St Agnes Hsptl Hospice Hope, also known as St Agnes Hospital Home Care 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. St Agnes Hsptl Hospice Hope accommodated approx. 726 Medicare beneficiaries whose average age was 85 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 521512. St Agnes Hsptl Hospice Hope 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 St Agnes Hsptl Hospice Hope 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. St Agnes Hsptl Hospice Hope 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 Home Care 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
Related CCN ID:
520088
Hospice’s Ownership Type:
Non-Profit
Short-term inpatient care provided:
Acute & Respite care
Accreditation
UnAccredited
Hospice Address:
239 Trowbridge Drive, Fond Du Lac, Wisconsin, 54937
County:
Fond Du Lac
Phone:
920-923-7950
CMS Regional Office
Chicago
Medicare Certification:
Medicare certification details of St Agnes Hsptl Hospice Hope 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:
17 Apr, 2018
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:
1942274717
MAC
National Government Services
CBSA Code
22540 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for St Agnes Hsptl Hospice Hope 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
726
RHC Days (in %)
100
Physician Services
87
Average Age of Beneficiary
85 year
Total Medicare Payment Amount
$ 7,018,226
Total Medicare Standard Payment Amount
$ 7,506,603
Total Charge Amount
$ 15,451,348
Average Service Hours per Day
St Agnes Hsptl Hospice Hope provided an average of 0.58 hours per day of home health, 0.41 hours per day of Skilled Nursing, 0.05 hours per day of Social Service hospice care.
Average Hospice Care Days
St Agnes Hsptl Hospice Hope have 145 Medicare beneficiaries with 7 or fewer hospice care days, 244 Medicare beneficiaries with more than 60 hospice care days, 69 Medicare beneficiaries with more than 180 hospice care days.
Beneficiaries by Gender
St Agnes Hsptl Hospice Hope rendered hospice services to 304 Male and 422 Female Medicare beneficiaries in a calendar year.
Beneficiaries by Race
St Agnes Hsptl Hospice Hope provided hospice care to 718 White, 8 not disclosed Medicare beneficiaries in a calendar year.
Medicare/Medicaid Eligible Beneficiaries
At St Agnes Hsptl Hospice Hope, 301 beneficiaries enrolled in Medicare Advantage and 186 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.
Beneficiaries with Primary Disease Diagnosis
At St Agnes Hsptl Hospice Hope, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 181 of Cancer, 68 of Dementia, 58 of Stroke, 172 of Heart Disease, 96 of Respiratory 151 of Other Diseases
Site-of-service Hospice Beneficiaries
At St Agnes Hsptl Hospice Hope, distinct Medicare beneficiaries who received the majority of their hospice care days are 245 at home, 215 in an assisted living facility, 166 in a long term care or non-skilled nursing facility, 17 in an inpatient hospital, in a long term care hospital, psychiatric facility, home care in a hospice facility or unknown facility.
Services Provided:
Services available at St Agnes Hsptl Hospice Hope 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
Medical Social Services
Hospice Staff
Medical Supply Services
Provided under Arrangement
Nursing Services
Hospice Staff
Occupational Therapy
Hospice Staff
Physician Services
Hospice Staff
Physical Therapy
Hospice Staff
Short Term Inpatient Care
Provided under Arrangement
Speech Pathology Services
Hospice Staff
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
99.9
98.3
Beliefs/Values Addressed (if desired by the patient)
99.9
93.6
Pain Screening
99.3
93.9
Pain Assessment
99.6
77.7
Dyspnea Screening
99.7
97.3
Dyspnea Treatment
98.2
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
97.8
93.3
Employee Count:
St Agnes Hsptl Hospice Hope 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
20.61
0
Counseling
8.81
0
Medical Social Services
4.7
0
Registered Nurses
21.53
0
Practical/Vocational Nurses
4.12
0
Physician Services
1.1
0
TOTAL
60.87
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:
1861467144
NPI Enumeration Date:
21 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 St Agnes Hsptl Hospice Hope are as mentioned below.
Specialization
License Number
State
Status
Home Health
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
41507400
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
Fax Number:
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Patients can reach St Agnes Hospital Home Care at 239 Trowbridge Drive, Fond Du Lac, Wisconsin or can call to book an appointment on 920-923-7950.