Quality Quandaries
Performance Improvement
Bristol Fun Facts
The Northern Team
Reports
100

These are the rules and regulations that govern all Medicare-certified hospices. 

What are the COPs?

100

The percentage of patients that should have a consent addendum completed and documented

what is 100%

100

Bristol Hospice originated from this state  

What is Utah? 

100

This person is our Regional Director of Quality 

who is Vanessa Noonan?

100

This report allows us to see the number of calls after hours. 

What is total triage? 

200

These little yellow books are a reference for documentation, hospice eligibility and more! 

What are Hospice Quickflips? 

200

When is a Unipolicy should be documented for each patient? 

What is every admission and recertification? 

200

The  Website allows locations to create a digital QAPI board and newsletters to keep staff connected even when they are out of the office. 

What is SharePoint? 

200

This person is the Clinical Educator for the Northern California Region 

Who is Rebecca Racine? 

200

this report allows us to see the Pharmacy cost for the month 

What is Optum? 

300

This part pf the Hospice Quality Reporting Program incudes 7 Different measures that are submitted for every patient admission 

 What is the Hospice Item Set?

300

The two current National CAHPS PiPs 

What are Getting Timely Help and Training Families to Care for the Patient? 

300

The National Fall Committee is committed to providing this kind of culture for our patients. 

What is a fall- free culture? 

300

This person is the Regional Vice President of Quality 

Who is Carol Maikisch? 

300

This report allows us to see falls and infections monthly 

What is avoidable incidents? 

400
This 47 question survey sent to caregivers after a patient's discharge helps ensure hospices are providing high quality care. 

What is the CAHPS survey? 

400

This must be individualized and reflect patient and family goals and interventions based on the problems identified in the initial, comprehensive and updated comprehensive assessments. 

What is the Plan of Care

400

This is the president /CEO of Bristol Hospice 

Who is Hyrum Kirton? 

400

This person is the National Quality Assurance Coordinator 

Who is Emily Cope?

400

The report distributed by Anthony Saporito, allows us to see any billing holds

What is Pre Bill Audit 

500

This tool helps hospices recognize a performance deficiency in a specific are and focus on ways to improve 

What is a Performance Improvement Plan 

500

The IDG is required to meet at least this frequently 

What is every 15 days? 

500

that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and quality of care.

 What is the Bristol Mission Statement

500

Who is our Division President 

Tracy Backus 

500

This report shows us the total referrals, census, admission, patient days 

What is the UTAR? 

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