Friday, December 19, 2014
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Four Seasons wins $1.4 million grant for end-of-life care

Hendersonville-based Four Seasons Compassion for Life has received a $1.4 million grant to help provide improved end-of-life care to rural and medically underserved populations in eight mountain counties.


Henderson, Buncombe, Jackson, Macon, Polk, Rutherford, Swain and Transylvania counties fall within the medically underserved areas that will receive improved hospice and palliative care services from Four Seasons under the program funded by Health Resources and Services Administration, a division of the U.S. Department of Health and Human Services.
Six of the eight counties are also designated as primary health care professional shortage areas, making the grant's emphasis on professional practice particularly relevant.
For those with life-limiting or advanced illness, "the program will improve patient outcomes and quality of life, and reduce costs for all parties involved," said Rebekah Reeves, a registered nurse and program director.
Led by specially trained nurse leaders, patient-centered teams will share information across disciplines, creating and expanding opportunities for professional collaborations at all levels.
The program is fully funded by a $1,419,046 federal grant disbursed in installments by HRSA over three years, with a substantive focus on nurse leadership through education, practice, quality, and retention. In order to fully benefit rural and medically underserved populations in western N.C., the program involves co-operation and collaboration with local hospitals, area universities, and community-based non-profits, among others.
The overarching goal is to enhance Four Seasons' existing team model into a robust, sustainable collaborative practice model which can be shared with other hospice and palliative care providers at the regional, state and national levels.
"Rural Americans suffer a heavier disease burden than those living in urban areas," says Chris Comeaux, chief executive officer of Four Seasons. "Rural counties tend to be poorer by comparison, and individuals in rural counties in western North Carolina are more likely to live below the poverty line."
In western North Carolina, the poverty level ranges from 12.4 percent to 20.5 percent of the population, compared with 16.2 percent for the state.
Additionally, in 2013, in Buncombe County alone, the numbers of individuals aged 60 and over is expected to nearly double, he says. By some estimates, 42.8 percent of Buncombe County residents are already either baby boomers or older. In neighboring Henderson County, the number of persons aged 65 and older is 23 percent, compared with the state average of 13 percent.
"The disparity in social and economic status in rural areas throughout the region is underscored by needs of an aging population," says Comeaux. "We are very excited that this program will directly address those needs and have a direct impact on the future of palliative and end of life care."