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Valor HospiceCare & The Valor Institute for Palliative Medicine Specialized Programs

Valor Continuous Care/Crisis Intervention Team ("CIT") Program

While over 97% of all hospice care is provided intermittently, Medicare also provides for the "continuous home care" level for short-term intervention to manage a period of crisis and to enable the patient to remain at home.

The Medicare hospice benefit was intended to provide for care in the patient's home, instead of moving patients to a facility and to ease the burdens of living in a hospital. When difficult symptoms arise, a caregiver is not present and/or transportation is not an option, or when additional nursing care is needed, hospice can provide for additional support services to further assist with the period of crisis.

Valor HospiceCare's Continuous Care ("CC")/Crisis Intervention Team ("CIT") is positioned to address acute medical problems or symptoms, such as severe pain, acute respiratory distress, severe nausea and other symptoms. Further, crisis may be caused by psychological problems or the unavailability of a caregiver.

Valor HospiceCare skilled nursing and certified nurse assistant ("CNA") team is specially trained to work with patients for emergency issues.

Features and benefits of the program include:

  • Continuous home care is only furnished during brief periods of crisis and only as necessary to maintain the terminally ill patient at home.

  • This level of care is covered as necessary to maintain the patient at home. A continuous home care day is a day on which an individual who has elected to receive hospice care is not in an inpatient facility and receives hospice care consisting predominantly of nursing care on a continuous basis at home. Certified Nursing Assistant (CNA) or homemaker services or both may also be provided on a continuous basis.

  • Continuous home care may be provided only during a period of crisis. A period of crisis is a period in which a patient requires continuous care which is primarily nursing care to achieve palliation or management of acute medical symptoms.

  • If a patient's caregiver has been providing a skilled level of care for the patient and the caregiver is unwilling or unable to continue providing care, this may precipitate a period of crisis because the skills of a nurse may be needed to replace the services that had been provided by the caregiver. This type of care can also be given when a patient is in a long term care facility.

  • Once the acute crisis has ended, the patient will be returned to routine care.

  • Please note that if a patient resides in a Skilled Nursing Facility, the general inpatient level of care may be utilized if crisis management exists.

Led by the Nurse Case Manager, CC/CIT members include skilled nurses, certified nurse assistants (CNA) and other members of the interdisciplinary team.

Please click on the following website links for further program information.

Please contact us today at 877.615.3996 or for further information about our services and programs.