Bobby’s Hope HouseOur Future Residential Hospice

A Residential HospicePalliative Care in the Community

• Small, not institutional• Home Away From Home• Maximum of 10 private bedrooms• 24 hour access for family• 24 hour nursing/medical care• Supported by volunteers• Pain & symptom mgt. and psychosocial/spiritual

support that relieves suffering encourages communication, fosters hope & prepares people for loss

DEATH – Today’s Reality

• 80% die of a chronic illness (palliative diagnosis)

• 20% die an acute death

In Greater Saint John: 1,000 deaths / year 800 are palliative

In Region 2: 1,500 deaths / year1,000 are palliative

Death – Reality in 20 years• Seniors account for 75% of annual deaths

• By the year 2025, the proportion of seniors in NB is projected to be 21% higher than the national average.

• “Of New Brunswick’s three major centres, Saint John is the oldest.” - Telegraph Journal, July 18th

• Projections for Greater Saint John:

2000 deaths/year• 1600 palliative deaths• 400 acute deaths

Where do People Die?• Most want to die at home – breakdown in last

weeks/months of life when 24-hour care needed

• Most in fact die in institutions – 90%(75% die in hospital, 15% in NH )

• Saint John Regional Hospital– PCU annual palliative deaths: ~ 200– “Other beds” annual palliative deaths: ~ 200

• 50% of the area’s identified annual palliative deaths occur in one Hospital

Palliative Patients in Acute Care Beds – Outside of the PCU

• Inappropriate level of care

• Expensive

• Affects access to acute care beds

• Not as holistic as the care offered in a Hospice setting

CHPCA Norms of Practice

• Hospice Palliative Care is a set of services offered in four settings:

– Home– Hospital– Nursing Homes– RESIDENTIAL HOSPICES

Residential Hospice

Provides timely access to comprehensive hospice palliative

care services

• Right care at the right time by the right providers

• Setting of Choice - non-institutional care – a home away from home

Residential Hospice

Frees Up Acute Care Beds• ALOS for palliative patient in acute care

bed is 22 days in comparison to 5-10 days for acute care patients

• Using the same bed for acute care services will reduce wait times for elective surgery and admissions from the ER

Residential HospiceAllows More Healthcare Dollars to

be Used for Acute Care Services

• Cost of Residential Hospice is $300/day.

• Cost of Acute Care Hospital Beds is $1,000 per day.

• Residential Hospice is cost-effective care.

Residential Hospice

Supports economic development and contributes to self-sufficiency

• A timely and accessible acute healthcare system is needed to attract and keep workers

Government’s Healthcare Priorities1. Increasing Access

2. Reducing Wait times

3. Cost containment

4. Sustainability

Government & Business Priorities1. Economic Development & Growth

2. Self-Sufficiency

Residential Hospice is part of the solution!

Win-Win-Win-Win-Win-Win

• Government - Right Care (Access), Right Time (Wait Times), Right Providers (Sustainability, Cost Containment and Self-Sufficiency)

• Business – Supports economic development & growth

• Hospital – Increased access to acute care beds

• Patients – Setting of Choice (non-institutional)

• Families - Support when needed

• Hospice – Deliver on our Mission & Vision

Residential Hospice Capital Costs• St. Joseph’s Convent valued at $1.66

million to build at today’s costs

• Sisters of Charity elected to invest in the establishment of a Residential Hospice for our community and NB – sold Hospice the property for $250,000

• Would have cost over

$1 million to build

Living Room

Living Room

Quiet Room

Quiet room

Volunteer Reception

Dr. Nancy Grant Library

Sisters of Charity Chapel

Divine Divas Dining Room

Friends of Hospice Kitchen

Future Residential Hospice Bedroom

Future Residential Hospice Bedroom

Future Residential Hospice Bedroom

Future Garden of Hope & Healing

Future Garden of Hope & Healing

“Realize the Dream” Capital Campaign 2007 - 2010

• Hospice to fundraise $1 million over 2 years to renovate and ready for operations in 2010

• Code Renovation Costs $645,600• Supplies/Equipment/Garden $150,000• 1st Year of Operations $200,000• Government, Foundations, Corporate,

Service Clubs and Individuals

Code Renovation Costs

• Elevator 75,000• Architectural Improvements 150,000• Sprinkler System 50,000• Plumbing Upgrades 75,000• Ventilation Upgrades 128,000• Electrical Improvements 60,000• 20% Contingency 107,600

Total $645,600

Residential HospiceAnnual Operations - $840,000

Expenses• 0.20 FTE Medical Director 40,000• 1 FTE Resident Care Manager 69,000• RN’s, LPN’s, PSW’s 666,000• 1 FTE Housekeeper/Cook 25,000• Supplies, Food 35,000

Revenue• Provincial Government $580,000• Hospice $260,000

Nursing Care: 1 Nurse Manager

Day Shift 1 RN1 LPN1 PSW

Evening Shift 1 RN1 LPN

Night Shift 1 RN1 PSW

Nursing Coverage

• People admitted under the care of their family physician – responsible for 24-hour medical coverage

• FP has access to 0.20 FTE Hospice Medical Director for consultation, support and overseeing care

Physician Coverage

The Request to NB Government

1. Make Residential Hospice part of NB’s “innovative healthcare and seniors plans” due in Fall 2007

2. Put Residential Hospice operational funding - $580,000/year - in the 2010 NB Healthcare Budget.

3. Provide some capital funding to support space renovations (RDC, ACOA & CMHC).

Current Status1. NB Political Agreement – Shawn Graham,

Mike Murphy, Roly MacIntyre, Mary Schryer, Ed Doherty, Jeannot Volpe, Trevor Holder

2. Federal Political Agreement -Tony Clement, Greg Thompson and Paul Zed

3. Community Leadership Agreement – Greater Saint John MayorsAHSC Board of DirectorsSaint John Board of TradeSisters of CharitySaint John City Council

Residential HospiceHelping People Live With

Dignity, Comfort and Peace

Everyone Says Yes!

Residential HospiceProjected Opening

Spring 2010

“At some time, in some way, we must all face the end of life.

And most us share a common hope—that when

death comes to us or to a loved one, it will be peaceful and free of pain.

We hope to face death surrounded by a circle of support, feeling safe, comfortable and cared

for.

This is the promise of Hospice Greater Saint John.”