Dates & Deadlines
Must be completed within 24 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
Is established prior to providing care and must be patient specific and 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 is hospice benefit.
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
These services begin when the patient dies and continues for 13 months.
What are Bereavement services
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 Notice of Election Addendum
Must be signed by patient/family at least 2 days before discharging a Medicare patient that no longer meets hospice criteria.
What is the Notice of Medicare Non-Coverage
When is the patient not expected / allowed to sign consent documentation?
What is: when he/she is determined not competent to make decisions or when he/she is physically unable to sign consent documents.
Who is responsible for making an APS report when there are identified concerns of potential / witnessed abuse and /or neglect.
Who is: the individual team member who witness / identified the abuse / neglect.
Should not be stored outside, inside a closet, or in a highly flammable area.
Oxygen tanks
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.
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 electronic medical record.
What is a Medication Reconciliation
Required documentation in nursing home charts for all hospice patient's (name 3)
Coordinated Task Plan of Care
The most recent Hospice plan of care
Hospice election form and any advance directives Physician certification and recertification of the terminal illness
Names and contact information for Hospice personnel involved in hospice care
Instructions on how to access the Hospice’s 24-hour on-call system
Hospice medication information
Hospice physician and attending physician (if any) orders
Hospice patients must be certified as terminally ill by these two people.
Who is the attending physician and the medical director
Must occur within 15 calendar days prior to the start of the 3rd benefit period and each subsequent recertification.
What is the face to face encounter.
This is how HOTPs Face-To-Face appointments are scheduled
What is through the emails sent out via Clinical Director to be placed into scheduling spots within the Google Calendar
This is one of the most important factors in determining hospice eligibility.
What is supportive documentation?
This/these should be present for everything the patient receives from his or her hospice team.
An order (s)
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 or Hospice Visits in the Last Days of Life?