How do I select a hospice program?

To find out about hospice programs, talk to doctors, nurses, social workers or counselors, or contact your local or state office on aging. Consider asking friends or neighbors for advice. The National Hospice and Palliative Care Organization also offers an online provider directory.

To evaluate a hospice program, consider asking:

• Is the hospice program Medicare-certified? Is the program reviewed and licensed by the state or certified in some other way? Is the hospice program accredited by The Joint Commission?
• Who makes up the hospice care team, and how are they trained or screened? Is the hospice medical director board certified in hospice and palliative care medicine?
• Is the hospice program not-for-profit or for profit?
• Does the hospice program have a dedicated pharmacist to help adjust medications?
• Is residential hospice available?
• What services are offered to a person who is terminally ill? How are pain and other symptoms managed?
• How are hospice care services provided after hours?
• How long does it take to get accepted into the hospice care program?
• What services are offered to the family? What respite services are available for the caregiver or caregivers? What bereavement services are available?
• Are volunteer services available?
• If circumstances change, can services be provided in different settings? Does the hospice have contracts with local nursing homes?
• Are hospice costs covered by insurance or other sources, such as Medicare?

Remember, hospice stresses care over cure. The goal is to provide comfort during the final months and days of life.