Not only was the founder of HomeMD Housecall Services a skilled home health care RN, but he was also a hospice RN. In fact, the founder of HomeMD Housecall Services managed to help start one of the largest hospice companies in the state. At the time, it was a small company and he found himself to be the director of nursing, the only visiting hospice nurse in the company, and everything in between. By the time he left the company to found HomeMD Housecall Services 2 years later, the company had amassed a census of 350 patients. This was not done through business acumen as most business decisions were handled by ownership of that company, rather, it was done through a passion for end of life care steadfastly and unapologetically dedicated toward giving patients and their families whatever tools they need to maintain dignity and quality of life as they draw nearer and nearer to the end of their lives. This passion for end of life care carries on through the mission of HomeMD Housecall Services, where we educate our geriatric and palliative care patients on the offerings of hospice care, knowing that while it may not be needed now, it is a blessing at some point in the future when it is needed.
At HomeMD Housecall Services we take continuity of care seriously while still maintaining our commitment to patient choice. As patient conditions progress and unavoidable declines are noted, we see clinical value in referring patients for hospice care back to the same companies that referred the patient to us while under skilled home healthcare services. These relationships are important to maintain, especially during a confusing time such as can be seen when transitioning toward end of life care. In many cases we even see some of the same skilled care nurses, social workers, and home health aids caring continuing to care for their patients through hospice care, albeit under a different set of goals.
When our patients are referred to hospice care services we like to continue seeing them for primary care; as noted above, we feel that continuity of care is critically important. While continuing to provide care for our patients, we understand and appreciate the hospice nurse role in the care of the patient in such a way that our nurse practitioners are trained to move from the ‘driver’s seat’ to the ‘passenger seat’ so that the hospice RN and his or her medical director can have the space and autonomy to do what they do best.
Sometimes of course, patients are discharged from hospice care if and when they are able to recover from what ailment led them to be referred to hospice in the first place. For these patients, many times they have not seen a medical provider outside of hospice care for quite some time and in many cases they are unable to do so anymore or to do so would present a taxing effort either for the patient or the family that is tasked with getting them to a provider. In these cases, HomeMD Housecall Services is here to help. We can take the baton from from the hospice nurse so that medical care can continue to be provided in their own home. With the help of our visiting social workers, we can help bridge the gap between the many things that hospice provides and the creative resource management needed to put together as much of those services as possible outside of the hospice care benefit. We will help you to manage medical equipment needs status post hospice care, we will get medications delivered in place of the medications previously covered by hospice, and we will do it all very smoothly so that your discharged hospice patient can be afforded a good experience, rather than having to leave them feeling displaced from a support system that they may have grown dependent upon.
Beyond empowering the nurses in our community with the tools that they need to get their jobs done on our mutual patients, we felt that it was important that our ownership remain independent from any particular homecare or hospice company . . . in this way we can partner with all of them! While most other palliative care companies and housecall companies are owned by skilled home health and/or hospice companies, we are not and we never will be. It is our mission to remain in the future just as independent as we are today, continuing to be the “Switzerland” of in-home care.