Frequently Asked Questions
What is hospice?
"Hospice" is a proven method of care designed to provide comfort and support to patients and their families when a life-limiting illness no longer responds to cure-oriented treatments. Hospice recognizes dying as part of the normal process of living, affirms life and neither hastens nor postpones death. The focus of hospice care is to improve the quality of a patient's end of life experience by offering comfort and dignity. A team oriented approach to expert medical care, pain management, and emotional and spiritual support tailored to meet the patient's needs and wishes.
These services can be provided in free-standing hospice facilities such as Sharon S. Richardson Community Hospice (SSR COMMUNITY HOSPICE), hospitals, nursing homes and other long-term care facilities - although, many of the latter do not reflect the total hospice philosophy, they have a different focus.
Who Qualifies for Hospice?
Any individual, regardless of age or ability to pay, with a physician's referral indicating the patient has "6 months or less to live if the disease runs a normal course". This may be a result of one of many different life limiting conditions including: end of stage heart disease or cancer, Alzheimer's, dementia, lung, liver, or kidney diseases. Curative treatment is no longer desired or expected to be effective. In general, referrals will be accepted as physician certification is received. The patient's level of acuteness will be a factor as they are assessed on a case-by-case basis.
What is the Sharon S. Richardson Community Hospice?
As you may know, Joe Richardson II and caregivers along with a team of dedicated individuals are committed to establishing the Sharon S. Richardson Community Hospice (SSR COMMUNITY HOSPICE). As a long time member of our community, Joe and his late wife, Sharon, recognized the need for a special place to care for loved ones at the end of life. As a result, he has devoted some initial financial support and other resources to help establish a facility in honor of his wife.
The SSR Community Hospice will provide a specialized, comfortable, compassionate, and convenient place for patients and their loved ones to experience a hospice setting over a hospital or nursing home in the patient's final stage of living. The Home - a 20 bed residence, is the first hospice and palliative care center in Sheboygan County dedicated solely to meeting the physical, emotional, spiritual, and social needs of the terminally ill, chronically ill and their loved ones regardless of age, physical condition, or ability to pay.
"Building Today, for Choices Tomorrow" is the theme of the capital campaign to make this type facility with palliative care and hospice services available to Sheboygan County and surrounding area residents. The organization is not-for-profit governed by a Board of Directors comprised of local community leaders committed to the mission of hospice and making these services available to terminally ill patients - our children, parents, friends and neighbors facing this final stage of life today without a hospice center as an option.
What is Palliative Care? Who Qualifies?
Palliative Care Medicine will also be an option offered to patients and their families at SSR COMMUNITY HOSPICE. "Palliative care" represents comprehensive, multidisciplinary care for patients with advanced illness whose treatment goals emphasize quality of life but may not yet meet the six month prognosis requirement to qualify for the hospice benefit. Palliative care lessens the burdens and suffering of advanced illness through: 1) aggressive medical management of pain and other debilitating symptoms; and 2) counseling and support for the social, psychological and spiritual needs of the patients and their families.
It is now recognized that palliative care is increasingly important as the health care system faces the need to find ways to effectively and efficiently treat the growing number of individuals with complex, chronic illness. Increased patient and caregiver satisfaction, more hospice referrals, reduced length of hospital stay, and decreased Intensive Care Unit use were cited as key outcomes of providing palliative care services. Therefore, palliative care programs decrease costs to the healthcare system, insurance companies, and businesses.
What Services and Levels of Care will be provided at the SSR Community Hospice?
There are four levels of hospice care, defined by Medicare and paid for by Medicare, Medicaid and most other insurance plans. They allow a hospice program to keep the patient in the setting that best meets the needs of the patient. Some or all of these care options may be used as part of a patient's hospice care benefit.
1) Routine Care: The patient continues to live at home or in the hospice home, nursing home, or assisted living and receives hospice services there. The caregiver and patient are able to handle the needs and care of the patient with assistance from the hospice team.
2) Continuous Care: Skilled nursing services are provided in the patient's home or facility to help manage a patient crisis.
3) Inpatient Care: This care is provided in a facility (SSR Community Hospice, hospital, or nursing center) for symptoms or crises that cannot be managed in the patient's home. This level of care is provided for a limited period of time, as determined by the physician and hospice.
4) Respite Care: This service is provided in a hospice facility or a nursing home and is designed to give caregivers a rest from handling the care of the patient. Respite care is limited to five days and nights at a time. This service is often used to provide a break so that caregivers can participate in other caregivers activities (such as holiday celebrations) or to relieve caregivers for a few days.
What are "Bereavement" Services?
We can't take your pain away but we can share it. Grief can be an overwhelming experience that may at times seem to have no end. SSR Community Hospice understands the grieving process and offers support to caregivers. SSR Community Hospice will provide a full range of bereavement services for the caregivers, loved ones and friends.
Will I have to change my current physician?
We encourage you to keep your current physician relationship. SSR Community Hospice is open to everyone in the community regardless of the agency or physician they are working with. Our Hospice Team will work to ensure a continuum of care.
Will insurance pay for care at the SSR Community Hospice?
Residential hospice room and board is paid for privately by the patient, although, some insurance plans will consider payment as a possibility.
Inpatient (hospital level of care) or respite care (relief for caregivers is paid for by Medicare, Medical Assistance or in contract with your insurance company. The number of days under inpatient or respite care is determined by the hospice in meeting criteria for this level of care.
Medicare and Medicaid cover all the costs of hospice care, including full team member support, equipment, supplies, medications, and comfort-related therapies. Costs are also covered fully for patients who qualify for inpatient or respite hospice.
Private insurance policies vary and SSR Community Hospice will collaborate with your insurance company.
The SSR Community Hospice is committed to the service of all clients in Sheboygan County and surrounding areas regardless of their ability to pay.
Why is an independent hospice facility necessary when most people would choose to die at home, or could go to the hospital or nursing center?
When asked specifically, nine of 10 adults would prefer to be cared for at home rather than in a hospital or nursing center if diagnosed with a terminal illness. However - in 2003, the reality was that approximately 50% of Americans died at a hospital, 25% died in a nursing facility and only 25% died at home. These statistics are also true in Sheboygan County.
(*Reference: "Knowledge and Attitudes Related to Hospice Care," conducted for The National Hospice Organization by The Gallup Organization, Princeton, NJ. September 1996. )
Providing hospice care in nursing centers and assisted living facilities involves many challenges. First, the staff does not specialize in end-of-life care and symptom management - the most critical features of hospice services in the final stage. The employees of these facilities often have general care training, or geriatric specialties for the nursing staff. Given other choices, patients and families usually do not prefer the nursing home option. In addition, admitting hospice and palliative care patients to hospitals for acute care is extremely costly. SSR Community Hospice is an important alternative because it offers end-of-life support and pain management in a home-like setting.
Where will the SSR Community Hospice be located and what features will it provide?
The SSR Community Hospice will be centrally located and less than 30 minutes away from any Sheboygan County resident. The approximately 30,000 square feet Sharon S. Richardson Community Hospice Center will be located just outside Sheboygan Falls and overlooking the Mullet River. Extensive landscaping will create a park like setting and include a therapeutic garden and nature trails. A series of pathways and gardens will traverse the site.
The public areas comprise a living room, dining room, large kitchen, children's play room, chapel, library, and flower room. The main entrance and kitchen will be tiled, the dining room will have wood flooring, and all other areas will be carpeted. Specialty lighting and ceiling fans will be used throughout the public spaces. A large fireplace will be located at the center of this space.
Three groupings of six rooms are oriented for maximum outdoor exposure. The resident's rooms are meant to feel as close to a home as possible, while incorporating all of the features of a hospital room. Oxygen, suction, and medical air will be available in all rooms. The headwall will be hidden behind uniquely designed cabinetry.
Will the SSR Community Hospice provide Community Education?
SSR Community Hospice will have speakers available to community businesses and other groups to talk about issues concerning death, dying, grief and life-threatening illnesses. We can act as a resource to schools, physicians, therapists, local colleges, and churches who want to design their own program concerning death, dying and grief responses. SSR will also offer a lending library of transition and grief related materials, including books, videotapes and music. In addition, a "Community Memorial Service" will become a tradition for those in Sheboygan County experiencing the loss of a loved one, under any circumstances - hosted by SSR Community Hospice.