Yolo Hospice: Yolo Hospice Annual Report


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Home Services & Personnel About Hospice FAQ Cost of Services Social Work Medical/Nursing Home Health Aides Spiritual Care Bereavement Volunteers Board of Directors Community Outreach Contact Us News & Information News Archive Annual Report Lending Library Privacy Documents Regional Hospice Groups Links Getting Involved Charitable Giving Be a Volunteer Thrift Store Make a Referral Career Opportunities	Yolo Hospice Annual Report Fiscal Year July 1, 2006 through June 30, 2007 Availability of this Report This report, and the latest financial audit performed by contracted accountants, is available to the public. Please see the attached Board of Directors and Staff rosters, and the Organization Chart. Mission Statement Our mission is to provide expert and compassionate hospice care, community bereavement support, and public education about end of life issues to all people in our culturally diverse community. About Yolo Hospice Local citizens founded Yolo Hospice as a community–based, not–for–profit volunteer hospice in 1979. It became a California-licensed, Medicare-certified hospice program in 1994. All hospice services required by Medicare Conditions of Participation are available to Medicare, Medi-Cal and private insurance beneficiaries. Community funds make it possible to accept all underinsured and uninsured patients for hospice care, regardless of ability to pay. Yolo Hospice serves all of Yolo County, Dixon, Vacaville and parts of Fairfield in Solano County, and patients in parts of Sacramento, Colusa, and Sutter Counties near the Yolo County border. Bereavement services are offered to hospice family/friend survivors for 13 months following the death of a patient. In addition, community funds make it possible to offer bereavement services and community educational programs to many other area residents of all ages. Children's Bereavement Groups based on art therapy models began in late 2001 and continues to reach a wide range of children, ages six through seventeen. Patients Served July 1, 2006 through June 30, 2007 Yolo Hospice provided care to 467 patients (395 new patients and 72 continuing patients) during Fiscal Year 2006–2007. In order, these were Medicare Part A beneficiaries, Medi-Cal recipients, private insurance enrollees and uninsured patients. A total of 24,747 days of hospice care were provided to patients, in 2006–2007. Care recipients represented a variety of cultures and ages. Women were 56% of those admitted and men 44%. The percentage of terminal–phase non–cancer diagnoses continued to increase, especially in the nursing home population. Cancer patients comprise 38% of those served by Yolo Hospice. The percentage of patient days seen in care facilities was 35%. Of these, 51% were in Skilled Nursing Facilities and 49% were in Residential Care Facilities for the Elderly. Death in the place of the patient's permanent residence, whether home, nursing home or residential care facility, remained by far the most frequent patient outcome. (Some patients are actually discharged from hospice care or they choose to revoke hospice care.) Performance Improvement (P.I.) Data Summary Family Satisfaction Surveys are mailed to family survivors after a patient death. Rating scales on items range from 0–5, with 5 indicating maximal satisfaction. Returned surveys continue to average scores in the 4–5 point range for all care categories, closely matching, and often exceeding, nationally benchmarked hospice data. These results, and the results of Physician Satisfaction Surveys and other P.I. indicators, are regularly reviewed by our Director of Quality Assessment, Performance Improvement along with the Board of Directors Clinical Advisory Committee and several Yolo Hospice committees. This year Yolo Hospice joined Quality Partners, our national organization's (National Hospice and Palliative Care Organization) benchmarking of P.I. data with other programs across the country. This commitment to quality is always our first priority. Community Financial Support Our local community remains deeply committed to the financial support of our mission. In the fiscal year running from July 1, 2006–June 30, 2007, $222,691 was donated to Yolo Hospice from a variety of individual, corporate and foundation donors, including United Way. The Yolo Hospice Thrift Store netted an additional $912. Fundraising efforts contributed $77,585, about $2,300 more than the previous year (spring and fall campaign, and Trim–A–Tree, along with the Mexican Open and Betty Cracchiolo Memorial golf tournaments). Administrative and Fundraising Expenses Our annual audit is planned for fall of 2007. In the fiscal year from July 1, 2005–June 30, 2006, 22% of our income was spent on administrative and fundraising expenses. This figure, for the 2006–2007 fiscal year, will not be determined until completion of our audit. No substantial deviation is anticipated. Yolo Hospice Clinical Care Trends and Goals Like most hospices nationwide, Yolo Hospice continues to struggle with the operational, emotional and financial impact of many short patient stays (21% of patients admitted were for 5 days or less). We continue to focus on educating the public as to how to use more of their available 6 months of hospice care. The average length of time that a patient received care decreased from 54 days per patient in the previous fiscal year to 52 days per patient this year. Far too many patients still come to us for only a few days of care at the very end of life. Goals for the upcoming year are focused on: Increase days of care to more than 30,000 days in Fiscal Year 2007–2008. Increase service to Latino residents of our community. Continue to expand Stepping Stones, our children's bereavement program to include outreach to the area schools, as well as to expand and increase community awareness of our Bereavement Services Program through grant opportunities. "Light up a Life," a seasonal event is targeted for December 2007. Explore the feasibility of obtaining property for an inpatient hospice facility. Purchase and implement electronic record keeping for all patient data. Continue with the Yolo Hospice Art Project which includes a music CD. Increase the number of nurses and home health aides that are hospice certified by their respective licensing boards. Continue to build partnerships with community groups and other area hospice programs. Board of Directors Activities and Goals The Board remains committed to maintaining and/or improving the quality and scope of Yolo Hospice services. The current Board focus is on planned expansion, marketing our uniqueness, and further considering obtaining land to build an inpatient facility. This year, Yolo Hospice purchased their current office building, leasing a portion of the building to Los Rios Community College District. The income from this rental property contributes to a positive cash flow. Tom Frankel continued as the Board President, Trish Layton as Vice President, Jody House as Secretary and Vicki Crescitelli as Treasurer. Kathy Coulter was named the new Vice President beginning August, 2007. Judy Alexander, RN continued as the Executive Director. Summary This year was another of growth and change for Yolo Hospice. The challenges of growth were met with adequate personnel and financial resources throughout the fiscal year, thanks to the dedication of the Board, staff, and volunteers and the generosity of our community. Yolo Hospice Growth 1997–2007 By Fiscal Year Days of Care = number of patients admitted x average time served for each • Increased number of referrals increases Days of Care somewhat • Increased Average Length of Stay increases Days of Care more significantly (since ALOS for Yolo Hospice tends to be short) Yolo Hospice, Fiscal Year 1997–1998 Days of Care = 6,745 • Admissions = 154 • ALOS for Yolo Hospice = 43.8 days Yolo Hospice, Fiscal Year 1998–1999 Days of Care = 6,610 (- 135 days = 2% decrease) • Admissions = 190 (+ 36 admissions = 23% increase) • ALOS for Yolo Hospice = 34.8 days (- 9 days per average patient = 14% decrease) Yolo Hospice, Fiscal Year 1999–2000 Days of Care = 7,010 (+ 400 days = 7% increase) • Admissions = 225 (+ 35 admissions = 18 % increase) + 16 carryovers = 241 patients • ALOS = 29 days (−4 days per average patient = 12% decrease) Yolo Hospice, Fiscal Year 2000–2001 Days of Care = 10, 929 (+ 3,919 days = 56 % increase) • Admissions = 288 (+ 63 admissions = 27% increase) + 22 carryovers = 310 patients • ALOS = 35 days (+ 6 days per average patient = 21% increase) Yolo Hospice, Fiscal Year 2001–2002 Days of Care = 12,947 (+ 2,018 days = 18% increase) (Note: later adjusted to 13,023 days) • Admissions = 303 patients (+ 15 admissions = 5% increase) + 29 carryovers = 332 • ALOS = 39 days (+ 4 days per average patient = 11% increase) • SNF care = 30% of all Days of Care Yolo Hospice, Fiscal Year 2002–2003 Days of Care = 16,177 (+ 3,154 days = 24.2% increase) • Admissions = 333 patients (+ 29 admissions = 9% increase) + 45 carryovers = 374 • ALOS = 43 days (+ 4 days per average patient =10% increase) • SNF care = 24% of all Days of Care Yolo Hospice, Fiscal Year 2003–2004 Days of Care = 18,445 (14% increase over last year) • Admissions=353 (6% increase) + 41 carryovers = 383 total • ALOS=48 days (+ 5 days average per patient = 12% increase) • SNF care=20% of all Days of Care (3,713 of 18,455 days) • RCFE days for calendar year 2003 = 2,840 days Yolo Hospice, Fiscal Year 2004–2005 Days of Care=19,743 • Admissions = 405 (14% increase)+56 carryovers=461 total • ALOS=43 days (-5 days average per patient=10.4% decrease) • SNF Care=23.2% of all days of care (4855 of 19743 days) • RCFE=13.1% of all days of care (2580 of 19743 days) Yolo Hospice, Fiscal Year 2005–2006 Days of Care= 23,243 • Admissions=423 (4.7% increase in admissions)+61 carryovers =484 total • ALOS=54 days (15% increase) • SNF Care=31% • RCFE=18% Yolo Hospice, Fiscal Year 2006–2007 Days of Care =24,747 •Admissions=395+72 carryovers = 467 total •ALOS=52 days = 4% decrease •SNF Care= 15% of all days of care (4427 of 24,747 days) •RCFE Care=17% of all days of care (4210 of 24,747 days)	Make A Donation Download Donation Form (pdf) Main Donation Page Make Your Wishes Known Download Advance Health Care Directives Preparing your Advance Health Care Directives Planning for the Unthinkable Burn your Directives to a Mini-CD Get Acrobat Reader Quotes "Coping with terminal illness is all consuming for patient and family. As a hospice nurse, I feel it is most important to advocate, respect and use the knowledge we have to make the end of life the most comfortable it can be while always keeping in mind the unique needs of each patient." ~Jody Norton, RN
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