Feeds:
Posts
Comments

Posts Tagged ‘Medicare’

http://www.npr.org/sections/health-shots/2017/08/11/542607941/nearly-1-in-5-hospice-patients-discharged-while-still-alive

When I first saw the headline for this NPR story, I thought it was a good news story! One in five patients being discharged from hospice! That’s amazing!

But when I dug into the article, I realized how wrong I was. You see, in the US, most hospice operate on a for-profit basis. They are looking for ways to improve the bottom line by moving out patients who might need costly medical procedures – re-admitting them after they’ve been treated. As well, there’s evidence to suggest that they may be over-admitting patients who might not be within 6 months of death, thereby insuring that they fill all their beds. This doesn’t sound like good news to me!

Hospices in the United States began much like those in Canada – through the pioneering efforts of people following the example of Dame Cicely Saunders, founder of St. Christopher’s Hospice in London.  Once Medicare began to pay for the “hospice benefit,” for-profit enterprises (including venture capitalists) began purchasing and establishing hospices. The result of this is described in the attached article.

We are not perfect here in Canada – hospices are not adequately funded by Medicare and millions of dollars must be raised by each not-for-profit hospice just to survive. Costs are kept down by the use of thousands upon thousands of volunteers – providing enormous savings in staff salaries and invaluable services of all kind. As many people have noted, volunteers are the heart and soul of hospice and the benefits we provide are immeasurable.

Volunteers are essential to American hospices as well, of course. In fact, to receive funding through the hospice benefit program, at least 5% of staffing costs must be provided by volunteers. That’s a huge incentive to organizations to attract and retain volunteers.

Not all hospices in the U.S. operate on a for-profit basis. And I’m sure that some of the for-profit hospices provide excellent, caring services for people at the end of their lives. Nonetheless, I’m glad that in Canada, so far, we’ve maintained the non-profit basis for hospice services established by the founders of the hospice palliative care movement.

 

 

Advertisements

Read Full Post »

volunteerplaintalk

where volunteer managers talk

Unwind.com

Ellen Symons

Last Comforts

Notes from the Forefront of Late-Life Care

offbeatcompassion

Offbeat stories and essays about what people facing loss ponder, value, and believe.

Your Own Good Death

life matters- talk about death

Jane Eaton Hamilton

"We must always take sides. Neutrality helps the oppressor, never the victim. We must always take sides. Silence encourages the tormentor, never the tormented." -- Elie Wiesel

Ottawa Citizen

Ottawa Latest News, Breaking Headlines & Sports

BIRTH AND DEATH AND IN BETWEEN

Reflections from my life as a mother, grandmother, midwife, farmer, buddhist, teacher, vagabond and hospice nurse...

The fragile and the wild

Ethics, ecology and other enticements for a stalled writer

Rampant with Memory

completed moments stamped

Heart Poems

How poetry can speak to you

Linda Vanderlee • Living Aligned

Personal, Leadership & Team Development

Writingalife's Blog

Just another WordPress.com weblog

yourcoachingbrain

Just another WordPress.com site

Hospice Volunteering

A blog about volunteering in hospice care

EAPC Blog

The Blog of the European Association of Palliative Care

Hospice and Nursing Homes Blog

A blog about volunteering in hospice care