Dates & Deadlines
Must be completed within 48 hours of the election of hospice.
What is the Initial Assessment
May be completed if family or patient become uncooperative to the extent the delivery of care is seriously impaired or unsafe.
What is a Discharge for Cause
Must be individualized, updated as condition changes, but no less frequently than every 15 days.
What is the Plan of Care
This order is written by the physician when the IDG determines the patient no longer qualifies for hospice services.
What is discharge order.
Two concurrent 90 day and unlimited 60-day time periods would be referring to.
What are hospice benefit periods.
Must be given Verbally or in writing no later than 2 calendar days after date of election of hospice.
What is the timeframe for the CTI
A patient can complete this once per benefit period
Transfer to another Hospice
Must be completed no later than 5 calendar days after the date of election.
What is the comprehensive assessment
The Executive Director, Medical Director, Patient Care Manager (if applicable) and at least one RN Case Manager, Social Worker and Chaplain must attend this meeting.
What is the quarterly governing body meeting.
Is completed up to 15 days before the start of next benefit period.
What is recertification
If requested within 5 days from the date of election, this must be provided within 5 days of the request.
What is the Election Addendum
Must be given to patient/family at least 2 days before discharging a patient that no longer meets hospice criteria.
What is the Notice of Medicare Non-Coverage
A patient or family may designate an effective date on this document which is later than the date signed but not earlier.
What is the Notice of Election statement.
These services begin when the patient dies and continue for 13 months.
What are Bereavement services
Evaluated by an RN through a skills evaluation upon hire before performing care independently and annually thereafter.
What are Aide and LPN Competency Evaluations.
The RN must complete this at least every 14 days.
What is the Aide and/or LPN Supervisory Visit
May only be initiated by the patient or family and results in the loss of the current benefit period.
What is a Revocation
Is completed during each visit and reviews any OTC's, prescriptions, herbal remedies, and is compared to what is in the HCHB drug profile.
What is a Medication Reconciliation
A CMS measure that calculates the percentage of Medicare patients who received a visit from an RN and/or SW on at least two of the last three days of life.
What is the "HVLDL" Hospice Visits in the Last Days of Life measure
This is placed in the patient's home on admission and provides information regarding services provided, how to contact the agency and how they can contact the state to file a complaint.
What is the patient handbook
Can occur no earlier than 30 days before the start of care or recert date.
What is the face to face encounter.
This organization reviews all appeals for live discharges.
What is the Quality Improvement Organization
The purpose of this meeting is to coordinate care and discuss measurable goals and outcomes utilizing current problems and interventions.
What is IDG
Cannot complete a recertification of terminal illness.
Who is the Attending Physician
What is given to patients/families that informs them of a written list of items and services not covered under Hospice if requested?
What is the Election Addendum.