Ssm Health At Home Hospice , also known as St Agnes Hospital Hospice Hope is a hospice care center situated at Fond Du Lac, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Ssm Health At Home Hospice accommodated approx. 778 Medicare beneficiaries whose average age was 84 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 521512. Ssm Health At Home Hospice 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 Ssm Health At Home Hospice 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, speech pathology services. Ssm Health At Home Hospice 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:
St Agnes Hospital Hospice Hope 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)
521512
Hospice’s Ownership Type:
Non-Profit (03 Voluntary Non-Profit - Other)
Accreditation
UnAccredited
Hospice Address:
239 Trowbridge Drive, Fond Du Lac, Wisconsin, 54937
County:
Fond Du Lac
Phone:
(92-0) -923-7950
CMS Regional Office
Chicago
Medicare Certification:
Medicare certification details of Ssm Health At Home Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
11 Sep, 1987
Current Status:
Active Provider
Latest visit of the Health or LSC survey:
09 Apr, 2021
Certificate Provider:
CMS Regional Office
Provider's Billing ID:
1942274717
CBSA Code
22540 (Urban)
Federal Certification Status
Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Ssm Health At Home Hospice 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
778
RHC Days (in %)
100
Episode or Stay Count
801
Total Nursing Minutes
1080105 Minutes (18001.75 Hours)
Days of Service
57,347
Average Age of Beneficiary
84 year
Average Risk Score of Beneficiaries
2.23
Total Medicare Payment Amount
$ 9,296,345
Total Medicare Standard Payment Amount
$ 10,124,465
Total Medicare Allowed Payment Amount
$ 9,296,345
Total Charge Amount
$ 15,613,010
Average Hospice Visit Count
Ssm Health At Home Hospice have 17431 skilled nursing visits, 4614 social work visits and 11124 Number of home health aide visits provided by the home health agency or hospice.
Beneficiaries by Gender
Ssm Health At Home Hospice rendered hospice services to 45% Male and 55% Female Medicare beneficiaries in a Fiscal year.
Beneficiaries by Race
Ssm Health At Home Hospice provided hospice care to 97% White, 23% not disclosed Medicare beneficiaries in a Fiscal year.
Medicare/Medicaid Eligible Beneficiaries
At Ssm Health At Home Hospice ,17% of Medicare beneficiaries received their Medicare correspondence in a rural area based on having a Core-based Statistical Area (CSBA) designation equal to Non-CBSA. 26% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.
Beneficiaries with Primary Disease Diagnosis
At Ssm Health At Home Hospice , distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 23 of Neoplasms & Diseases of the Blood and Blood forming organs, 3 of Endocrine, Nutritional and Metabolic Diseases, 22 of Diseases of the Nervous System, 25 of Diseases of the Circulatory System, 12 of Diseases of the Respiratory System, 3 of Diseases of the Digestive System, 2 of Diseases of the Genitourinary System, 2 diagnosis of Symptoms, Signs and Abnormal Clinical and Laboratory findings, not elsewhere classified,3 of Diagnosis of Injury, Poisoning and certain other consequences of external causes & external causes of Morbidity, 3 of Diagnosis of Factors influencing health status and contact with health services & codes for special purposes.
Services Provided:
Services available at Ssm Health At Home Hospice 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
Provided under Arrangement
Physician Services
Provided under Arrangement
Physical Therapy
Provided under Arrangement
Short Term Inpatient Care
Provided under Arrangement
Speech Pathology Services
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)
99.8
93.6
Pain Screening
99.2
93.9
Pain Assessment
95.8
77.7
Dyspnea Screening
99.8
97.3
Dyspnea Treatment
99.4
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
100.0
93.3
Employee Count:
Ssm Health At Home Hospice 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
22.5
0.0
Counseling
4.5
0.0
Homemaker
0.5
0.0
Medical Social Services
4.7
0.0
Registered Nurses
28.6
0.0
Practical/Vocational Nurses
2.6
0.0
Physician Services
0.6
0.0
TOTAL
64.0
0.0
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:
Steven N Little
Position:
Svp & Cfo
Contact Number:
920-926-5402
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:
1942274717
NPI Enumeration Date:
16 Feb, 2006
NPI Last Update On:
09 Nov, 2007
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ssm Health At Home Hospice 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
43180400
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:
239 Trowbridge Dr, Fond Du Lac, Wisconsin
Zip:
54937-9180
Phone Number:
920-907-5379
Patients can reach St Agnes Hospital Hospice Hope at 239 Trowbridge Drive, Fond Du Lac, Wisconsin or can call to book an appointment on (92-0) -923-7950.