Calumet County Hospice Agency



  
206 Court St, Chilton
Wisconsin, 53014

 920-849-1432   Maps & Directions
Calumet County Hospice Agency, also known as Department Of Health & Human Services is a hospice care center situated at Chilton, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Calumet County Hospice Agency accommodated approx. 77 Medicare beneficiaries whose average age was 84 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 521563. Calumet County Hospice Agency comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Calumet County Hospice Agency mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Calumet County Hospice Agency provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Department Of Health & Human Services type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 521563
Related CCN ID:527085
Hospice’s Ownership Type:Government
Short-term inpatient care provided:Acute & Respite care
Accreditation UnAccredited
Hospice Address:206 Court St, Chilton,
Wisconsin, 53014
County:Calumet
Phone:920-849-1432
Fax:920-849-1476
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Calumet County Hospice Agency with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:09 Nov, 1998
Current Status: Active Provider
Latest visit of the Health or LSC survey: 29 May, 2019
Status at the time of certification survey: In Compliance
Waiver of any life safety code: No
Latest Certification Type: Recertification
Certificate Provider: Chicago CMS Regional Office
Provider's Billing ID: 1235120791
MAC National Government Services
CBSA Code 11540 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Calumet County Hospice Agency are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 77
RHC Days (in %) 100
Average Age of Beneficiary 84 year
Total Medicare Payment Amount $ 742,477
Total Medicare Standard Payment Amount $ 766,960
Total Charge Amount $ 1,255,171

Average Service Hours per Day

Calumet County Hospice Agency provided an average of 0.24 hours per day of home health, 0.25 hours per day of Skilled Nursing, 0.08 hours per day of Social Service hospice care.

Average Hospice Care Days

Calumet County Hospice Agency have 18 Medicare beneficiaries with 7 or fewer hospice care days, 27 Medicare beneficiaries with more than 60 hospice care days, Medicare beneficiaries with more than 180 hospice care days.


Beneficiaries by Gender


Calumet County Hospice Agency rendered hospice services to 28 Male and 49 Female Medicare beneficiaries in a calendar year.

Beneficiaries by Race


Calumet County Hospice Agency provided hospice care to 77 White, Medicare beneficiaries in a calendar year.

Medicare/Medicaid Eligible Beneficiaries


At Calumet County Hospice Agency, 47 beneficiaries enrolled in Medicare Advantage and 23 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.


Beneficiaries with Primary Disease Diagnosis

At Calumet County Hospice Agency, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 11 of Cancer, 28 of Heart Disease, 15 of Other Diseases

Site-of-service Hospice Beneficiaries

At Calumet County Hospice Agency, distinct Medicare beneficiaries who received the majority of their hospice care days are 23 at home, 23 in an assisted living facility, 31 in a skilled nursing facility,

Services Provided:
Services available at Calumet County Hospice Agency are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesHospice Staff
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
Physician ServicesHospice Staff
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 97.393.9
Pain Assessment 100.077.7
Dyspnea Screening 100.097.3
Dyspnea Treatment 100.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Calumet County Hospice Agency employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide3.190
Counseling0.17 0
Medical Social Services10
Registered Nurses7.510
Other Personnel0.02 0
Physician Services0 1
TOTAL11.891
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Ms. Bonnie Kolbe
Position: Director Of Agency
Contact Number: 920-849-1422
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1235120791
NPI Enumeration Date: 03 Nov, 2005
NPI Last Update On: 30 Nov, 2011
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Calumet County Hospice Agency are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 557WisconsinPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
43188600MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 206 Court St,
Chilton, Wisconsin
Zip: 53014-1198
Phone Number: 920-849-1493
Fax Number: 920-849-1476
Patients can reach Department Of Health & Human Services at 206 Court St, Chilton, Wisconsin or can call to book an appointment on 920-849-1432.

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