Page 186 - CHHA Binder 2.3.20

4/11/2019

Follow Up Steps

• PPS score 80% or greater, no clear indication of palliative or hospice care needs:
Standard CHHA services
− Follow standard intake procedures
• PPS score is 70% or below, core indicators and disease-specific indicators present, but
patient/family/MD NOT agreeable to Hospice referral: Document need for VNSNY SW
evaluation
− Document the PPS Score in coordination notes (and other info regarding ACP/Pall/Hospice
needs)
• PPS score is 70% or below, core indicators and disease-specific indicators present,
patient/family and MD agreeable to Hospice referral: Refer to Hospice
− Contact Hospice Liaison on site or Hospice Referral Center to make referral
− Cancel CHHA referral once patient is accepted by Hospice

• If there is a signed health care proxy (HCP), or other advance care planning
form in the hospital record, ask if patient can be sent home with a copy
• Attach copy of any advance care planning forms to Worldview

Hospice

 Hospice is compassionate, comfort-
oriented care for those with advanced
illness

 Emphasis is on pain management,
symptom control and emotional support
for the patient and family

 Hospice improves physical and
psychological symptoms of patients

 Hospice care focuses on improving a
patient’s quality of life, and can give
patients and families a feeling of control

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