The Connecticut Hospice, Inc., has been selected by Centers for Medicare & Medicaid Services to participate in the Medicare Dementia Care Model

The Connecticut Hospice, Inc., announced today that they have been selected by the Centers for Medicare & Medicaid Services (CMS) to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers. The Connecticut Hospice, Inc., is one of three sites in Connecticut and 400 nationwide to be selected to participate in building Dementia Care Programs (DCPs) across the country, working to increase care coordination and improve access to services and supports, including respite care, for people living with dementia and their caregivers.  GUIDE participants represent a wide range of healthcare providers, including large academic medical centers, small group practices, community-based organizations, health systems, hospice agencies, and other practices.

CMS’ Guiding an Improved Dementia Experience (GUIDE)  

 “CMS is excited to partner with The Connecticut Hospice, Inc., under the GUIDE Model,” said CMS Administrator Chiquita Brooks-LaSure. “GUIDE is a new approach to how Medicare will pay for the care of people living with dementia. The GUIDE participants are envisioning new ways to support not only people living with dementia, but also to reduce strain on the people who care for them, so that more Americans can remain in their homes and communities, rather than in institutions.” 

Launched on July 1, 2024, the GUIDE Model (Guiding an Improved Dementia Experience) will test a new payment approach for key supportive services furnished to people living with dementia, including: comprehensive, person-centered assessments and care plans; care coordination; 24/7 access to an interdisciplinary care team member or helpline; and certain respite services to support caregivers. People with dementia and their caregivers will have the assistance and support of a Care Navigator to help them access clinical and non-clinical services such as meals and transportation through community-based organizations.

“We have been offering our Magnolia Program to patients in the final stage of dementia for the last few years, and being able to expand the population we help to include those earlier in the dementia disease cycle is a natural next step for us.”

- Barbara Pearce, President and CEO of The Connecticut Hospice, Inc.

Enhanced Support and Education for Dementia Caregivers

The Connecticut Hospice, Inc.’s participation in the GUIDE Model will help people living with dementia and their caregivers have access to education and support, such as training programs on best practices for caring for a loved one living with dementia. The GUIDE Model also provides respite services for certain people, enabling caregivers to take temporary breaks from their caregiving responsibilities. Respite is being tested under the GUIDE Model to assess its effect on helping caregivers continue to care for their loved ones at home, preventing or delaying the need for facility care. 

The Connecticut Hospice, Inc., America’s First and Oldest Hospice, provides comprehensive and compassionate hospice, palliative, and other supportive care management services in a residential home, assisted living center, skilled nursing facility, or at our 52-bed waterfront hospital.

For more information about GUIDE @ The Connecticut Hospice, Inc., please contact: Mary Fitzgerald @ 203-315-7502 or [email protected].  

Hospice Care Began at Connecticut Hospice

February 1, 2021 marked the 2nd anniversary of new leadership taking over The Connecticut Hospice. It was a relief for the staff when Barbara Pearce, CEO, and Joseph Mooney, CFO, arrived bringing hope for American's 1st Hospice. And, while it is no secret of the mountain of challenges and changes the non-profit has been through over the last two years, it isn't until you hear them spoken out loud that it becomes apparent that Connecticut Hospice is resilient.

“We lost one third of our workforce, including 39% of our nurses, in ninety days in the second quarter of 2020."

In a recent interview, Barbara Pearce, CEO, shared her recollection of her last two years at Connecticut Hospice, with Bruce Tulgan, creator of The Indispensables podcast. Listening to Barbara share the numerous and sometimes grueling challenges the organization has faced during the last two years, it becomes clear why Connecticut Hospice has been around for forty-seven years -- hospice care started at and continues at Connecticut Hospice.

Use link below to hear the full podcast.

https://the-indispensables.captivate.fm/?fbclid=IwAR2NnKfVuKlXpTI28jQ9eJZyzKdZLSzzNYyYxrhZyqvSidcRN6uj3v4dSrU

---

About the Podcast

The Indispensables Podcast

Conversations with real go-to people who stand the test of time in the real world of work. Based on Bruce Tulgan's new book, The Art of Being Indispensable at Work, The Indispensables is a podcast series about how real people, in the real world, become indispensable, go-to people who stand the test of time at work. For more information, visit Rainmaker Thinking.

---

"Connecticut Hospice may not be able to add days to your life, but it can certainly add life to your days." -Barbara Pearce

Since Connecticut Hospice relies on contributions to provide customized services and therapies that aren't entirely covered by insurance, Scot Haney of WFSB Channel 3’s Better Connecticut came to shed some light on our virtual and socially-distant holiday fundraiser, Lights of Love.

America’s First Hospice

In the interview, Barbara discusses what differentiates Connecticut Hospice from other end-of-life care programs in Connecticut, including our rich history as America's first Hospice. Barbara also references our founder, Florence Wald, former dean of the Yale School of Nursing.

Allowing Visitors During COVID 19

Barbara speaks about how Connecticut Hospice is making significant efforts to continue allowing visitors during COVID. As a holistic program that values patient and family-centered care, Connecticut Hospice understands how important it is for patients to see their loved ones during end-of-life care, most especially during the holidays.

The article also features footage of the glorious water views of Long Island Sound and the beautiful grounds for visitors to gather in larger (up to five people) socially distant groups.

Lights of Love, Annual Fundraiser.

For the month of December, Connecticut Hospice is lighting up the grounds with many trees strung with holiday lights in memory of loved ones.  Supporters can sponsor fully lit trees or individual strings of lights or menorah bulbs.

There are also fully decorated trees on display in the lobby that have been donated by organizations and individuals. The decorated trees are offered in a silent auction, which is running through December 13th, 2020. 

Barbara offers a special thanks to the Branford Rotary Club who has helped tremendously with the Lights of Love virtual fundraiser, including putting up all of the holiday trees.

"Connecticut Hospice may not be able to add days to your life, but it can certainly add life to your days." -Barbara Pearce

Honoring Our Legacy: Florence Wald and Hospice Care Over the Years

When one enters The Connecticut Hospice, it becomes almost immediately clear what a nurse-centric place it is. There’s a reason for that, and her name is Florence Wald. She was our founder, often called the Mother of Hospice in America.

In 1974, Florence Wald Founded The Connecticut Hospice as America's first Hospice

For many years, the nurses have asked for a picture of our founder on the inpatient floor. Through the good graces of two retired Connecticut Hospice nurses, Gen O’Connell and Dianne Puzycki, and portrait painter, Angela Rose Agnello, (daughter of staff nurse), we unveiled the portrait of Florence Wald on the second floor yesterday, to great applause.

We have written elsewhere about our history, and the long list of our accomplishments, but it’s important also to understand just how Florence Wald changed the care of patients with terminal illnesses. After she spent time at the world’s first hospice in London, Saint Christopher’s, she returned with determination to alter the course of end of life care.

Florence Wald changed the way terminal cancer patients were treated

At that time, in the early 1970s, people often wouldn’t even say the word “cancer” out loud. Some of you remember when it was referred to as the “Big C”. There were even those who feared that cancer could be contagious, and were afraid to be too close to those who had it. Of course, in those days, the likelihood of survival was much lower. Sometimes, doctors didn’t tell patients, or families, what the course of the disease would be, or that person’s prognosis. This led to people dying without closure, or with survivors only beginning to process their grief.

For all these reasons, Ms. Wald decided early on to focus on the care of cancer patients. She was a force of nature, and was determined to change what many doctors and nurses considered standard practice at the time. Researchers can read many of Florence Wald’s papers, thanks to the Yale School of Nursing.

One of the key tenants of hospice care established by Florence Wald, was to provide holistic and comprehensive support and care for patients, caregivers, and family members.

Of particular concerns was what happened to those left behind, especially children of cancer patients. This might not be considered a good idea by many, but she got involved in the lives of the families, even taking some of the children home with her. She wanted them to have the comfort they weren’t getting in the medical system of that time.

In 1983, Connecticut Hospice was the first hospice to be reimbursed by Medicare.

Medicare set up what are now known as COP, Conditions of Participation, and they govern what hospice care needs to include. One of those requirements, 13 months of bereavement care for the survivors, is now practiced everywhere, and most likely came from those early principles espoused by Florence Wald.

Principles of hospice and palliative care were established at Connecticut Hospice in Branford.

Much of what we consider essential for death with dignity also harks back to those first patients. We now have a Plan of Care for everyone, and patients participate to whatever extent they can in planning for their end of life care. Doctors are now taught in medical school to have those difficult conversations, although many of them say that much more training is necessary. And, even though there is still a tension between the medical profession’s drive to keep patients alive, and the realities of the likely outcomes, we do see people choosing palliative care, when curative treatment becomes risky or speculative.

Cancer is not a verboten word anymore, but our tradition of treating the dying, no matter the cause, continues. We took wonderful care of AIDS patients in the early days of that scourge, and today we accept COVID-positive patients into our care. We try to give patients peace, comfort, freedom from pain, and closure, in whatever form that takes for them.

We honor Florence Wald in our continued pursuit of providing quality, comprehensive, and compassionate care for patients and their families.

Florence would have been proud of us when we arranged for a dying man to say goodbye to his horse on our lawn, or when a social worker put another man’s feet into buckets of water pulled up onto his bed, so that he could feel the seawater one last time. Or, when a patient got to experience one last surprise birthday celebration, and share it with her family living on the other side of the country.

Birthday Party at Connecticut Hospice brings surprises

Making our patients feel special is always a major goal of the Connecticut Hospice Interdisciplinary Team. Helping our patients and family members to make the most of their time together and to make new memories is another rewarding focus of our work. 

Recently our team came together creatively to help make hospice patient Catherine Simpson’s birthday a very special event for her and her family. 

Sporting a tiara, and assisted with her make up by her CNA, Cathy saw her beloved sister, nieces and nephews far away in Nevada and California.

Each member of the family took it in turns to share a special memory of the patient with her.  During this precious birthday “visit”, she smiled broadly and shed joyful tears.  She clearly felt their love, and was able to say “I love you” to her closest family members “face-to-face” even though they are far away.

"She looks so very happy"

On speaking to the team later, Cathy’s sister said

“She looks so very happy. I can’t thank you enough for all the wonderful things you do and have done for my beautiful sister.  I will be forever grateful”. 

Permission was given to publish this story and the patient's name.

Connecticut Hospice is pleased to join forces once again with Branford Parks and Recreation Department to offer the Hospice Pool Program.

Socially distanced swimming is easy when our pool is Olympic-sized, and numbers are kept low. 

Add beautiful views of Long Island Sound and ample free parking, and there's no reason not to join us. 

Options include; Open Swim, Aquacise Classes, and Senior Swim.  

For eligibility and details, please visit:  Branford Parks & Recreation Hospice Pool Program