“Hospice is not an ending but a beginning to making every moment count”
OUR Purpose To enhance the quality of life for both patient and family when quantity of life cannot be extended. When a patient has been told that they have a terminal illness and curative treatment is no longer an option, a feeling of helplessness and hopelessness often threatens the family as well as the patient. Fayette County Health Department’s (FCHD) Hospice is committed to easing these burdens by addressing the individual physical, psychological and spiritual needs.
The patient enjoys the highest level of comfort possible through a program of supportive, palliative care, thus enabling the whole family to make the most of whatever time is left. Emotional support for patient and family makes the process of grieving much more tolerable. Providing as much comfort as possible will enhance the quality of time a patient has left. FCHD Hospice offers choices and control over what happens to the family unit during this dying and bereavement journey.
Grief Support Group meets the first Monday of every month from 4:30-5:30pm at FCHD
Anyone is welcome.
The following services are covered:
Registered Nurse Visits
Hospice Aid Visits providing personal care
Hospice Medical Director visits/consultations
Medications related to the hospice diagnosis
Emotional and spiritual support for patient and family
On-call Care & Support (24 hours / 7 days a week)
Authorized Inpatient Care
Bereavement Counseling/mailings for 13 months following death
Live in the service area of the Fayette County Health Department: Area includes from Vandalia, north to Oconee, south to Sandoval, east to Effingham and west to Greenville.
The patient must be certified with a terminal illness with a life expectancy of 6 months of less, if the disease runs its normal course.
The patient, family, and doctor must agree that no more curative or diagnostic treatments will be done while under hospice care.
The prognosis must be documented by the physician’s signature on a standard hospice physician’s order form.
Patient must have a primary caregiver who will be available 24 hours a day. They must be over 18 and must be able to arrange for 24/7 care.
Donations and Memorials When families, individuals and patients name the Fayette County Health Department Home Health to receive contributions and memorials, it is a tribute not only to the patient, but to the Home Health staff who frequently leave their homes and families to provide help, comfort, and medical intervention to patients and families. Memorials and donations are greatly appreciated.
A contribution is tax deductible and may be of several methods. No individual employee may accept a gift of value for services. If the donor wishes to donate for the benefit of all employees of Home Health, this must be stated when the donation is made.
Hospice is a special end-of-life care for individuals and families with life-limiting illnesses. It is not a place, but a philosophy of care created to help people live with dignity, comfort, and compassion that provides palliative care (comfort care), pain management, symptom control, psychosocial support and spiritual care by the hospice interdisciplinary team or group. We neither hasten nor prolong life, however at the center of hospice is the belief that each of us should be able to die pain-free with dignity, and that our families receive the necessary support to allow us to do so.
At FCHD, we offer emotional, physical, and spiritual support and assist the patient’s loved ones in performing activities of daily living and coping with the emotional challenges they face. Hospice enables patients and their families to live life to its fullest in the comfort of their own homes or wherever they call home. We are available 24 hours a day, 7 days a week to ensure responsive and timely patient contact for after hour and weekend needs.
Who is Eligible for Hospice? Hospice care provided Medicare certified hospice programs are covered by Medicare Hospice Benefit (Part A). Physician services can continue to be billed through Medicare Part B.
Medicare beneficiaries who choose hospice care receive non-curative medical and support services for their terminal illness.
Medicare coverage for hospice care is available only if:
The patient is eligible for Medicare Part A
The patient’s physician and the hospice Medical Director certify that the patient is terminally ill with a life expectancy of six months or less;
The patient signs a statement choosing hospice care;
Services not covered:
Active treatment of the terminal illness that is not for symptom management and pain control
Who pays for Hospice Care? For those Medicare appropriate, hospice is a 100% covered Medicare/Medicaid benefit for services related to the hospice diagnosis. Fayette County Hospice accommodates most private insurance companies and offers additional payment options. In cases where no insurance is available, a financial needs assessment will be completed for those individuals. Hospice provides professional services regardless of the ability to pay.
FCHD Hospice services are provided without regard to age, race, color, creed, gender, national origin, sexual orientation, disability, diagnosis or ability to pay.
Anyone suffering from a life-limiting, terminal disease can receive hospice services as long as they live in the area served by the FCHD Hospice.
The Medicare hospice benefit, enacted by Congress in 1982, is the predominate source of payment for hospice care. In 2011, 85.0% of hospice patients were Medicare beneficiaries, followed by managed care or private insurance (7.7%), then Medicaid ((5.2%), Uncompensated or Charity Care (1.3%), Self Pay (1.1%), and Other Payment Source (0.07%).
General Guidelines: When is Hospice Appropriate
The person has a life-limiting prognosis with six months or less to live.
The patient requires frequent visits to the physician’s office or emergency room.
The patient is becoming weaker and requires more assistance with activities of daily living.
A significant decline in the patient’s physical or mental health status.
The patient’s disease is progressing at a rapid rate or new diagnoses are added.
The patient has unintentional weight loss.
The patient’s level of mobility has declined and required more assistance with daily living.
The patient has recently chosen to stop aggressive treatment options.
Common Eligible Diagnoses Patients with any of the following illnesses or end-stage diseases may be appropriate for a hospice referral once eligibility criteria are met:
ALS (Amyotrophic Lateral Sclerosis) Lou Gehrig’s disease
Renal Disease (i.e., acute and chronic renal failure)
Stroke and Coma (i.e. intracranial hemorrhage, cerebral infarction, coma)
Hospice Levels of Care There are four levels of care provided by FCHD Hospice:
Routine Home Care: Over 96% of all hospice care is provided intermittently in the comfort and security of the patient’s home.
General Inpatient Care – Utilized only in emergencies for pain control and symptom management within a specialized inpatient unit (Fayette County Hospital)
Respite Care – This level of short-term care is used when necessary to relieve the family members or other persons caring for the individual.
Continuous care – only used for a brief periods of crisis, this level of care is covered as necessary to maintain the patient in the current living condition.
Our Interdisciplinary Team Members Include:
Patients and Caregivers
Hospice Medical Director
Bereavement and Volunteer Coordinator
Durable Medical Equipment suppliers
Grief Support Group The Fayette County Health Department offers a grief support group to support those who have lost a loved one. This group is open to anyone in the community. The support group will provide a safe, confidential environment where members are invited to share their personal experiences of grief with others who have similar experiences. Being with others who are experiencing what you are can provide great comfort and support. The grief support group meets the first Monday of every month from 4:30-5:30pm at the FCHD.
Anyone suffering from life-limiting, terminal disease can receive our services. Our focus is on care, not cure.
We provide professional services regardless of age, race, color, creed, gender, national origin, sexual orientation, disability, or diagnosis .