is invaluable.
Staff Education A clinical educator was hired to assist with on-boarding of new hires and developing education/competencies for our current hospice and home care staff.
Leadership team Lisa T. Sprinkel, R.N., M.S.N. Senior Director, Home Health and Hospice
Our Locations Bedford 1621 Whitfield Ave. Bedford, VA 24523 540-587-6592
Tina Smusz, M.D. Medical Director, Hospice
Radford 701 Randolph St., Suite 110 Radford, VA 24141 540-633-9370
Linda Beahm, M.D. Medical Director, Hospice
Roanoke 1615 Franklin Road Roanoke, VA 24016 540-224-4753
Carolyn Mason-Murray, R.N.C., M.S.N. Business Development Manager, Home Health and Hospice
Rocky Mount
Tracy Stewart, R.N., B.S.N.
390 S. Main St. Rocky Mount, VA 24151 540-489-6503
Manager, New River Valley Home Health and Hospice
Renee Altizer, R.N., B.S.N. Manager, Roanoke Home Health and Hospice
Linda Brown, R.N., B.S.N. Manager, Bedford Hospice Care and Franklin Hospice
Elaine Gravely Manager, Revenue Cycle
Renee Poff, R.N., B.S.N., M.S.N. Supervisor, Performance Improvement for Home Health and Hospice
Sarah Browning, R.N., M.S.N., D.N.P. Director, Systems Operations and Support for Home Health and Hospice
Virgil Thompson, O.T.R./L. Manager, Rehabilitation Services for Home Health
