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ResearChME is Vassar Brothers Medical Center's answer to Internet Point of Care (PoC) Continuing Medical Education.  The AMA has advised CME providers that this online format will allow physicians to have the opportunity to receive AMA PRA Category 1 Credit(s)TM for Internet PoC learning.  ResearChME is structured, self directed, online learning by physicians on topics relevant to their clinical practice at the point of care. 

Web-Based Resources

Hospice and Palliative Care Association of New York State

End of Life Care from the National Cancer Institute

End of Life Issues (MedlinePlus)

End of Life Care policies from the American Medical Association

National Hospice and Palliative Care Organization

Resources for Hospice Care

Acute Inpatient Hospice

“Acute inpatient care is when the patient's pain or other symptoms are not manageable in the home. Examples include continuous seizures or vomiting, uncontrollable agitation and extreme pain. Inpatient care takes place in a hospital or hospice facility. There is no specific time limit for acute inpatient care, but the Medicare benefit stops paying after controlling the symptoms…”

 To receive payment for “general inpatient care” under the Medicare hospice benefit, beneficiaries must require an intensity of care directed towards pain control and symptom management that cannot be managed in any other setting. While there is nothing prohibiting a Medicare approved facility from serving as the individual's home, it is the level of care provided to meet the individual's needs which determine payment rates for Medicare services. “Caregiver breakdown” should not be billed as “general inpatient care” regardless of where services are provided, unless the intensity-of-care requirement is met. If the individual is no longer able to remain in his or her home, but the required care does not meet the requirements for “general inpatient care”, hospices should bill this care as “inpatient respite care”, payable for no more than 5 days, until alternative arrangements can be made.

Federal Register

For assistance in specific patient situations, contact the Case Management Department.

Article Links:

Hospice, Opiates and Acute Care utilization among elderly with Heart Failure or Cancer

Understanding Hospice - an underutilized option for life's final chapter

Hospice Use and High Intensity Care in Prostate Cancer

Hospice Use among patients with Heart Failure

Inpatient Hospitalization of oncology patients: Are we missing an opportunity for end-of-life care?

Knowledge Resources, Vassar Brothers Medical Center | 45 Reade Place, Poughkeepsie, NY 12601 | 845.437.3121