Interim Healthcare Hospice Of Western Wisconsin is a hospice care center situated at Hudson, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Interim Healthcare Hospice Of Western Wisconsin accommodated approx. 41 Medicare beneficiaries whose average age was 86 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 521597. Interim Healthcare Hospice Of Western Wisconsin 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 Interim Healthcare Hospice Of Western Wisconsin mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, Interim Healthcare Hospice Of Western Wisconsin 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:
Innovo Healthcare, Llc 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)
521597
Related CCN ID:
527291
Hospice’s Ownership Type:
Non-Profit
Short-term inpatient care provided:
Acute & Respite care
Accreditation
UnAccredited
Hospice Address:
625 Commerce Drive Suite 200, Hudson, Wisconsin, 54016
County:
St. Croix
Phone:
715-377-9617
Fax:
715-377-9623
CMS Regional Office
Chicago
Medicare Certification:
Medicare certification details of Interim Healthcare Hospice Of Western Wisconsin with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
17 Jul, 2013
Current Status:
Active Provider
Latest visit of the Health or LSC survey:
07 Jun, 2017
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:
1619213444
MAC
National Government Services
CBSA Code
33460 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Interim Healthcare Hospice Of Western Wisconsin 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
41
RHC Days (in %)
100
Average Age of Beneficiary
86 year
Total Medicare Payment Amount
$ 579,900
Total Medicare Standard Payment Amount
$ 583,022
Total Charge Amount
$ 866,720
Average Service Hours per Day
Interim Healthcare Hospice Of Western Wisconsin provided an average of 0.22 hours per day of home health, 0.28 hours per day of Skilled Nursing, 0.04 hours per day of Social Service hospice care.
Average Hospice Care Days
Interim Healthcare Hospice Of Western Wisconsin have Medicare beneficiaries with 7 or fewer hospice care days, 17 Medicare beneficiaries with more than 60 hospice care days, Medicare beneficiaries with more than 180 hospice care days.
Beneficiaries by Gender
Interim Healthcare Hospice Of Western Wisconsin rendered hospice services to 17 Male and 24 Female Medicare beneficiaries in a calendar year.
Beneficiaries by Race
Interim Healthcare Hospice Of Western Wisconsin provided hospice care to 41 White, Medicare beneficiaries in a calendar year.
Medicare/Medicaid Eligible Beneficiaries
At Interim Healthcare Hospice Of Western Wisconsin, beneficiaries enrolled in Medicare Advantage and 16 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.
Beneficiaries with Primary Disease Diagnosis
At Interim Healthcare Hospice Of Western Wisconsin, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 22 of Dementia,
Site-of-service Hospice Beneficiaries
At Interim Healthcare Hospice Of Western Wisconsin, distinct Medicare beneficiaries who received the majority of their hospice care days are 12 at home, 28 in an assisted living facility,
Services Provided:
Services available at Interim Healthcare Hospice Of Western Wisconsin 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 Available
Provided By
Home Health Aide
Hospice Staff
Counseling
Hospice Staff
Homemaker
Hospice Staff
Medical Social Services
Hospice Staff
Medical Supply Services
Provided under Arrangement
Nursing Services
Hospice Staff
Occupational Therapy
Hospice Staff
Physician Services
Provided under Arrangement
Physical Therapy
Hospice Staff
Short Term Inpatient Care
Provided 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 Name
Score (in %)
National Average
Treatment Preferences
100.0
98.3
Beliefs/Values Addressed (if desired by the patient)
100.0
93.6
Pain Screening
97.6
93.9
Pain Assessment
Not Available
77.7
Dyspnea Screening
100.0
97.3
Dyspnea Treatment
Not Available
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
Not Available
93.3
Employee Count:
Interim Healthcare Hospice Of Western Wisconsin employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services
Employed Count
Volunteer Count
Home Health Aide
5
0
Counseling
0.5
0
Homemaker
0.2
0
Medical Social Services
0.5
0
Registered Nurses
2
0
Physician Services
0.2
0
TOTAL
8.4
0
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:
Mr. Erik F Nelson
Position:
Secretary
Contact Number:
715-377-9617
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:
1619213444
Parent Organization:
Innovo, Llc
NPI Enumeration Date:
26 Dec, 2012
NPI Last Update On:
10 Apr, 2014
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Interim Healthcare Hospice Of Western Wisconsin are as mentioned below.
Specialization
License Number
State
Status
Hospice Care, Community Based
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100035850
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
594 Outpost Cir Ste G, Hudson, Wisconsin
Zip:
54016-7895
Phone Number:
715-377-9617
Fax Number:
715-377-9623
Patients can reach Innovo Healthcare, Llc at 625 Commerce Drive Suite 200, Hudson, Wisconsin or can call to book an appointment on 715-377-9617.