Introduction
Traditionally, hospice referrals came after long illness trajectories. But more hospitals’ emergency departments (EDs) are now becoming frontline referral points — a shift that brings both opportunity and challenge for families and providers.
Why the ED Matters
- Patients arrive at the ED in crisis; healthcare teams increasingly see this as the moment to consider comfort-focused care rather than simply acute intervention.
- For families this means: if you find yourself in the ED with a loved one, it’s appropriate to ask, “Has hospice been considered?”
- For hospice providers: Strong hospital partnerships and rapid referral pathways are now critical.
Implications for Families
- If your loved one is at home and you’ve been managing decline, it’s beneficial to discuss hospice before the ED becomes the gateway.
- In the ED setting: clear communication with clinicians about goals of care (comfort vs curative intent) can lead to faster hospice engagement.
- Ask your hospice provider: Do you coordinate with local hospitals, emergency services, and acute care teams?
Key Take-Aways
- The ED is a growing part of the hospice referral chain.
- Engaging hospice early avoids reactive crisis-driven referrals.
- Ensure your selected hospice has strong coordination with hospital systems.
