2010 Report to the Community

Transcription

1 2010 Report to the Community

2 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S On the cover: Palliative Home Health and Hospice Home Care patient Carole with her HospiceCare nurse, Alisa. 1 Photography donated by Wynn Bruce

3 Our Mission We provide compassionate end-of-life care, guide and comfort the grieving and educate our community. Vision & Values With a vision of serving an enlightened community that embraces death and loss as integral parts of the cycle of life, several non-negotiable values remain central to all that we do: n Excellence in end-of-life care n Superior customer care n Care for all regardless of ability to pay n Compassionate, highly-skilled staff and volunteers n Leadership with integrity n Innovation in serving community needs 2

4 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S Dear Friends, We recently received a letter from a woman whose husband died in our care. She was writing to thank and encourage our staff and concluded her letter by saying, I didn t realize death could be as beautiful and sacred as birth. Poignant words from a grieving young widow. Every day our staff is humbled by the privilege of accompanying families who are facing the profound realities of dying, death, and grief and grateful for the opportunity to make a difference in how they experience each one. Several of the families we ve served during the past year have graciously agreed to share their stories in the pages that follow. Behind each story stand thousands of faithful donors. Many of them have a HospiceCare story of their own. Throughout 2010, every dollar, every donation of goods and services, every one of the 32,533 hours donated by our dedicated core of 422 volunteers has benefitted someone in our community friends, family, and neighbors when they needed it most. Thank you for sharing your lives, your resources, and your time with HospiceCare and the people of our community. With gratitude, 3 Darla Schueth, RN, MBA President & CEO

5 During 2010 Compassionate end-of-life care 1,266 terminally ill people and their families received unparalleled medical, emotional, and spiritual support from HospiceCare s compassionate physicians, nurse practitioner, nurses, nursing assistants, social workers, chaplains, and counselors who provided care in patients homes so they could remain where they are most comfortable with family members and friends. BY DIAGNOSIS CANCER 37% DEBILITY UNSPECIFIED 15% HEART DISEASE 15% LUNG DISEASE 12% DEMENTIA 5% STROKE / COMA 4% OTHER 4% KIDNEY DISEASE 3% NEUROLOGICAL 3% HIV/AIDS 1% LIVER DISEASE 1% Guidance and comfort for those who are grieving 1,855 children, teens, and adults received meaningful grief support from masters level therapists and highly trained volunteers through age-appropriate groups, oneon-one counseling, phone support, and Camp Erin. GRIEF SUPPORT GROUPS HOSPICECARE FAMILY MEMBERS WHO PARTICIPATED IN GRIEF SUPPORT GROUPS 34% OTHERS THROUGHOUT THE COMMUNITY WHO PARTICIPATED IN GRIEF SUPPORT GROUPS 66% Community Education 5,970 children, teens, and adults attended 327 enriching educational presentations that were led by HospiceCare physicians, nurses, social workers, community liaisons, and counselors in schools, medical and care facilities, faith communities, businesses, and other organizations throughout the communities we serve. SERVICE AREA LARIMER (1%) BERTHOUD 13 LONGMONT 297 BOULDER (74%) BOULDER 340 LAFAYETTE 66 LOUISVILLE 197 BROOMFIELD (7%) JEFFERSON (3%) BROOMFIELD 97 DACONO 7 WELD (5%) FORT LUPTON 1 BRIGHTON 25 ADAMS (10%) NORTHGLENN 22 THORNTON 34 WESTMINSTER 49 4

6 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S Hospice Home Care for those with a prognosis of 6 months or less During 2010, 1,070 children, teens, and adults with a variety of end-stage diseases benefitted from individualized medical, emotional and spiritual care and support tailored to fit their specific needs, beliefs, and preferences. Carl, Bev, Molly, and Goena Arvada, Colorado Bev, why Hospice Home Care? When it became difficult to get my mother to appointments, her physician suggested calling HospiceCare. An interdisciplinary team helped us create a plan to care for her in our home and each member quickly became like family to us. A memorable difference. On the last day of Mom s life, the hospice team prepared us for what to expect and helped us through every moment, even calling the mortuary for us and explaining what would happen once they arrived at our house. With help from HospiceCare, Mom s last months and last day of life were very peaceful. 5

7 Palliative Home Health for those who are pursuing curative treatments In 2010, 130 people with advanced illnesses benefitted from specialized pain and symptom management, expert guidance, and psychosocial support while receiving life-prolonging treatments. Forty-eight of these individuals improved enough to be discharged from the program and 62 appreciated a smooth transition to Hospice Home Care when the time was right for them. Carol Boulder, Colorado Carol, why Palliative Home Health? After 3 ½ months of hospital visits and rehabilitation, my doctor told me that HospiceCare could monitor and treat my symptoms at home so I could stay out of the hospital. I was all for that! A memorable difference. My nurse, social worker, and chaplain are always available to make sure that I m comfortable. They ve kept me out of the hospital for 8 months now. 6

8 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S HospiceCare Plus & the HospiceCare Center for complex medical needs During 2010, HospiceCare patients and their families utilized 400 days of roundthe-clock HospiceCare Plus intensive care in their homes and 378 opted for a comfortable room at our HospiceCare Center in Louisville when symptoms became too complex to manage at home. Katie Westminster, Colorado Katie, why the HospiceCare Center? Grandma s interdisciplinary team noticed that our family was tired and grieving and suggested that we consider moving her to the HospiceCare Center. When we first arrived at the HospiceCare Center, Grandma didn t understand what was happening, but as soon as she was settled into her room her anxiety eased and so did ours. A memorable difference. On the last night of her life, the staff prepared Grandma for the evening by changing her gown, washing her face, and brushing her hair. She would not have known the difference, but I was greatly touched by the small act of a staff member brushing her hair and will remember that for the rest of my life. 7

9 Palliative Physician Practice for specialized guidance In 2010, HospiceCare s hospice and palliative care physicians and nurse practitioner responded to 197 requests for palliative consults. During each visit they gathered pertinent information from the primary physician and family members, then offered guidance in establishing individualized goals to effectively manage pain and symptoms and improve each person s quality of life. Naomi and Carl Louisville, Colorado Naomi and Carl, why a palliative consult? Between April and July 2010, Naomi spent 38 days in hospitals or rehabilitation. The last time she was in the hospital, her doctor suggested contacting HospiceCare for a palliative consult. A memorable difference. After the consult, we took Naomi home and enrolled her in HospiceCare s Cardiac Care Program. She s been at home ever since. In fact, she s improved so much that we can go out to restaurants and participate in family gatherings again. 8

10 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S Grief support for everyone in our community During 2010, 353 adults participated in 232 support group meetings, 123 children and teens benefitted from time with peers in Healing Circles, and 43 campers, ages 6-17 years, spent a weekend at our first annual Camp Erin. This grief support was provided free of charge not only to HospiceCare families, but also to everyone in our community. Sisters Megan, Metiki, & Rahel, with Camp Erin volunteers Nikki and Candice Boulder, Colorado Susan (Mom), why HospiceCare s grief support? When my husband died suddenly, friends suggested that I contact HospiceCare. I d always associated hospices with end-of-life care and was thankful to learn that HospiceCare also provides grief support to children, teens, and adults. A memorable difference. When everyone in the family is grieving, it s hard to facilitate grief work at home. I appreciated support from others who not only helped my daughters understand grief, but also created lasting memories. 9

11 Community Education in healthcare facilities, schools, faith communities, businesses, and beyond During 2010, 5,970 children, teens, and adults participated in 327 educational presentations, including specialized in-service meetings attended by 364 healthcare professionals and advance care planning workshops two presented in Spanish attended by 58 community members. Janet, RN, MSN Longmont, Colorado Janet, why HospiceCare? As a staff educator at Longmont United Hospital, one of my first assignments was to develop a series of classes for the nursing staff on how to care for patients and families at the end of life. It was a privilege to work with HospiceCare s Director of Community Education, who went above and beyond to develop customized classes for our staff. A memorable difference. The presenters from HospiceCare worked diligently to include Longmont United Hospital s Planetree Patient-Centered Care (our nursing model of care) and the mission, vision, and values of our organization into their presentations. We were fortunate to have multi-disciplinary participation of speakers from HospiceCare. Their expertise gave the nurses practical tools to gracefully approach patients, families, and physicians in conversations about death and dying. 10

12 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S Volunteers are vital to our mission During 2010, 422 volunteers donated 32,533 hours to provide compassionate end-of-life care, guide and comfort the grieving and educate our community. This service is valued at $678,303 and equal to 15.6 full-time equivalents. Fifty-six percent of patients who received care for 7 days or more benefitted from assistance from at least one volunteer. Larry Westminster, Colorado Larry, why do you volunteer at HospiceCare? I am honored and humbled to help all individuals who are near life s end. One of my favorite quotes is from George Eliot What do we live for if not to make life less difficult for others? It s mostly the little things that ease burdens for those who are dying being fully attentive to what s happening in the room, whether brushing teeth or hair before visitors come, or simply arranging pillows and blankets to ensure comfort. 11 A memorable difference. Working with people who are actively dying reminds me of the reality of death and prompts me to make the most of each moment. Life goes way beyond and is not just about me.

13 NEW in 2010 Electronic Document Management. With the purchase of new software that scans and merges external care-related paper documents into existing electronic records, complete patient information will soon be readily available to traveling interdisciplinary care teams. Camp Erin. Our first annual weekend-long camp helped grieving children and teens throughout the front range of Colorado learn new strategies for coping with grief and discover that they are not alone. HospiceCare & Share Thrift Shop Moves. In December, the HospiceCare & Share Thrift Shop moved a few blocks east to better serve the needs of our community. New Look at the HospiceCare Center. Our 10 inpatient rooms and spacious gathering spaces on the Balfour Senior Living campus in Louisville were professionally decorated for comfort and beauty with warm, inviting colors and all the comforts of home Quality Results Based on nationally benchmarked family surveys 99% of families said they would recommend HospiceCare to others 95% reported the right amount of pain medication for their loved ones 93% received the right amount of help with patients breathing problems 94 % received the right amount of emotional support prior to the death 12

14 R E P O R T T O T H E C O M M U N I T Y H O S P I C E C A R E O F B O U L D E R A N D B R O O M F I E L D C O U N T I E S Financials Revenues Revenues Medicare 75.7% 69.0% Medicaid 1.7% 2.0% Private Insurance 6.2% 11.0% Self-Pay.8% 1.0% Community Support 12.0% 13.0% HospiceCare & Share Thrift Shop 3.5% 3.5% Grants.8% 0.3% General Donations 2.6% 2.7% Memorial Gifts 1.5% 1.5% Events 2.4% 2.6% Bequests 1.2% 2.7% Investments 3.6% 4.0% Expenses Expenses Program Expenses 82% 76% Administration 16% 21% Fundraising 2% 3% There are many ways to support HospiceCare, including: memorial gifts, special tributes, Community Shares of Colorado payroll contributions, matching gifts, vehicle donations, and bequests. Examples of Services & Supplies Purchased for Patients Medications $954,744 Durable Medical Equipment and Oxygen $757,864 Patient Medical Supplies $224,645 Therapy $6,836 Diagnostic Tests $11,976 Blood Transfusions $12,345 Ambulance $47,204 Total Cost of Services Purchased for Patients $2,015,614 Community Benefits As experts with extensive experience in end-of-life issues, we are committed to sharing our knowledge and resources with individuals and organizations that request our assistance. With your faithful support in 2010, HospiceCare reached into the communities we serve to: n Offer grief support, informational resources, remembrance services, presentations, and consultations free of charge $66,075 n Officiate at memorial services $4,667 n Cover the expenses of uninsured patients $207,572 n Train volunteers to serve in the community and mentor students who are preparing for careers in caring professions $81,520 13

15 Founded in 1976, HospiceCare is a 501(c)(3) nonprofit organization that is licensed by the state of Colorado, certified by Medicare and Medicaid, and accredited for home health by the Community Health Accreditation Program (CHAP) BOARD OF DIRECTORS HospiceCare s Board of Directors is a tremendous asset to the organization, sharing expertise and experience that provide accountability and guidance. The board directly impacts the success of the agency through their active participation in board meetings, strategic planning, fundraising activities, and leadership of agency committees. Officers: Deborah Kelly, Chair Jim Skrine, Vice Chair Scott Gresser, Treasurer Rebecca Herman, Secretary Directors: Goldino Alves Cindy Carrillo Frank Chrisbens Jim Eraker Peter Ewing, MD Barry Gafner David Hamm Michael Hindman Amanda Howe Lin Loftus Bill Munson Dean Obenauer Gigi Reynolds Tim Schafer Marcia Schirmer Darla Schueth Scot Smith Jeff Stiffler Sharon Svendsen 14

16 2594 Trailridge Drive East, Lafayette, CO hours a day, 7 days a week