Our hospice medical directors determine and certify when a patient is eligible for hospice care. They lead the care team in developing each patient’s individualized plan of care and advise on updating it as needed during the end-of-life journey. River City Hospice keeps any attending physicians (usually a primary care physician or a physician at the patient’s nursing facility) informed of care and prognosis as it changes over time. The hospice team physician can co-certify hospice eligibility if a patient does not have an attending physician. Our team physician will assess needs and determine the best management for symptoms and pain, including medication prescription.