Mission: A community-based, not-for-profit agency rooted in the heart of north carolina, 3hc sets the standard for treating home health, hospice and home care patients with quality, innovative, comprehensive and respectful care during their greatest time of need.
Programs: Home health and hospice care, inc. , (3hc) was founded in 1981 in mt. Olive, north carolina as one of the early home health agencies in north carolina. The corporate office moved to goldsboro, nc in 1989 and remains there. The agency provides certified home health services, hospice services, and private duty services. The agency operated seven clinical offices in the fiscal year along with the kitty askins hospice center in goldsboro and crystal coast hospice in newport for inpatient hospice services. Offices certified for both hospice and home health medicare and medicaid services are: goldsboro, clinton, kinston, pollocksville, greenville, wilson and smithfield. Private insurance, self pay, and indigent patients are also treated. The agency provides services from seven offices to a geographic area of 15 counties. The service area stretches from the research triangle to the coastal plains region of eastern north carolina. Some of the areas served have little access to primary care physicians and hospitals. Services provided by 3hc enable many patients to remain in their homes and avoid costly hospital inpatient stays. When hospitalization is required, patients are often referred to 3hc upon discharge to help regain their independence in their home environment. The agency is seen as a leader for providing nursing care to medicaid and indigent patients. As a not-for-profit agency, 3hc treats patients regardless of their ability to pay. During the year the agency provided $86,000 of care to patients for which it received no compensation at all. Home health visits consist of skilled nursing, physical therapy, occupational therapy, and speech therapy. 3hc also has an extensive wound care program, which significantly improves the healing process after hospital discharges. During the year 141,537 home health visits were provided for 7,614 patients. Of those patients 5,582 were medicare patients with over $17. 5 million in charges and 1,141 were medicaid patients with over $4. 5 million in charges. Payments received from medicare and medicaid were $1. 8 million and $287,600 below 3hc's standard rates, respectively. Hospice care is provided to patients when a cure is not possible, there is a limited life expectancy of six months or less and further aggressive measures to prolong life are no longer beneficial. Visits consist of pain management, pharmacy services, assistance with daily living activities, and 24-hour nurse support. The agency served 1,071 hospice patients in their homes in fiscal year 2017. Payments received from governmental sources were more than $1. 5 million below 3hc's standard rates. The agency provided 546 days of care to 4 pediatric hospice patients. Pediatric patients often have extraordinary needs and are not often accepted as hospice patients at other agencies. 3hc has an extensive bereavement program for hospice patients and their family members. Chaplains are on staff as well as social workers who assist family members through the episode of care for the patient. Staff will continue to contact family members for up to one year after the death of the patient. The agency sponsors monthly grief counseling programs at local hospitals. The agency also sponsors a candlelight service each spring in the local service areas for the families of the patients. Chaplains from our hospice center are frequently requested by families to conduct the memorial/funeral services for our patients. The agency also provides emotional support for the family members of our patients. For any children who have experienced the loss of a loved one, the agency sponsors a summer camp each year. The "wings camp" is held at camp albemarle near morehead city, nc. The mission of the camp is to assist young people with bereavement experienced after the loss of a loved one. This year the camp had a budget of $5,900 which provided an opportunity for 32 children from 11 counties to attend the weekend camp. The camp is staffed by 3hc employees, along with community volunteers (42 this year), which include several hospice physicians and other staff from campbell university school of osteopathic medicine. The agency operates two inpatient hospice centers. Kitty askins hospice center has 24 beds for pain and symptom management for terminal patients within the last 6 months of life. The facility is one of the most utilized in the state of north carolina, serving 595 patients from 10 different counties in north carolina during the fiscal year. The second inpatient hospice center, crystal coast hospice house, is a joint venture with the cchh foundation. During the recent fiscal year, there were 276 patients served from 5 counties in eastern north carolina. Care is coordinated between the two facilities to best utilize all available beds. The centers enable hospitals to discharge patients to the appropriate level of care at the end of life. During the fiscal year, uncompensated care in the amount of $22,000 was provided at kitty askins. With the aging of the american population there is an ever-increasing demand for assistance in the home setting that is not covered under government healthcare plans. 3hc offers private duty nurses and aides that can provide care up to 24 hours a day, seven days a week to help those families whose work or life schedules may not allow them to personally provide care for a family member. Services range from bathing, dressing and meal preparation to light housekeeping and laundry, as well as health related services such as medication administration and physical therapy exercises. 3hc private duty staff provided over 50,000 hours of care during the year. 3hc has been a longtime supporter of local charitable and community-service organizations in the communities it serves. Agency leadership and staff support the efforts of the various agencies by volunteering their time and providing monetary support. During the year, over $21,000 was donated to various local organizations throughout the service area, including the following: alzheimer's north carolina ($750), american cancer society ($500), bryson's birdies for kids ($400), college fund of north carolina ($50), the community soup kitchen ($500), cumberland county council for older adults ($500), duplin general hospital ($475), friends of seymour johnson air force base ($1,000), henderson-vance chamber of commerce ($750), jmb memorial foundation ($300), national hospice foundation ($1,500), the hospice and home care foundation ($200), pikeville lions club ($275), rotary club of goldsboro scholarship fund ($400), als association ($500), southeastern cancer care ($1,250 - support for local cancer patients), lenoir memorial hospital foundation ($1,000), the foundation of wayne community college ($1,500 - to support scholarships for nursing students), and wayne action teams for community health - w. A. T. C. H. ($1,000 - to support the local community mobile health van), carteret county friends of aging ($1,500), johnston health foundation ($2,000), wayne county chamber of commerce ($2,560 - to support health education), wayne county senior games ($300), united way of wayne county ($100), and tri-county electric membership cooperative foundation ($400 - scholarship fund). Community activities sponsored by the agency include: blood pressure clinics in the community, support groups for copd and cva, health fairs, senior fairs, support groups for alzheimer's families, resources for senior groups, presentations to civic groups on home care and hospice, advance directives, participation in the american cancer society's relay for life and southeastern oncology cure for colors walk, meds on wheels, als walk, and participation in senior games. The agency also sponsors a blood mobile and has large employee participation in the united way campaign (over $12,000 in employee contributions). Staff members support many health organizations in their communities. Among those are: arthritis and als walks in several counties, and wayne action teams for community health (w. A. T. C. H. ) advisory board. 3hc is active in the community with leadership roles in many organizations. Among those are: board member of foundation at association for home and hospice care of north carolina, chairperson of rules/regulations committee, co-chair of government affairs committeenational hospice foundation council memberparticipation in goldsboro rotary clubparticipation in leadership programs in chamber of commercemember of sudan shrinersmember of military affairs committeemember of east carolina university health information management committee, advisory board member for johnston community college nursing school, lenoir memorial hospital foundation board chair, lenoir community college foundation board member, boy scouts of america, volunteers in schools.