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Some hospice patients receive a new lease on life

Case Management Weekly, July 12, 2006

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Roughly 100,000 patients who check into hospices each year expecting to die within six months, do not do so, and instead are moved to a skilled nursing facility (SNF), or are transferred home and live with evident satisfaction, according to a report in the San Jose Mercury News. The statistic, based on a new study from the Centers for Disease Control and Prevention, is expected to increase as baby boomers age.

Medicaid and Medicare cover hospice care when a patient's doctor and a hospice doctor agree that a patient will die within six months. According to the National Center for Health Statistics:

  • About 1.2 million, or two-thirds or all hospice patients die within 30 days.
  • Patients who survive more than six months, but are not expected to live for another six months, are kept in hospice.
  • Patients whose conditions have improved and are stable after six months are normally discharged.

Though the reasons for increased hospice discharges are unclear, some experts point to inaccurate physician prognoses, a change in the hospice population (less cancer patients, more patients with dementia or heart, lung, and kidney failure), and improved patient care before entering a hospice facility.

Source: San Jose Mercury News



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