Non-Hospice appropriate patients admitted or kept on Hospice

[Mamanurse62]

The hospice agency I work for is a for profit agency. My superiors and higher ups in the company are constantly talking about profit and loss and are making the Clinical Directors (my position) and the Community Relations Directors more and more accountable for P&L. I fell like we along with the Admissions murse are being pressured to admit patients that are not hospice appropriate, and to "find" ways to keep pts on service that need to be placed into discharge planning. I am only one person, so how can I keep my ethics in tact follow, the law and keep my company happy? Is it possible to stay in Hospice and not have this issue to deal with? Thanks:confused:

[AtlantaRN, RN]

Marketing will market to anyone who will listen. It is a monday morning and our nurses are taking brownies to assisted living, nursing homes, and physicians that we currently have and play a dvd "commercial" for the administrators....marketing vp's idea...........as long as a patient meets criteria and we have an order to admit, we will admit...as the previous nurse stated, should they improve, we discharge them. I won't admit a patient that does not meet criteria, it is wrong. Granted, we admit if patient meets criteria for debility, in the hopes we can find a more clear life limiting diagnosis.

linda