nursing home difficulties

[hospicemom]

I am with a hospice who is "affiliated" but not "owned" by a nursing home. We are having much trouble with the nursing home as far as us getting referrals from "anyone", the nursing home wants to "screen" for appropriateness before it goes to hospice, so unfortunatly there are many patients who could use our help however are deemed inappropriate by the nursing home... and no, they have no experience in hospice. Also, we are now having problems with the nursing home dc'ing our orders when they feel it is not appropriate as well as dc'ing problems we initiate on the POC. This has been getting worse over time and is now interfering with the treatment of the patient. Hospice is not notified when things are dc'd. Any suggestions??

[aimeee, BSN, RN]

Its still rough for now but within a couple of years it should be much better....the conditions of participation for nursing homes are being revised just as the hospice ones have been and when they are finished (they estimate they won't be ready for another year or two) they should mesh with the hospice ones. Won't that be something!?