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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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Can you elaborate on your question. Here are some observations that may (or may not) help you. When my Mom had hospice help in a memory care place, she was diagnosed with MRSA. Facility could not keep her, but the hospice org brought her to in-patient hospice care. She was there for almost 3 weeks until she was considered MRSA-FREE. She went back to the facility continuing on hospice care. Six weeks later I noticed a SIGNIFICANT change and called the hospice team to come and evaluate. They determined she was near the end and offered to help her in the memory care place or at their in-patient center. I opted for the in-patient location. She passed 4 days later.
after a trip to the ER, my mother-in-law was transferred to an in-patient hospice facility (late stage lung cancer). After about four days there, the nurse and social worker told my wife that she no longer qualifies for (Medicare funded) in-patient hospice care (no outward discomfort, no labored breathing) and that she would need to leave in 2 to 3 days. I checked the Medicare web page and they state that they cover short-term in-patient hospice care, but I couldn't determine what is considered short-term. So here I'm thinking she only has a few days left (according to the ER doctor), but since they've done a good job making her comfortable (mainly through drugs), why are they trying to send her home (albeit with home hospice care). Thanks.
Thank you all for your answers and advice. Wife is not in a state of shock as we knew over a year ago things were going to go bad eventually. In fact, wife and MIL are both in good spirits considering the situation. I don't think the in-patient hospice was short of beds, and even if they were, I don't see that as their reason for their wanting to discharge a patient (I do understand that if it were a hospital). MIL will be returning home in about a day, where we will continue the home hospice care that she was receiving before her trip to the ER.
Thanks Guestshopadmin, I saw that Medicare page and got hung up trying to figure out if "short-term" had a specific maximum duration. MIL was suppose to come home today, but last night started experiencing discomfort and difficulty breathing. They upped the pain medication dosage, and is now qualified (I assume because she is receiving "treatment") to stay longer at in-patient hospice.
Because hospitals in general are not nice places to be; because there will be other patients yet to be stabilised who need the beds more; and because there is nothing that can be done for your MIL in hospital that cannot be done equally well at her home.
Is your wife in a state of shock over this? If so, perhaps the best thing you can do to help is support her in discussions with the discharge team and tackle practical tasks like telephone calls or equipment delivery or getting in supplies?
Is there any reason why your MIL's home should not be the right place for her to be? Is there anything wrong with it? Keep talking to the discharge planning team, they won't send her anywhere that isn't safe.
I don't know why MIL no longer qualifies for inpatient Hospice under Medicare. I think I would check with medicare about that. It is possible that Hospice beds are so limited that need the space and are using Medicare as an excuse. let hospice guide you in the equipment etc that they will provide. Don't refuse anything offered because you might need it later. Try and line up extra help so you and your wife don't get exhausted by all this.
Remember, hospice doesn't pay for room and board. If MIL was admitted to an inpatient facility and you were NOT being charged anything, she was probably admitted under respite benefit. A hospice company is paid a flat rate for care provided under the hospice benefit by Medicare per period. So in-house hospice service stays in facility AT NO OR MINIMAL COST to the patient are LIMITED by both provider and Medicare. In my experience, this is hospice personnel that think a person has less than a week and they are trying to spare family an event at home... Here is a medicare document that discusses benefit. medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF On page 9 it specifically states about Medicare Hospice ■ Room and board. Medicare doesn’t cover room and board. However, if the hospice team determines that you need short-term inpatient or respite care services that they arrange, Medicare will cover your stay in the facility. You may have to pay a small copayment for the respite stay. Definition of Respite care—Temporary care provided in a nursing home, hospice inpatient facility, or hospital so that a family member or friend who is the patient’s caregiver can rest or take some time off. Discussion of length of respite care defined by Medicare: If your usual caregiver (like a family member) needs rest, you can get inpatient respite care in a Medicare-approved facility (like a hospice inpatient facility, hospital, or nursing home). Your hospice provider will arrange this for you. You can stay up to 5 days each time you get respite care. You can get respite care more than once, but only on an occasional basis.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Is your wife in a state of shock over this? If so, perhaps the best thing you can do to help is support her in discussions with the discharge team and tackle practical tasks like telephone calls or equipment delivery or getting in supplies?
Is there any reason why your MIL's home should not be the right place for her to be? Is there anything wrong with it? Keep talking to the discharge planning team, they won't send her anywhere that isn't safe.
let hospice guide you in the equipment etc that they will provide. Don't refuse anything offered because you might need it later. Try and line up extra help so you and your wife don't get exhausted by all this.
Here is a medicare document that discusses benefit.
medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF
On page 9 it specifically states about Medicare Hospice
■ Room and board. Medicare doesn’t cover room and
board. However, if the hospice team determines that you
need short-term inpatient or respite care services that they
arrange, Medicare will cover your stay in the facility. You
may have to pay a small copayment for the respite stay.
Definition of Respite care—Temporary care provided in a nursing home, hospice inpatient facility, or hospital so that a family member or friend who is the patient’s caregiver can rest or take some time off.
Discussion of length of respite care defined by Medicare:
If your usual caregiver (like a family member) needs rest, you can get inpatient respite care in a Medicare-approved facility (like a hospice inpatient facility, hospital, or nursing home). Your hospice provider will arrange this for you. You can stay up to 5 days each time you get respite care. You can get respite care more than once, but only on an occasional basis.