Hospice Criteria for Heart Disease:
Palliative Performance Score (PPS) ≤ 70% (see table below)
Dependence on assistance for 2 or more activities of daily living (e.g. feeding, transferring, ambulation, bathing, continence, dressing)
At the time of hospice certification or re-certification for hospice:
Patient is or has been already optimally treated for heart disease
Patient is not a candidate for surgical procedures
Patient declines surgical interventions
Patient is frequently bed or chair-ridden for most of the day and is too weak and short of breath to do simple activities.