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Hospice Revocation Avoidance

Date of latest update

September 2014


Fort Worth and 14 suburban cities in north Texas

For More Information Contact

Matt Zavadsky,director of Healthcare & Community Integration (

Population Served

Patients/families at risk for voluntary disenrollment in hospice. A total of 142 patients have been enrolled to date.

The Need

Many patients/families call 911 at the last moment in panic for a hospice patient. This often results in an ambulance trip to the ED and potential disenrollment in hospice.

The Goal

• Improve the patient’s experience of care, including outcome • Improve population health • Reduce the cost of care • Help the patient transition to desired state in the safety and security of home, without an unnecessary ED trip or revocation of hospice status

Medical Oversight

The hospice agency medical director (delegated by the EMS medical director); in absence of this, the EMS medical director.

Key Partners

VITAS Innovative Hospice


Specially trained mobile healthcare practitioners and critical care paramedics; RN for case management


Per enrolled patient/per month fee

Plans for Sustainability

F ee for enrollment (per enrolled patient/per month referring sources)

Technology Used

SharePoint EMR

Program Results

Approximately 92 percent reduction of hospice revocation/voluntary disenrollment of enrolled patients

Resource Center

Mobile Integrated Healthcare Practice

Funded in part by Medtronic Philanthropy.

Produced in cooperation with the RedFlash Group.