Patients will be considered to be in the terminal stage of cancer and eligible for hospice if they meet the following criteria:
Factors 1 and 2 MUST be present; and either factor 3 or 4 MUST be present. Consider all factors that impact the patient’s prognosis.
1. Palliative Performance Scale (PPS) <= 70%
2. Dependence for two or more activities of daily living.
3. Pathology report reveals evidence of malignancy or metastases.
4. Progression from earlier stage of disease to metastatic disease with either:
- Continued decline in spite of therapy; or
- Patient declines further disease directed therapy
NOTE: Certain cancers with poor prognoses may be hospice eligible without fulfilling other criteria in this section.
- Liver Disease
- Renal Failure
- Neurological Disease
If a patient meets the medical criteria above, they are by definition eligible to receive hospice services. Some patients may not meet the criteria, but may still be eligible for hospice care due to comorbidities or rapid functional decline.
We value a physician's best clinical judgement on eligibility, but medical directors at local Compassus programs are available for consultation.