Advanced cardiac conditions, especially heart failure, profoundly impact patients, providers, and health systems. It is a leading cause of hospitalizations among patients over 65, and its prevalence is growing.¹
Although guidelines from the American College of Cardiology and the American Heart Association recommend hospice and palliative care for advanced-stage patients,² many are not being connected to the extra level of care they need. It is notable that cardiac disease is listed as the primary diagnosis for only 12.2% of hospice patients, a statistic that has remained static over the past 10 years.³
To address this need, and to further the goals of the Triple Aim, we created the VNSNY Cardiac Hospice program. Designed specifically to improve quality of life and reduce hospitalizations for patients with advanced-stage heart disease, this program is the only one of its kind available throughout the five boroughs of New York City.
Developed utilizing evidence-based clinical protocols, the VNSNY Cardiac Hospice program provides an enhanced level of care for patients and families, helping to keep patients safe and comfortable at home.
What makes this program unique is an interdisciplinary team with special training in managing advanced-stage cardiac patients:
The team works collaboratively with the patient’s cardiologist and PCP, either of whom can remain as the attending physician in tandem with the hospice team.
Care is provided wherever patients reside—at home, in a skilled nursing facility, or at an inpatient facility—and includes:
The following are some signs that your patient may benefit from VNSNY Cardiac Hospice Care:
For more information, download VNSNY’s Hospice Candidate Card.
Patients who meet general hospice eligibility criteria, and have NYHA Class IV heart failure symptoms and/ or refractory Stage D heart failure are eligible for this program.4
Factors that support eligibility, but are not required, include:
Referring patients early is critical, as it enables patients and families to maximize the time they can benefit from the added support, symptom management, and improved quality of life provided by this specialized hospice program.
We welcome the opportunity to meet with patients and families in person to help start the conversation and discuss care options. We are available 24/7.
To learn more or to refer a patient, please call VNSNY Hospice Care at 1-212-609-1900.
1 Chen-Scarabelli, C, Saravolatz, L, Hirsh B, et al. Dilemmas in End-stage Heart Failure, Journal of Geriatric Cardiology, 2015.
2 Adler E, Goldfinger J, Kalman, J, et al. Palliative Care in the Treatment of Advanced Heart Failure, Circulation, 2009.
3 Chen-Scarabelli, C, Saravolatz, L, Hirsh B, et al. Dilemmas in End-stage Heart Failure, Journal of Geriatric Cardiology, 2015.
4 Local Determination (LCD) for Hospice – Determining Terminal Status (L25678), National Government Services, June 5, 2009.