Paul J.

Russ
Vice President of Marketing and Development
2500 Summit Avenue
Greensboro, NC 27405
PH: 336.478.2502
FX: 336.544.2270
Monday, November 13, 2017
pruss@hospicegso.org
www.hospicegso.org

(GREENSBORO, NORTH CAROLINA)– As a community-based non-profit, Hospice and Palliative Care of
Greensboro continually seeks ways to improve care delivery and sustainability of its programs for Greensboro and the
surrounding counties.

With this in mind, we have made the difficult decision to cease providing pediatric home health services as of November
30, 2017. A plan is in effect to transition the 21 children who receive this type of supportive care to an alternate home
health provider of their family’s choice. We intend to provide as seamless a transition as possible and will do everything
we can to help with the change in care providers. Our goal is to ensure service and quality of care are not compromised.

Hospice and Palliative Care of Greensboro’s pediatric home health services are delivered through its Kids Path program.
All other services of the Kids Path program will remain. Kids Path touches the lives of more than 250 children a year
and will continue to serve the needs of these children and families.

Kids Path will continue to serve over 200 children a year, providing pediatric hospice care, bereavement counseling and
medical case management through the Community Alternatives Program for Children (CAP/C). In fact, Kids Path
plans to expand its CAP/C program. CAP/C families are provided a case manager to develop a plan of care to meet
their child’s needs, monitor, and coordinate the services and supplies in that plan of care. Additionally, families who
previously received home health services will still have access to Kids Path’s wrap around services for medically fragile
children, including counseling for adults and children with access to volunteer and spiritual care support.

By definition, “home health care” represents a wide range of health care services that can be given in one’s home for an
illness or injury. While necessary and needed in certain situations, home visits by any healthcare provider are
challenging to provide. The challenge of sustainability is magnified when the volume of patients is small and the
geographic care area is large. This was particularly true of our Kids Path home health service and highlighted in a
consultant’s report in June 2014. Since then, we have been working collaboratively to find a sustainable way to meet the
needs of medically fragile children in our community.

As a community-based non-profit, we must be good stewards of our resources. So, while finances were not the only
concern, they were a factor. Expenses associated with the home health component represented more than 35% of the
Kids Path budget – nearly $300,000 annually. Pediatric home health is available from several other providers. Therefore
the service is a duplication of available resources at significant expense. Charitable support remains strong for the
program and necessary to continue to provide services for more than 200 children a year. Yet the shortfall created by the
home health component was not sustainable.

Our staff developed a communications plan to announce this decision as soon as it was appropriate. Staff turnover has
shortened the transition timeline. However, we are confident we can help each of the families affected transition to
another home health provider.
Throughout this process, the leadership of Hospice and Palliative Care of Greensboro and Kids Path has had the
opportunity to deepen relationships with the community’s continuum of care for children. We will continue to build
partnerships and to be a leading resource for families facing serious illness with their children.

Due to healthcare privacy laws, we cannot comment on specific patient families.

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HPCG, a nonprofit organization serving Guilford County and surrounding areas since 1980, is situated on a 14.75 acre
campus at 2500 Summit Avenue. HPCG provides physical, emotional and spiritual support for children and adults faced
with a life-limiting illness, as well as their caregivers and families. For more information, call 336.621.2500 or visit
www.hospicegso.org.