Show Notes / Summary
- Why launch hospice now: continuity, fewer hospitalizations, value-based alignment
- Clarifying myths: CNA hours on hospice, attending provider still leads care
- RAF & staffing logic: ~$6k/mo hospice per diem ↔ RAF ~5; translating RAF → weekly CNA/CHW hours
- Nurse incentives: $150 per admission; double telehealth-assist credit on hospice patients
- Software + workflow: Athena ↔ WellSky (care plans, documentation, pull-through)
- Facility model: converting buildings; estimating FTEs from hospice census + RAF
- Chaplain/social work: leverage in-region LSWs; connect to patient’s faith community
- Respite options: Medicare respite/GIP + GUIDE program for dementia (up to $2,500yr)
- Therapy as palliative strength: weekly PTA/COTA; telehealth support
- After-hours model: optional call, $300 RN death/critical visit; $150 for non-nurse critical checks
- Guardrails: clinical judgment first; financials inform—not dictate—care
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