For Healthcare Providers
Oak Ridges Hospice (ORH) Admission Information
Oak Ridges Hospice welcomes referrals to our 10-bed private room, home-like hospice residence for individuals living with a life-limiting illness, whose illness trajectory would benefit from our 24-hour care team of expert palliative / end-of-life care Physicians, Nurse Practitioners, Nurses, Personal Support Workers and volunteers.
All referrals require the following documentation faxed to 289-274-9307 to consider a client for hospice admission:
- Medical information such as medical/palliative notes and/or diagnostic imaging concerning client diagnosis and medical history
- Palliative Performance Scale.
- Anticipated prognosis/urgency of admission
- Information on treatments (if applicable)
- Identification of primary languages
- Information on health care providers involved in the client’s care. For example: Community nursing agency
- Care protocols (example: wound drainage care, central line/port care)
- Infection control measures (if applicable). Please note hospice can’t accommodate COVID-19 positive client admissions or airborne precautions
- Identification of the Substitute Decision Maker (SDM)/Power of Attorney (POA)
- Medication list (if available)
Admission Criteria
- Palliative Performance Scale (PPS) of 30% or less AND/OR medically documented prognosis of 2 months or less
- Established plan of care with no further investigations or resuscitation planne
- Identified Substitute Decision Maker (SDM) or signed Power of Attorney (POA)
- Care can safely be managed at hospice
- Client does not require negative pressure isolation
- Client does not require a secure unit or physical restraints
- Client acknowledges that implantable cardioverter defibrillator (ICD) needs to be turned off, if applicable
- Priority is given to clients residing and/or those with family living in Durham Region
- Primary diagnosis of Dementia or Alzheimer’s requires to be a PPS of 10% and not eating or drinking for one week. Feel free to refer at a higher PPS, however this will be prioritized based on appropriateness.
