"The Crossover to Hospice": Perspectives of Home Healthcare Nurses and Social Workers.

Background: Although home healthcare(HHC) clinicians increasingly provide care to a homebound population with advanced illness and high symptom burden,  we know little about how HHC clinicians navigate discussions about hospice with patients and families in this setting.

Objective: We sought to explore perspectives on transition from HHC to hospice among HHC nurses and social workers.

Design: PQualitative study using semi-structured interviews and thematic analysis.

Symptom Burden and Activity of Daily Living (ADL) Dependency Among Home Health care Patients Discharged to Home Hospice.

: We sought to examine sociodemographic and clinical characteristics present on admission to HHC associated with discharge to hospice. : We used a 5% random sample of 2017 national Outcome and Assessment Information Set (OASIS) data. A Cox proportional hazards regression model was estimated for the primary outcome (discharge to hospice) to examine the associations with sociodemographic and clinical characteristics of HHC patients.