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However, this model is not designed to fully support an interdisciplinary approach involving physicians, nurses, social workers, chaplains and other professionals, making sustainability a challenge.
When you talk about an interdisciplinary team coming into your home — nurses, a social worker, chaplain, having access to the physician, volunteers — people are automatically going to think that there’s a cost associated with that. In addition to that I think there’s misconceptions about the costs.
That’s what they said in homehealth, but we know they get different flavors and do a little bit different variety of care and what they provide. They always say they’re going to operate like Medicare, follow Medicare guidelines. What if the MA plans made access to care a little bit easier?
Just because I’ve been in homehealth longer than I’ve been in hospice, we learned that in homehealth a long time ago that garbage in and garbage out. Nurses want to come to work, they want to be able to do their job and go home. Same thing with aides, social workers, chaplains.
We had a lot of this in homehealth, and now it’s hospice’s turn to be scrutinized. We’re getting comments from nurses, some social workers, from chaplains saying, “I get comments back from the family saying, thank you. This seems to go in waves.
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