Levels of Care

Medicare and many private insurance companies use the term "Level of Care" to refer to the intensity or setting a patient needs at any given time. Patients may move between levels of care as their needs change. The level of care is determined by medical need and must fit specific guidelines.

Sometimes patients move from one level of care to another during their stay in hospice.

Routine Home Care

  • For patients whose pain and symptoms can be managed in their own residence
  • Comprises the care for most Montgomery Hospice patients.  Symptoms can be managed and support provided by their primary care team in the patient’s own home.
  • Provided in private residences, group homes, nursing homes, and assisted living facilities
  • Referred to at Montgomery Hospice as "Hospice at Home"

Continuous Care

  • When patients are in an acute crisis that requires frequent medical intervention wherever they reside.  It requires a minimum of 8 hours of care in a 24 hour period (beginning and ending at midnight) with 51% of the care being provided by an RN or LPN.
  • Provided in private residences, group homes, nursing homes, and assisted living facilities until the acute crisis is resolved or the patient requires transfer to the in-patient facility Casey House.

General Inpatient Care (Acute Care) – Casey House

  • Provided at Montgomery Hospice's Casey House, the only inpatient hospice unit in Montgomery County
  • For patients with acute pain and/or symptom management needs that cannot be addressed therapeutically in any other setting
  • Provides highly-skilled, short-term care to address the medical crisis and assist the patient in achieving comfort to return home
  • Is a short-term solution to a crisis

 Respite Care

Montgomery Hospice patients’ families can benefit by taking time off from caregiving.  The patient will stay in a contracted facility for up to 5 days at a time so the primary caregivers can rest and recharge.  The patient will return to their previous residence following the 5-day stay.

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