There are an increasing number of questions SAIL has been receiving in regards to the SAIL palliative oxygen program.
Palliative Coordinators - Questions from care homes (and from vendors about care homes) not having access to palliative coordinators who can sign palliative forms. Home can call and be added to the approval list with SAIL. This is separate from Home Oxygen Tester numbers. SAIL has heard concerns that palliative coordinators are being asked to sign for patients they do not support. The decision to do so is a choice based on professional judgement and discretion. Guidelines for palliative funding is in the SAIL policy.
Work has already begun to consider more stringently enforcing the SAIL policy with regards to Palliative Oxygen in line with other provinces. For example, Ontario does not allow palliative renewal; Alberta allows one palliative renewal. In both provinces, clients must then qualify for other types of oxygen coverage.
Frequency - Complaints from physicians about the frequency of palliative renewals (i.e. every 4 months). As a reminder, the Home Oxygen Program End-stage Palliative Oxygen coverage is meant to be for end stage oxygen needs – terminally ill patients who have been assessed as requiring end stage care measured in days or weeks. This is why palliative coverage is 4 months and will not be increased. |