Hi Jimmie! We went there about a year and a half ago. It is the CT hospice organization and apparently where hospice started in this country.
Mary -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jimmie Arceneaux Sent: Friday, April 01, 2005 8:37 AM To: [email protected] Subject: RE: [OTlist] hospice Hello Ron and Mary, That is what I thought. We have had many hospices come to market the home care agency and I have not heard one mention OT as a service. When asked about this, they remark that rehabilitation isn't generally a priority in hospice care. This is beyond the point that OT in hospice care would not be furnished in a rehabilitative manner. Mary, how long ago did you make that visit to the hospice? I'm wondering, if like so many other services, hospice has moved from a fee for service to prospective payment system in the recent past. If not, than this hospice you are speaking of must be very progressive and demonstrative of caring beyond the typical boundaries of hospice care. Jimmie -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ron Carson Sent: Thursday, March 31, 2005 7:57 PM To: Jimmie Arceneaux Subject: Re: [OTlist] hospice Hello Jimmie: I have always been intrigued with working in hospice. Before OT school, I was a hospice patient family volunteer. While in grad school, I gave a presentation to our local hospice on "The Role of OT in Hospice". Several years after graduating, I had an opportunity to work with a hospice that was JUST starting to develop a therapy department. It was great because the hospice hired a PT consultant to put things together. This PT was great (she had been around a long time). For a while, I was seeing an occasional hospice patient. But then, financial reality hit the hospice leadership and they pulled the plug on everything! All this is just to give a little background on my hospice experience. On to your questions/statements. You are correct that hospice is paid per diem. For this payment, they are expected to provide all necessary care for their patient. Should an OT be called in, the hospice pays that therapist from this per diem payment. Thus you are 100% correct in assuming that little incentive exists to provide OT or PT services. Not that it doesn't happen, but from my experience, it happens only rarely. Other than the reimbursement issue, OT and hospice fit like a glove. I always hoped that I would work with dying patients, but I've since given up hope because hospice just won't pay for therapy services, except in a few extreme cases. At least, that's my experience. Ron ===============<Original Message>=============== On 3/31/2005, Jimmie Arceneaux <[EMAIL PROTECTED]> said: JA> Question: JA> This is directed specifically to U.S. OTs, but others may provide JA> information relative to their particular practice area. I have JA> never worked in hospice care before, but I just read an article JA> about OT in hospice care. I understand the philosophical basis of JA> OT with patients that would meet hospice criteria, but I am JA> wondering how an OT would gain access to hospice patients. It is my JA> understanding, although I may be wrong, that hospice is a bundled, JA> prospective payment, under Medicare. It would seem under that type JA> of system that it would be difficult to convince the powers that be JA> of adding a non-typical service (i.e. as it would affect there JA> bottom line). Is anyone currently on the list providing service to JA> hospice patients? If so, please provide information on the JA> referral process and plan of care process. JA> Thanks, JA> Jimmie Arceneaux, LOTR JA> Metro Preferred Home Care JA> 3501 N. Causeway Blvd., Ste 200 JA> Metairie, LA 70002 JA> 504-838-7080 JA> Fax 504-833-9309 -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED] *** NOTICE--The attached communication contains privileged and confidential information. If you are not the intended recipient, DO NOT read, copy, or disseminate this communication. Non-intended recipients are hereby placed on notice that any unauthorized disclosure, duplication, distribution, or taking of any action in reliance on the contents of these materials is expressly prohibited. If you have received this communication in error, please delete this information in its entirety and contact the Amedisys Privacy Hotline at 1-866-518-6684. Also, please immediately notify the sender via e-mail that you have received this communication in error. *** -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED] -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
