Compliance 101
HQRP
Potpourri
Education
Guess Who
100
This person has authority for implementation, monitoring, and enforcement of the compliance plan. 
Who is the Compliance Officer (Lisa Mulvany)?
100
These 4 words make up the acronym HQRP.
What is Hospice Quality Reporting Program?
100
This is where you can email a question/concern/request/issue to the Regulatory Compliance team.
What is RCInbox@hospice.org?
100
The required monthly education, which is emailed to all employees, can be accessed here.
What is the Employee Portal?
100

This member of the Regulatory Compliance Department's first concert was Shaun Cassidy. She also had a broken leg and the chicken pox at the same time when she was 3.

Who is Stefanie Hansberry?
200
Per regulations, this legal document must be in place before Hospice of Southern Illinois can admit a patient at a long term care facility or hospital.
What is a contract or agreement?
200
This website publicly reports quality data for hospices participating in the Hospice Quality Reporting Program.  

What is Hospice Compare (www.medicare.gov/hospicecompare/)?

200
This committee meets quarterly to address/monitor quality indicators, performance improvement projects, and education activities. 
What is the Regulatory Compliance Quality Assessment Performance Improvement (QAPI) Education Committee?
200
This person can frequently be found in the clinical offices to offer their expertise, provide support, answer questions, and problem solve to ensure the needs of the employees are met.  
Who is the Regulatory Compliance Educator (Diane Voss and Bobbie Carter)?
200
This member of the Regulatory Compliance Department's first concert was New Kids on the Block. She also stuck an ice skate in her leg when she was a kid.
Who is Nikki Muenchau?
300
This poster, which has a big red phone on it, is visible at each location.  It provides a phone number to report behavior that is inconsistent with our values, compromises our policies and procedures, or violates laws and regulations.  
What is the Compliance Hotline Poster?
300

Three months after a patient's death, this person receives the CAHPS Hospice Survey.  Frequent communication with this person is vital during the patient's hospice stay to ensure excellent survey scores.   

Who is the Primary Caregiver?
300
The accuracy of entries onto this impacts not only your paycheck, but also the billing department and Hospice Item Set process.
What is timesheet?
300

The number of education hours required annually for each Hospice Aide to meet regulations. 

What is 12?

300

This member of the Regulatory Compliance Department's first concert was Def Leppard. She is also a descendent of the Hatfields and McCoys.

Who is Bobbie Carter?
400
This document provides guidelines for employee conduct and standards for providing care in accordance with laws. 
What is the Code of Conduct?
400

The following quality measures make up this program: Pain Screening, Pain Assessment, Dyspnea Screening, Dyspnea Treatment, Treatment Preferences, Beliefs/Values, Bowel Regimen.

What is the Hospice Item Set?

400
To enhance the quality of life for individuals and their loved ones touched by a terminal illness. 
What is the Hospice of Southern Illinois Mission Statement?
400
Creation of schedule, Global Orientation day, Computer training days, Weekly follow-up calls, Education day, documentation review, time sheet approval, frequent progress reporting and collaboration with Supervisors/Managers, and ongoing support
What are the Regulatory Compliance Education Department's responsibilities with the New Employee Orientation program?
400

This member of the Regulatory Compliance Department's first concert was REO Speedwagon. She also was co-captain of her high school dance team.

Who is Dee Blackwell?
500
This group of people is responsible for compliance.
Who is EVERYONE?!?
500

Hospice of Southern Illinois faces this consequence if Hospice Item Set (HIS) or Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey regulations are not met.  

What is decreased reimbursement?

500
Plan of Care, Drug Profile, Supervision of Hospice Aides, Time frame for Completion of Comprehensive Assessment, Content of the Plan of Care
What are the top 5 survey deficiencies?
500
It is the hospice's responsibility to maintain records which demonstrate that these contracted entities have received education pertaining to hospice philosophy, pain/symptom management, and principles about death and dying. 
What are long term care facilities?
500
This member of the Regulatory Compliance Department NEVER went to a concert. However, she did play on a basketball team by the name of "The Bone Crushers."
Who is Diane Voss?
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