Palliative Care and Hospice Support, Serious-Illness Coordination, and Symptom Tracking

> Product boundary: CareScreen closes screening care gaps: eligibility from the chart/EHR, in-clinic capture (devices and questionnaires), async specialist interpretation, and structured results back to the PCP EMR. ConsultBridge is a separate FabrixMed product for live provider-to-provider specialty consults. CareScreen does not require ConsultBridge. Referral recommendations from screening are documented in the EMR; the PCP handles next steps through normal clinical workflow. /by-specialty/palliative-care /by-specialty/hospice-palliative-care /by-specialty/hospice These URLs can land on the same page or support separate pages later. Palliative care and hospice are not just end-of-life services. They are serious-illness support systems that help patients, families, facilities, and treating clinicians manage symptoms, clarify goals, coordinate care, reduce avoidable crisis escalation, and support patients through complex disease trajectories. Patients with advanced cancer, heart failure, COPD, dementia, kidney disease, neurologic disease, frailty, recurrent hospitalization, uncontrolled symptoms, caregiver distress, or hospice eligibility questions often need earlier support. The problem is that palliative and hospice workflows are fragmented. Symptoms are often under-tracked. Hospice referrals are delayed. Goals-of-care conversations are inconsistent. Caregiver burden is poorly documented. Transitions from hospital to home, SNF, LTC, hospice, or palliative programs are often weak. Facilities may lack timely specialist input. FabrixMed helps healthcare organizations build a structured serious-illness support layer with independent FabrixMed products (each specialty may use CareScreen, ConsultBridge, or both — no required handoff between them):

CareScreen helps organizations identify serious-illness needs earlier, route patients to the right support, and close the loop on palliative and hospice workflows. ConsultBridge addresses live consult needs separately when the organization purchases that product. FabrixMed does not replace hospice agencies, palliative care clinicians, treating providers, emergency protocols, prescribing clinicians, advance directive/legal processes, surrogate decision-making rules, or facility-specific clinical governance.

• ConsultBridge supports provider-to-specialist palliative care consults, hospice referral review, goals-of-care coordination support, symptom-management questions, serious-illness routing, and care-team communication.
• CareScreen supports symptom tracking, functional decline tracking, hospice/palliative referral workflows, caregiver concern capture, advance-care-planning task tracking, and follow-up closure.

FabrixMed supports palliative and hospice workflows through both ConsultBridge and CareScreen.

ConsultBridge helps treating clinicians submit structured palliative care and hospice-support questions. A consult request can include:

The palliative care or hospice-capable provider reviews the submitted information and returns recommendations through the platform. The treating clinician remains responsible for bedside assessment, diagnosis, prescribing, emergency escalation, legal documentation, care-plan implementation, and final patient management.

A primary care clinician has a patient with advanced illness, repeated admissions, worsening function, caregiver distress, or uncontrolled symptoms. The question may be:

With ConsultBridge:

• does this patient need palliative care?
• is hospice referral appropriate?
• what symptoms need closer tracking?
• what should be discussed with the patient/family?
• what follow-up needs to be closed?
• what information is missing before referral?

A patient returns home after hospitalization with advanced illness, new oxygen needs, worsening weakness, pain, dyspnea, caregiver burden, or unclear follow-up. CareScreen can track symptoms and function after discharge. ConsultBridge can route concerning cases to palliative care, hospice, primary care, pulmonology, cardiology, oncology, or other specialists. This helps prevent serious-illness patients from falling through the cracks after discharge.

CareScreen can help track whether key tasks are documented, such as:

FabrixMed does not conduct legal advance directive processes or make surrogate decisions. It helps teams track the workflow and close the loop.

• goals-of-care conversation completed
• code status documented
• advance directive status documented
• surrogate/contact identified
• palliative referral placed
• hospice referral discussed
• family/caregiver concern documented
• follow-up owner assigned

Traditional telemedicine is often a video visit. Serious-illness care needs more than a video visit. Effective palliative and hospice support depends on:

ConsultBridge helps route the specialist question and serious-illness context. CareScreen helps track symptoms, function, referrals, caregiver needs, and follow-up gaps. CareScreen and ConsultBridge each support serious-illness care — as independent products (no integrated handoff).

ConsultBridge and CareScreen can create value by helping organizations:

Patients can be routed to palliative care, hospice, home health, specialty care, or care management with clearer documentation.

Facilities and home health teams can route serious-illness concerns to specialist support and track follow-up.

CareScreen can help teams track whether conversations, documentation, and follow-up tasks are complete.

Health systems, ACOs, CINs, and health plans can extend serious-illness support across distributed care settings.