Support for Patients with Liver Disease
We manage at-risk populations by offering coordinated, comprehensive care that improves quality of life for patients with liver disease.
We’re reinventing the chronic healthcare journey by providing coordinated, holistic care for patients with liver disease, while also saving money.
Benefits of early palliative medicine and hospice care include:
- Improved quality of life for chronic patients and their caregivers
- Improved clinical outcomes
- Enhanced care coordination
- Improved patient satisfaction scores
- Increased efficiency and lower costs
- Lower hospital readmissions
Chapters Health System provides a continuum of integrated care solutions that begin with a chronic diagnosis. Palliative Medicine, Hospice Care, Grief Services and many other healthcare and support services are all available to you and your patients.
Any time you, your staff, or patients have questions, need support or care, call 1-866-204-8611 or Contact Us.
Hospice Eligibility Guidelines for Patients with Liver Disease
Ultimately, hospice eligibility is centered on a physician's clinical judgment. If a physician believes the patient will likely live six months or less if the disease follows its natural course, then the patient is considered hospice eligible. Eligibility is based on the severity of the patient’s primary diagnosis (the diagnosis contributing most to terminality), as well as secondary/comorbid conditions and nutritional/functional status. In some cases, the primary diagnosis alone is sufficiently advanced to make a patient hospice eligible. This determination is made with the help of disease severity guidelines called Local Coverage Determinations (LCDs) listed below:
Not a candidate for liver transplant (we will take transplant list patients at times)
PT>5 seconds over control (or INR>1.5) and serum albumin <2.5 gm/dl
And any one of the following: Encephalopathy, ascites, spontaneous bacterial peritonitis, hepatorenal failure, bleeding esophageal varices