Contact
- (888) 366-7088 (Corporate)
- 714-439-9603 Fax
3401 W Sunflower Ave Ste. 200, Santa Ana, CA 92704
Home Health Care
- (714) 619-8766 Office
- (714) 619-8769 Fax
Hospice & Palliative Care
- (951) 340-3300
- (951) 340-3303 Fax
Hospice is a service provided by an interdisciplinary care team to any patient who is diagnosed with a terminal illness and certified by a physician that they have less than six months to live. While traditional medical care focuses on treating disease and illness, hospice care centers on improving the quality of life for the individual, in addition to providing support and education to the family. Hospice care provides a team-oriented approach to delivering medical care, pain management, and emotional and spiritual support individualized to the patient’s needs and wishes. The service is provided where the patient resides, at home or in a facility. At Care Dimensions Healthcare, our mission is to provide compassionate, quality care with respect and comfort to our patients and their families/caregivers.
Hospice is a service provided by an interdisciplinary care team to any patient who is diagnosed with a terminal illness and certified by a physician that they have less than six months to live. While traditional medical care focuses on treating disease and illness, hospice care centers on improving the quality of life for the individual, in addition to providing support and education to the family. Hospice care provides a team-oriented approach to delivering medical care, pain management, and emotional and spiritual support individualized to the patient’s needs and wishes. The service is provided where the patient resides, at home or in a facility. At Care Dimensions Healthcare, our mission is to provide compassionate, quality care with respect and comfort to our patients and their families/caregivers.
One must satisfy the criteria developed by the Centers for Medicare and Medicaid services, as listed below, in order to be eligible for hospice care:
Use in conjunction with “Non Disease Specific Guidelines”.
Neurological Diseases (Amyotrophic Lateral Sclerosis/ Lou Gehrig’s Disease (ALS), Multiple Sclerosis, Non-Alzheimer’s Dementia, Parkinson’s, Huntington’s disease, etc.).
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
AND
Heart Diseases (Congestive Heart Failure, CAD, Cardiomyopathy, Ischemic Heart Disease, Myocardial Infarction, Hypertensive Heart Disease, Valvular Heart Disease, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Liver Disease (Chronic Hepatitis, Liver Cirrhosis, Biliary Cirrhosis, Hepatic Fibrosis, Hepatic Encephalopathy, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
Pulmonary Disease (Chronic Bronchitis, COPD, Emphysema, Respiratory Failure, Pulmonary Fibrosis, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Stroke/CVA/Coma (Hemiplegia or Generalized Muscle Weakness with or without Dysphagia as a late effect of CVA, Thromboembolic Stroke, Intracerebral Hemorrhage, Subdural Hematoma, Aneurysmal Bleed, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
One must satisfy the criteria developed by the Centers for Medicare and Medicaid services, as listed below, in order to be eligible for hospice care:
If a patient meets at least 2, consider Hospice:
These guidelines are provided as a reference tool but do not take the place of a physician’s professional judgment.
Use in conjunction with “Non Disease Specific Guidelines”.
Patient declines further chemotherapy/immunotherapy
Cancer has metastasized
Continued decline in spite of therapy
Certain cancers with poor prognosis may be hospice eligible without fulfilling the other criteria in this section
Neurological Diseases (Amyotrophic Lateral Sclerosis/ Lou Gehrig’s Disease (ALS), Multiple Sclerosis, Non-Alzheimer’s Dementia, Parkinson’s, Huntington’s disease, etc.).
Use in conjunction with “Non Disease Specific Guidelines”.
Inability to swallow liquids or soft food without choking or coughing
Inability to clear respiratory secretions, persistent cough, recurrent aspiration pneumonia, and severely compromised breathing
Impaired communication marked by barely intelligible speech
Patient/family declines to continuation of a feeding tube or ventilator/tracheostomy
Use in conjunction with “Non Disease Specific Guidelines”.
AND
Heart Diseases (Congestive Heart Failure, CAD, Cardiomyopathy, Ischemic Heart Disease, Myocardial Infarction, Hypertensive Heart Disease, Valvular Heart Disease, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
CD4+ <25 cells/mcl or Persistent viral load > 100,000 copies/ml plus any of the following:
CNS Lymphoma (untreated/treatment resistant)
Wasting (loss of at least 10% of lean body mass)
Progressive multifocal leukoencephalopathy
Mycobacterium avium complex bacteremia
Systemic lymphoma with advanced HIV disease
Visceral Kaposi’s sarcoma
Renal failure in the absence of dialysis
Cryptosporidium infection
Toxoplasmosis
Palliative performance scale (PPS) ≤ 50%
May need supportive documentation, but NOT required:
Chronic persistent diarrhea for 1 year
Concomitant, active substance abuse
Persistent serum albumin < 2.5 gm/dL
Age > 50 years
Advances AIDS dementia complex
Absence/resistance to effective therapy
Toxoplasmosis
CHF, symptomatic at rest, NYHA Class IV
Advance Liver Disease
Liver Disease (Chronic Hepatitis, Liver Cirrhosis, Biliary Cirrhosis, Hepatic Fibrosis, Hepatic Encephalopathy, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
Patient should have both:
PT prolonged > 5 secs over control or INR > 1.5
Serum Albumin < 2.5 gm/dL
And at least 1 of the following present:
Ascites
Spontaneous Bacterial Peritonitis
Hepatic Encephalopathy
Hepatorenal Syndrome
Recurrent Variceal bleeding
May need supportive documentation, but NOT required:
Progressive malnutrition
Muscle wasting with reduced strength and endurance
Hepatocellular carcinoma
Continued active alcoholism (> 80 gm Ethanol/day)
HBsAG (Hepatitis B positivity)
Hepatitis C refractory to interferon treatment
Pulmonary Disease (Chronic Bronchitis, COPD, Emphysema, Respiratory Failure, Pulmonary Fibrosis, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
Patient should have both:
Disabling dyspnea at rest, poorly or unresponsive to bronchodilators (Decreased FEV1 optional)
Increasing visits to the ED or hospitalizations for pulmonary infections/respiratory failure
Hypoxemia or Hypercapnia at rest and on room air (pO2 ≤ 55mm HG OR Oxygen saturation ≤ 88% OR pCO2 ≤ 55 mm Hg)
May need supportive documentation:
Right heart failure secondary to Cor Pulmonale
Unintentional weight loss > 10% body weight in 6 months
Resting tachycardia > 100/min
Use in conjunction with “Non Disease Specific Guidelines”.
Patient is not seeking dialysis or renal transplant (Note: ESRD benefit is separate from Hospice benefit; Patients can avail of both the Hospice benefit and the ESRD benefit when the need for dialysis is NOT RELATED to the patient’s terminal condition.)
And at least 1 of the following present:
Creatinine level < 10 mL/min (<15 mL/min id with DM) or < 15 mL/min if with CHF (<20 mL/min if with DM)
Serum Creatinine > 8.0mg/dL (>6.0 mg/dL if with DM)
Estimated GFR <10 mL/min
May need supportive documentation:
Mechanical ventilation
Malignancy of other organ system
Chronic Lung Disease
Advanced cardiac or liver disease
Immunosuppression/ AIDS
Albumin < 3.5 gm/dL
Platelet count < 25,000
Disseminated Intravascular Coagulation
Stroke/CVA/Coma (Hemiplegia or Generalized Muscle Weakness with or without Dysphagia as a late effect of CVA, Thromboembolic Stroke, Intracerebral Hemorrhage, Subdural Hematoma, Aneurysmal Bleed, etc.)
Use in conjunction with “Non Disease Specific Guidelines”.
PPS Score of < 40%
And at least 1 of the following present:
Weight loss > 10% in 6 months or > 7.5% in 3 months
Pulmonary Aspiration
Serum Albumin < 2.5gm/dL
Inadequate intake by sequential calorie count
Severe dysphagia
Coma of any etiology or coma patient with any 3 of the following on day 3 of the coma:
Abnormal brainstem response
Absent verbal response
Serum Creatinine > 1.5 mg/dL
Absent withdrawal response to pain
May need supportive documentation:
Medical complications
Progressive clinical decline for past 1 year
Aspiration pneumonia
Refractory Stage 3‐4 decubitus ulcers
Pyelonephritis
One must satisfy the criteria developed by the Centers for Medicare and Medicaid services, as listed below, in order to be eligible for hospice care:
If a patient meets at least 2, consider Hospice:
These guidelines are provided as a reference tool but do not take the place of a physician’s professional judgment.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
AND
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
Use in conjunction with “Non Disease Specific Guidelines”.
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