Need: To provide easily-accessible and affordable services to address the challenges associated with aging, serious illness and grief across Western Colorado's rural counties.
Intervention: A nonprofit, community-sustained healthcare model was created to address serious illness care and grief needs of adults and children.
Results: Since 1993, HopeWest has helped more than 22,000 hospice patients and families in need and has grown to serve five counties.
HopeWest is the only
nonprofit hospice organization operating in Colorado's
Western Slope counties – Mesa, Delta, Montrose, Rio
Blanco, and Ouray. It offers palliative care through
physician specialist consultations, nursing homes,
home-based care coordination, and their Living with
Cancer, Transitions and Journeys programs. Grief support
is available to children and adults. HopeWest is also
expanding its programs to address the needs of the aging
Founded in 1993, HopeWest emphasizes the integration of
hospice, palliative care, and grief services to have the
most impact in a community. By working with local
physicians, nursing home providers, community partners
and families, they tailor programs to meet the individual
needs of each rural community they serve.
The program has teamed up with home health programs and
Critical Access Hospitals to form joint programs. A
HopeWest office is located in the frontier town of Grand
Mesa, and their palliative care and grief services are in
frontier Meeker in partnership with Pioneers Medical
Center, a Critical Access Hospital.
The Care Center
provides a comfortable environment for patients who can
no longer be at home, but would rather not be
hospitalized. The Center for Living Your Best building in
Grand Junction will be the future home of current and new
community-based services of HopeWest. Various programs
will work together to address the needs of older persons
living in Mesa County: The CLUB is a set of programs and
services provided to members on a monthly and
fee-for-service basis. Some of the services will be
shared with the future program PACE (Program of All
Inclusive Care for the Elderly).
A unique distinguisher of the organization is its
volunteers. More than 1,300
volunteers provide companionship for patients and
families, assist with grief support groups, help with
music and art projects, greet customers at Heirlooms for
Hospice, and much more. HopeWest strives to one day be
able to provide one volunteer to every single patient.
The experiences of one HopeWest volunteer are described
in The Rural Monitor article,
Coming Full Circle.
This video portrays the vision and benefits HopeWest
brings to clients and their families:
HopeWest provides care through the following key
An interdisciplinary team (nurse, social worker,
certified nursing assistant, chaplain, and physician)
care wherever the patient resides: home, assisted living,
or nursing home
Sliding fee scale for services
24/7 physician, nurse, and pharmacy assistance
Since its inception, more than 22,000 patients and
families have been served through the hospice program
alone. HopeWest serves more than 2,500 patients and 1,500
individuals coping with grief each year across 8,000
square miles in western Colorado including Mesa, Montrose
Ouray, Delta, and Rio Blanco counties. It has also
provided access to care for patients who live in remote
areas, have no insurance, or have needs not traditionally
covered by Medicare Hospice Benefits.
Please contact the models and innovations contact directly for the most complete and current information
about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The
programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural
community should consider whether a particular project or approach is a good match for their community’s
needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep
in mind that changes to the program design may impact results.