We consider a hospice patient who is discharged to hospice alive because they 
survived the hosptial stay.

Cathy Stewart RN, BSN, CCRN
Clinical Research Nurse
Quality Benchmarking & External Reporting
St. Joseph Mercy Hospital, Ann Arbor
Phone:  734-712-1364
FAX:  734-712-7099
[email protected]



This is a confidential professional/peer review and quality improvement 
document of Saint Joseph Mercy Health System and the Trinity Health system of 
providers.  It is protected from disclosure pursuant to the provisions of MCL 
333.20175, 333.21513, MCL 333.21515, MCL 333.16222, MCL 331.531, MCL 331.533, 
MCL 330.1748, MCL 330.1143a, and other state laws as well as the Federal 
Patient Safety and Quality Improvement Act, 42 U.S.C. 299b-21-b-26 and other 
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________________________________________
From: [email protected] 
[[email protected]] on behalf of DanaMarie Smith 
[[email protected]]
Sent: Thursday, April 03, 2014 9:51 AM
To: [email protected]
Subject: [Sepsis Groups] Hospice Patients

Hi Everyone,
   I have a question and I want to know what everyone's practice is on the 
subject. When I am doing chart abstract and reviews on our severe sepsis 
patients I come across patients who get discharged to Hospice either home or to 
inpatient Hospice in our hospital but they aren't admitted anymore and itsd a 
completely different admission so they are technically discharged from acute 
care. Then the patients who go to hospice expired. My question is that would 
you count them on your  mortality list or say they survived discharge from 
acute care setting? Like I said even though there is an inpatient hospice they 
are completely separated from the hospital admissin and don't even show up on 
our regular mortality list. I hope I explained this well.
                                                Thank You,
                                                         Dana


Dana Marie Moore RN
Clinical Data Analyst
Quality/Performance Improvement
Aria Health Hospital
Phone # 215- 612-4888
Fax # 215-612-4463
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