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The Hospice Team

Agrace HospiceCare

Goal-centered, whole-person care

Agrace HospiceCare is comprehensive, "whole-person" care that addresses the physical, emotional and spiritual concerns of people with illnesses that cannot be cured. This model of care emphasizes comfort and quality of life, and it respects our patients' goals, preferences and choices.

Their goals and choices help guide and direct the Agrace "interdisciplinary" care team--the professionals from various disciplines who serve the patient and family.

The Circle of Care

Each member of the Agrace team brings specialized professional skills and training to a circle of care that supports Agrace patients and their family members. The patient is at the center of the circle, directing their care by choosing the services they want and need to improve their quality of life and reach their goals. Working together, Agrace staff, trained volunteers and the patient's own physician deliver comprehensive, patient-centered care.

 

Circle-of-Care

 

The Agrace Interdisciplinary Team (IDT)

  • Patient's primary physician/health care provider: Continues to provide care by ordering medication, treatments and other symptom-management support. Is involved in developing the patient's personalized plan of care.

  • Hospice Physician: Ensures eligibility of the patient. Consults with primary physician to provide support, ensuring the medical needs of the patient are met.

  • Registered Nurse Case Manager (RNCM): Primarily responsible for managing patient care, including assessing physicial condition and comfort. Provides teaching and manages pain and other symptoms of the patient's illness.

  • Licensed Practical Nurse (LPN): Makes visits and provides care, as delegated to them by the RNCM. Reinforces the teaching the RNCM has implemented.

  • Certified Nursing Assistant (CNA): Provides direct personal comfort care to patient and reinforces teaching that has been done.

  • Social Worker: Assesses patient/family emotional, social, spiritual and financial needs. Refers patient/family to hospice counselor for grief and spiritual needs. Supports POC to meet patient goals and provides direct support or referrals to appropriate community agencies.

  • Hospice Counselor: Focuses on patient’s spiritual needs as identified by the social worker and defined by the patient. Works with people of all faith practices and with people who do not have formalized religious beliefs; provides spiritual counseling as needed. Provides support through the grieving process including: involvement with patient and family prior to patient death; follows patient family for 13 months after death. Leads support groups open to the community.

  • Pharmacist: Reviews patient medications and ensures that medications are necessary and appropriate; makes recommendations.

  • Kitchen and dieticians: Ensures that patients get the nutrition they need and want in the appropriate form.

  • Volunteers: regardless of role all volunteers provide support to patients through staff support, agency support or direct patient volunteering.

  • Volunteer coordinators: serve as a link between the team and volunteers.

Who do we help?

Being diagnosed with a life-limiting illness such as cancer, heart disease, lung disease, kidney disease, Alzheimer's, Parkinson's, stroke, ALS or AIDS can be overwhelming. Agrace HospiceCare can be there to provide needed support. If your physician has predicted a life expectancy of six months or less, you are eligible for hospice.

2012 Patient Diagnoses

Our services are available to people of all ages, incomes, ethnicities and cultural backgrounds. Sadly, many don't realize they are eligible for Agrace HospiceCare until it is very late in their illness, and they miss out on the full support they and their families could have received. Call us today to ensure you get the most out of your Agrace HospiceCare benefits, and we will explain how you can receive the support you need.

Watch some video testimonials to see Agrace HospiceCare is helping patients and their families live life to the fullest.

Who Pays for Agrace HospiceCare Services?

Agrace services are covered by Medicare, Medicaid and most private insurances.

With Medicare and Medicaid, there are minimal out-of-pocket expenses, even for medications, equipment and other high-cost items that are often needed in the last months of life.

Your family's burden is not only reduced by the financial relief that the Medicare/Medicaid hospice benefit offers, but also by the caregiving and support that Agrace HospiceCare staff and volunteers provide. In most cases, there are virtually no bills, no claims and no financial surprises. No other Medicare program offers this level of comprehensive financial support. And for Medicaid hospice services, there are no out-of-pocket expenses. For care unrelated to a patient's primary diagnosis, Medicare and Medicaid will continue to provide their normal benefits.

 

Watch the video above to see how Agrace helps people stay independent. View more testimonials

The Medicare/Medicaid hospice benefit covers:

  • Skilled nursing services
  • Volunteer services
  • Physician visits
  • Skilled therapies
  • Home health aide visits
  • Personal care
  • Social work services
  • Spiritual counseling
  • Nutrition counseling
  • Grief support for the family
  • Medications for pain and other symptoms
  • Durable medical equipment
  • Inpatient care for symptom management
  • Inpatient respite care to relieve caregiving responsibilities of the family

Agrace is also covered by most commercial insurers including HMO plans. Call Agrace today to learn more about how we can reduce your financial burden so you can focus on your family.

It's never too soon to call Agrace.

Know your options. It's never too soon to get information, and anyone can refer patients to Agrace—you, a family member, a friend, even patients themselves. Simply call our Admission Center to ask questions, set up an appointment or take a tour. You can also inquire about our services through our online contact form.

For more information please call (608) 327-7117.