Understanding Skirball Hospice: A Q&A with Los Angeles Jewish Health Chief Medical Officer Dr. Noah Marco

Connections to Care Mobile Hero
Home / News & Events / Newsletter / Understanding Skirball Hospice: A Q&A with Los Angeles Jewish Health Chief Medical Officer Dr. Noah Marco

Understanding Skirball Hospice: A Q&A with Dr. Noah Marco

Sep 6, 2022

Among Los Angeles Jewish Health's many exceptional programs and services, Skirball Hospice stands out. Our skilled, compassionate end-of-life care provides patients and their families with critical support during one of life's most challenging times. We are proud to be a nurturing, collaborative partner in helping to meet their needs.

It can be confusing to understand the difference between hospice care and palliative care. Below, Los Angeles Jewish Health's chief medical officer, Noah Marco, MD, sheds light on what distinguishes each and offers an introduction to what makes Los Angeles Jewish Health the right choice for these services.

Question: What is hospice, and when should someone consider it?

Answer: Hospice services should be considered by an individual whose doctor believes his or her life expectancy may be less than six months. The decision to enroll in hospice is usually made when a life-limiting condition is believed to be advancing, when medical intervention has reached its maximum benefit, and when a patient or their representative decides to focus on maintaining comfort and symptom management at home rather than in a hospital setting. Hospice is a federal benefit that provides additional services not usually covered by other insurance plans.

Q: What is the difference between hospice and palliative care?

A: Palliative care helps optimize quality of life by anticipating (or preventing) any form of pain and suffering rather than treating an underlying disease. Qualifying individuals do not have to meet the strict criteria requirements of hospice to receive this care. The focus of palliative treatment is both on meeting the patients' physical needs with regard to symptom management and the psychological, spiritual, and social challenges diseases create. Many individuals start in palliative care until they meet the care criteria for hospice. Palliative care can be provided in a hospital, cancer center, nursing home, outpatient clinic, hospices, or in the patient's home.

Q: Where does Skirball Hospice care take place?

A: Hospice services are offered wherever the person is residing. Currently, 30% of Skirball Hospice patients are residents of Los Angeles Jewish Health, and 70% are community residents in the San Fernando Valley, West Los Angeles, and surrounding cities. The very first visit can even occur in the hospital. One of the advantages of Skirball Hospice is that our clinicians go to people's homes rather than requiring patients to find transportation to a clinic or doctor's office.

Q: What differentiates Skirball Hospice among other, similar hospice services?

A: Founded in 2002, Skirball Hospice is the only Jewish-sponsored nonprofit hospice in the greater Los Angeles area. It has a well-deserved reputation for high quality, caring service. Though our program has its roots in Jewish values, we proudly serve people of all faiths and backgrounds. We work with a variety of payors including Medicare, Medi-Cal, and most private insurances, and because we are a not-for-profit agency, no one is ever denied service because of inability to pay.

Q: What type of support does Skirball Hospice provide family members, both during hospice and after the passing of a loved one?

A: Whereas routine medical care can often focus on the individual patient, providing little or no support to family and friends who may also be impacted by the burdens of disease, the dedicated staff members at Skirball Hospice offer families compassionate assistance from the very first contact. Our response team is available to meet in the home or at a hospital or care facility. Our bereavement staff is trained and experienced in the areas of counseling, chaplaincy, spirituality, end-of-life, grief, and loss. Bereavement support at Skirball Hospice includes ongoing planned contact with the family through visits, telephone calls, letters, an annual memorial service, and referrals to community resources such as support groups. All participants in the bereavement program receive a comprehensive series of mailings on a monthly basis to help reflect on their loss and assist with the grief and recovery process. Our support continues for 13 months, covering an entire cycle of holidays, birthdays, and anniversaries and helping family members maintain or regain their level of well-being.

For more information, call Skirball Hospice at (877) 774-3040.

Sign up for the LAJHealth Newsletter, Connections.

Recent Articles

Feb 6

At Los Angeles Jewish Health Love Knows No Bounds

When 94-year-old Jack Schlaifer agreed to officiate at the wedding of his grandniece, Alison, and her fiancé, Daniel, he was building on a family tradition: months earlier, he had performed the marriage ceremony for Alison’s father (his nephew Charles) in the backyard of his Westlake Village home. Jack was honored when Alison asked him to do the honors for her wedding as well. They laid out plans for a similar ceremony, in the same venue, on New Year’s Day—until life got in the way. “In November, I had a fall, and I fractured my L5 [a region between the lumbar and sacral spine in the lower back],” Jack says. “Suddenly, I was living in a rehabilitation facility, and all bets were off. I called Alison and told her, ‘You can’t count on me for the wedding.’ I was sad about it, but what could I do?” Alison knew exactly what he should do: proceed full steam ahead. "She said, “Uncle Jack, I don’t care where you are; I want you to marry us. We’ll come to wherever you are!’” he recalls. “I was incredibly moved.” All that was left was to coordinate with the staff at Los Angeles Jewish Health. LAJH is a place that Jack, a native Angeleno who had raised his family in the Valley, had long known and loved. “I joined The Guardians (a support group of LAJH) in 1980, and when they formed The Executives, I was a founding member and, later, president,” he said. “I served on The Executives’ board for 30 years.” Jack reached out to Los Angeles Jewish Health staff, and everyone enthusiastically leaned in to ensure all details were arranged. On January 1, 2024, in a cozy family room on the Grancell Village campus, Jack gathered together with Alison, Daniel, and an intimate group of family to give the couple his blessing and pronounce them “man and wife.” “It was an amazing wedding, and it brought me a lot of naches [joy],” Jack says, smiling. “After it was over, the family went for sandwiches to Brent’s Deli, which is Alison and Daniel’s favorite place. It was perfect.” Once the ceremony was complete, it was back to the hard work of rehab. Every day Jack has both physical and occupational therapy, and every day he gets a little bit stronger. While the road to recovery is long, he is grateful to be walking it at Los Angeles Jewish Health. “I’m lucky to be here,” he says. “The care is wonderful, and the people are great.”
Read More
Feb 6

Special Intergenerational Program Honors Martin Luther King, Jr. and the Spirit of Coming Together for the Greater Good

Members of the Jewish and African-American communities have long found solidarity in common purpose, with a history of teaming up toward the pursuit of equal rights. As the New Year began, two diverse community groups gathered at Los Angeles Jewish Health to remember the legacy of the late Rev. Dr. Martin Luther King, Jr. while continuing to build toward a unified future. They literally came together to break bread. In collaboration with Challah and Soul, a program that seeks to educate and unite the Jewish and Black communities, high school students from Adat Ari El congregation traveled to Los Angeles Jewish Health for an adventure in baking and storytelling. During the fascinating intergenerational event, LA Jewish Health residents shared memories of Dr. King as they worked side-by-side with the students to braid loaves of challah. The result: a wonderful afternoon of raising awareness, passing along a beloved Jewish tradition, and fostering strong intergenerational bonds. “The students arrived with smiles and great energy,” says Susan Leitch, community manager and safety officer at Los Angeles Jewish Health and a key organizer of the event. “It was wonderful to see them interact with our seniors.” Created by Shonda Isom Walkowitz, the founder of Bucks Happy Farm in the Lucerne Valley, and Judi Leib, a chef and veteran of the food services industry, Challah and Soul was built on a mutual interest in helping Blacks and Jews rediscover the things that make them natural allies. As challah dough was passed to the assembled residents and students, Judi spoke about the importance of food in uniting diverse people, and Shonda offered her thoughts about the similarities between the Black and Jewish experiences. “This event showcased how much wisdom and perspective LA Jewish Health seniors can offer to the broader community,” Julie Lockman-Gold, special projects coordinator at Los Angeles Jewish Health, says. “Especially during a time of rising anti-Semitism, our residents have a lot to say about inequality, injustice, and racism. Giving them an opportunity to be heard – and for students to learn from their experiences – was truly meaningful.” The event drew a large turnout of residents from Grancell Village’s Mark Taper Building and Joyce Eisenberg-Keefer Medical Center, as well as 20 Adat Eri El students and some of their family members. “Watching them partner to make the challah, you could see the joy on everyone’s faces,” Julie recalls. “When the bread was done baking, the smell was amazing, and people were so excited to dig in!” By the end of the afternoon, the happiness and contentment that filled the room were clear indications of the event’s success. It was a feeling shared by all participants. Julie added, “As the students were leaving, Adat Ari El’s program director, Sara Markus, told me she’s already thinking about doing it again next year!”
Read More
Jan 24

Inaugural Classic & Exotic Car Show

Hirsch Family Campus No charge to supporters of LAJH RSVP Here
Read More