Northeast Florida Community Hospice

Call to Request Care: 904.407.6500

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There for you and your patients living with cancer and other advanced illness

When the time is right for Community Hospice, our Admissions professionals know your patients need help right now. Our team works with you to streamline assessments, paperwork and discharge planning so your patients get help fast, wherever they are. You’ll find our Admissions team in most Northeast Florida hospitals and facilities, meeting with patients and families, conducting assessments, teaching in-services, and consulting with your colleagues on complex patient situations.Their office-based teammates work behind the scenes to ensure a smooth patient transition to hospice care.

Is my patient ready for Community Hospice care?

In general, patients are ready for the benefits of Community Hospice care when they have an  advanced-stage conditionand a limited life expectancy of 12 months or less, as determined by a physician. Hospice-appropriate advanced, or end-stage, conditions can apply to any illness. They also must desire hospice care, which stresses comfort and pain management over curative treatment.

Our professionals can help you determine if your patient will benefit from a  referral or information visit. If you are unsure about a patient's life expectancy, Community Hospice physicians are available to consult with you by phone.For patients and their loved ones who may have questions, our no-obligation information visits can help them understand their care choices.The earlier you seek help for your patients, the greater benefits we can provide them — now or in the future.

Especially for cancer patients and their families

There’s a myth that hospice care is only for people with cancer. While Community Hospice does serve patients with a variety of diagnoses, as a Compassionate Guide® we remain committed to your patients with cancer and their loved ones. Beginning at admission, our experts are there for you with support and coordination of care to meet your patients’ needs.

View our infographic to learn more, and visit the box below for our cancer admission criteria guidelines. It’s easy to request a free, no-obligation information visit.

What are your Admissions Criteria Guidelines?

Admission Criteria Guidelines

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • No treatment desired
  • No further aggressive treatment available or desired
  • Chemo and radiation for palliative purposes only (alleviate symptoms rather than treat the cancer)

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • Signs or symptoms of fluid overload (edema, ascites, CHF, pleural effusions)
  • Decreased activity tolerance (fatigue and/or weakness)
  • Loss of appetite
  • Hyperkalemia not responsive to treatment
  • No dialysis possible or patient desires to forgo dialysis
  • Abnormal BUN, creatinine and GFR

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • PT >5 sec above control or INR >1.5)
  • Serum albumin <2.5g/dl
  • Loss of appetite
  • Ascites, Spontaneous Bacterial Peritonitis, Hepatorenal Syndrome, Hepatic Encephalopathy or Recurrent Variceal Bleeding

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • Frequent hospitalizations or ED visits
  • Decline in ability to perform ADLs
  • Limited physical activity
  • Symptoms interfere with sleep
  • Pain or tightness in the chest
  • Shortness of breath
  • Fatigue
  • Oxygen needed

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • CD4 count <25 cells/mcL or persistent viral load >100,000 copies/mL
  • Karnofsky Performance Scale <50
  • CNS lymphoma, Wasting syndrome, MAC, Progressive multifocal leukoencephalopathy, Systemic lymphoma, Visceral Kaposi’s sarcoma, renal failure in the absence of dialysis, Cryptosporidium infection or Toxoplasmosi

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • Decline in ability to perform ADLs
  • Incontinent of bladder and bowel
  • Speech limited to 1-5 words/day

If your patient exhibits one or more of the below indicators, and you would not be surprised if he or she died within the next 12 months, refer your patient online or call us at 904.407.6500.

  • Decline in ability to perform ADLs
  • Limited physical activity
  • Decline in nutritional status
  • Aspiration risk/precautions or pneumonia
  • Decline in cognitive functions

Please note that patients with other chronic, end-stage illnesses not listed above also may be eligible for hospice care.

What is my role in the admission process, and afterward?

At Community Hospice, we realize that many physician-patient relationships span years or even decades. As your patients’ most trusted adviser in health matters, we want you to be involved in their continued care, however you and your patient wish.

After you approve Community Hospice care and the patient and family consent to our services, we work with all of you to customize a plan of care, based on the patient's and family’s best interests. We ask you how — and how often — you want patient updates. And we give you choices about how you can remain involved in the care of your patient as the attending physician — by maintaining total care, allowing our staff to manage pain and symptoms, or handing over total care to us.

Whatever role you wish to play, your decisions are never final. Our care teams are happy to involve and inform you at any step along the way.