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Horizon Hospice provides care to terminally ill patients in their homes, which include assisted living facilities, nursing homes, and adult family homes.

The Mission of Horizon Hospice

“After all, we do not usually think much about the next world till our hopes in this one have been pretty well flattened out.” – C.S.Lewis

It is in the certainty of a greater life yet to come and our desire to honor God that we commit ourselves to the care of the terminally ill, with the expectation that our quality of care will be second to none, with the promise that individuals will have total control of their care, and with the assurance that our staff will be fully qualified and in a continuing state of improvement.

At Horizon Hospice we expect and receive only the best service from our employees. In our commitment to them we provide continued education, we offer oppportunities to grow within the organization, and we gratefully reward their efforts not only monetarily, but with our profound admiration and acknowledgement of their accomplishments.

Hospice care is a relatively new entity in the area of medical services and the current state requirements demand a high standard of care and techniques. While using the most current techniques in the provision of care, Horizon Hospice is also committeed to constant research and innovation that will expand the boundaries for improved care.

Horizon Hospice works diligently to become an integral part of the community by working closely with other medical groups, keeping citizens informed of hospice benefits, sharing in the education of our youth, providing greater employment opportunities, and supporting Spokane County in general with our participation in its growth and development.

Goals of Horizon Hospice

1. To ensure that the end of life is pain-free and fulfilling.
2. To allow each person with a terminal illness to remain in his or her own home in comfort and control.
3. To spare families from financial hardships caused by the high medical costs of treatment of terminal illness.
4. To provide bereavement counseling to family members up to one year after the death of a loved one.

Medicare Coverage

Medicare has established the hospice care benefit through which the family is taught to provide daily care to the patient, if they are able. Hospice will provide all additional care related to the life-limiting illness, such as:

Physician Services
Nursing Services
Medical Equipment & Supplies
Inpatient and Respite Care
Home Health Aide Services
Physical & Occupational Therapy
Speech Therapy
Dietary & Spiritual Counseling
Medical Social Services
Volunteer Services

When Medicare beneficiaries choose hospice care they give up the right to standard Medicare benefits only for the treatment of the life-limiting illness.

Medicare Part A and B can still be used for the treatment of health problems unrelated to the life-limiting illness.

The Hospice Team

The Hospice team consists of a nurse, physician, medical social worker, chaplain, and others involved in the care of each individual. The team’s role is to monitor all phases of care, treatment, medication, and services provided. The team makes recommendations to continue, alter, or change techniques in order to assure patient comfort and pain control. Patients receiving hospice services retain complete control of the care they receive.

Nursing Services

Nurses make regularly scheduled visits to the home and they are on-call 24-hours a day, 7-days a week. The frequency of visits is determined by the hospice team. Visits can occur daily, several times a week, or even every other week, depending upon the personal choices and needs of each individual.

The primary purpose of these scheduled visits is to assess the patient’s pain and comfort level and to communicate these results to the physician. The secondary purpose of these visits is to train and assist the caregiver in providing daily care to the patient.

Medical Social Workers

Medical Social Workers assist the patient ands family in issues related to the life-limiting illness, and provide grief counseling to both the patient and family members. The social workers may also assist the patient and family members in the completion of unfinished tasks such as funeral arrangements, financial dilemmas, and unresolved conflicts.

Medical Social Workers, with the assistance of others, provide bereavement services to the surviving family members for up to one year.

Home Health Aides

Family members usually provide the daily care for their loved one. In some situations, procedures may be too difficult to manage without assistance. Aides are provided to assist the caregiver in tasks such as personal grooming, body massage, and assistance in transferring and walking.

Aides are available to assist the caregiver in maintaining the patient’s surroundings. These services may include assistance with meal preparation, simple housekeeping chores, or assistance with laundry. The purpose is to provide relief so the caregiver can focus on the daily care of the patient.

Physician Services

Your personal physician will usually continue with your health care.

The Medical Director of Horizon Hospice will oversee each individual plan of care, and will work closely with your physician to assure the best care possible. The Medical Director also monitors all aspects of care provided by the hospice team.

Chaplain Services

Horizon Hospice understands that a terminal condition may cause individuals to question spiritual issues and eternity. A member of our Chaplain Team will be available to assist in working through these concerns, or to help contact specific religious counselors of your choice.


Physical therapy can be provided through hospice to work with one�s ability to sit, walk, or move. Your physician will usually order a physical therapy assessment when a limited ability to move causes pain and discomfort.

Occupational therapy can also be provided by hospice to assist in the ability to use the upper body in daily activities such as: eating, dressing, or making the hands work without undue stress or pain. The primary purpose is to increase the patient�s level of control and comfort.

Hospice can also provide Speech therapy to assist the patient in expressing or communicating his or her personal needs. The therapist also teaches swallowing techniques as necessary.


Horizon Hospice has numerous volunteers from the community that are highly trained in the hospice concept. Volunteers provide a variety of services to patients and their families such as: shopping, visiting, running errands, and helping with light housekeeping or laundry. Volunteers provide a personal touch that supports an even greater level of individual patient control.

24-Hour Home Care

24-hour care is available when a crisis occurs that can be resolved in the home. Nurses and Aides work non-stop in the home until the crisis is over. This can be for as little as 8 hours, or around-the-clock for several days. The intent of Medicare is that each individual be allowed to remain at home.

Hospital Care

Emergency care is usually provided in a hospital during a period of crisis that cannot be managed in the home. The typical stay is from 1 to 3 days, or until such time as the crisis has been resolved. Hospital care is advised when pain control has not been completely established and the need for more extensive measures is evident. The cost for hospital care is covered through hospice by Medicare.

Caregiver Relief

In a nursing home:
Relief is provided when the family member or caregiver is suffering from fatigue and needs a break. This care is usually provided in a facility that provides nursing services around-the-clock. The patient may be admitted to a nursing facility for up to 5 days to allow time for caregiver recovery. Care provided in the nursing facility is paid for by hospice through Medicare.

In your home:
Caregiver relief can also be provided in the home by an aide or volunteer. Relief can be provided in a variety of ways such as several hours each day or even up to 8 hours a day until the caregiver can continue with the daily care. In-home caregiver relief is usually for several days, but can be extended or repeated as needed.

Medical Equipment, Supplies, and Prescriptions

Medical equipment in the home for the comfort of each patient is covered. This includes oxygen, concentrators, hospital beds, wheelchairs, commodes, and any other items the patient and physician believe will provide more comfort and ease.

All medications and supplies related to the life-limiting illness and comfort of the individual are completely covered by hospice. Medications that are not related to the life-limiting illness are not covered.

Who Pays for Hospice Care?

Most insurers, including Medicare and Medicaid, offer hospice benefits as a part of their health care coverage. If the patient has no health insurance, or if the health insurance does not cover all the costs of hospice care, Horizon Hospice will assist the patient and family in finding resources to ensure access to hospice services.

Psalm 103:8-12

The Lord is compassionate and gracious,
Slow to anger and abounding in lovingkindness.
He will not always strive with us;
Nor will He keep His anger forever.
He has not dealt with us according to our sins,
Nor rewarded us according to our iniquities.
For as high as the heavens are above the earth,
So great is His lovingkindness toward those who fear Him.
As far as the east is from the west,
So far has He removed our transgressions from us.