For Providers

Service for Providers and Staff

  • PCP Management of your patients through phone calls and faxes.

  • Interdisciplinary team summary updates every 14 days. 

  • In-services to medical staff.

  • Physician education regarding hospice referrals.

Service for Your Patients.

  • Assessment at home or hospital.

  • Pain and symptom control.

  • 24-hour on-call nursing.

  • Home Health Aids

  • Social Services & Volunteers.

  • Community Education

Barriers to Care

  • Not discussing goals of care with patients and families.

  • Emphasizing "winning" while not attending to prognosis.

  • Perceiving hospice as "giving up".

  • Being "locked into" the 6-month time frame.

  • Believing hospice care is only for cancer patients.

When to Refer
General Guidelines - All Diagnoses

The Patient should meet the following criteria:

  • Life limiting condition

  • Patient/ family informed that condition is life limiting

  • Patient/ family elected hospice care.

  • Documentation of clinical progression of disease.

  • Recent decline in functional status < 50%

    •  50% Requires considerable assistance and frequent medical care.

    • 40% Disabled; requires special care assistance - unable to care for self; disease may be progressing rapidly.

    • 30% Severely disabled; although death is not imminent.

    • 20% Very sick; active supportive treatment necessary.

    • 10% Moribund; fatal processes progressing rapidly.

  • Dependence in 3 of 6 activities of daily living.

    • Bathing - Feeding - Ambulation​

    • Dressing - Transfers

    • Incontinence / toileting

  • Recent impaired  nutritional status.

    • Unintentional, progressive weight loss of 10% over six months​

    • Serum albumin < 2.5 gm/dl

Available In-Services:

  • Hospice care and services.

  • Death and dying / Dying with dignity.

  • Caring for terminally ill patients/residents.

  • Commonly used hospice medications, administrations and protocol.

  • Methadone for pain control - myths and misconceptions.

  • Artificial hydration and nutrition considerations in end-of-life care.

  • Grief and loss.

  • Spiritual care at the end-of-life.

  • Advance health care directive planning.

  • Hospice philosophy and plan of care yearly review for facilities.

  • Non-cancer terminal illnesses.

  • Compassionate communication.

  • Terminal restlessness.

  • Signs and symptoms of approaching death.

  • Care at the end-of-life.

  • Care of the bedbound patient/resident.

  • Body mechanics for the caregivers.

  • End-of-Life issues (Dying in today's society).

  • Overcoming barriers to effective use of hospice care.

  • End-of-Life Issues: An overview of hospice services (Discharge Planners)



Like what you see? Get in touch to learn more.

Thanks for submitting!

Physician Policies

Integrity Hospice works closely with community physicians to ensure the highest quality of end-of-life care for their patients.

Research has shown that the majority of Americans would prefer to be at home at the end-of-life. - Integrity Hospice makes this possible for most people.

Physician Policies:

Physician Licensure Verification

Physician Services- Attending Physician's Role

Physician Services- Medical Director 

Physician's Responsibility in Managing Hospice Patients

Monitoring Patient's Response / Reporting to Physician