Providing Hospice Care in a SNF/NF or ICF/IID facility

Size: px
Start display at page:

Download "Providing Hospice Care in a SNF/NF or ICF/IID facility"

Transcription

1 Providing Hospice Care in a SNF/NF or ICF/IID facility Education program Insert name of your hospice program Insert your logo

2 Objectives Review the philosophy of hospice care and discuss what hospice care provides. Talk about comfort care as a hospice care goal. Discuss principles of death and dying and individual response to death. Review hospice patient rights at end of life. Discuss the hospice facility partnership.

3 New hospice regulations On June 5, 2008, the Centers for Medicare and Medicaid Services (CMS) published new regulations for hospice care. The new regulatory language includes guidance for hospice care for a patient who resides in a facility. ( : Condition of participation : Hospices that provide hospice care to residents of a facility).

4 What is hospice care? Hospice care focuses on improving the quality of life for persons and their families faced with a lifelimiting illness. The primary goals of hospice care are to provide comfort, relieve physical, emotional, and spiritual suffering, and promote the dignity of terminally ill persons. Hospice care neither prolongs nor hastens the dying process. Care is palliative (not curative) to control pain and symptoms associated with the terminal illness.

5 What is hospice care? Hospice treats the whole person, not just the disease. It focuses on the needs of both the patient and the family. Care is provided by an interdisciplinary team including the physician, nurse, social worker, chaplain, nursing assistant, and volunteers. Therapy and dietician services are provided per the patient s needs. Hospice addresses patient and family needs such as: pain and symptom management Emotional, psychosocial, and spiritual support Help with funeral planning and arrangements bereavement for family/ caregivers after the patient s death

6 Where is hospice care provided? Hospice care is a philosophy or approach to care rather than a place. Care may be provided in a person s home, nursing home, hospital, or independent facility devoted to end-of-life care. Hospice was originally designed to be a noninstitutional benefit. However, it is possible to receive Medicare covered hospice care while residing in a nursing home.

7 BASIC PRINCIPLES OF HOSPICE CARE Affirms life Regards dying as normal process Neither hastens nor postpones death Relives pain and other symptoms Integrates medical, psychological, and spiritual aspects of care Offers a support system to patients and families

8 Attitudes towards death and dying Each person has his or her own view of death and attitude towards it Society as the main influencer has a huge impact on people s perception of death The attitudes of the society towards death have been changing over the time Fear has always been one of the most common attitudes towards death Attitudes towards death change over the lifetime of the person

9 Attitudes towards death and dying American society tends to deny the reality of death. Previous experiences with death Circumstances of death Some medical professionals view death as a failure Cultural factors can significantly influence patients reactions to their illness and the dying process. There are many different religions and belief systems across the world. Each holds an individual view of death and mourning.

10 Patient rights under hospice Patient rights is a regulation for hospice providers under the 2008 Medicare Hospice Conditions of Participation. Hospice providers must review the notice of patient rights with patients/ family/ representatives at the time of hospice admission and obtain a signature that they received their notice of these rights.

11 When is Hospice Care Appropriate? A referral to hospice is appropriate when the patient and family have opted for palliative treatment for life-limiting or terminal illness. Medicare guidelines further require that the physician has determined that life expectancy is six months or less if the disease follows its normal course.

12 Hospice care diagnoses Hospice care is not just for patients dying of cancer Other hospice diagnoses include: End stage heart disease End stage pulmonary disease End stage renal disease End stage liver disease Dementia due to Alzheimer s Disease and Related Disorders HIV disease Stroke & Coma

13 Payment for hospice care There is a Medicare hospice benefit for Medicare part A beneficiaries All but one state (Oklahoma) have a Medicaid hospice benefit Many commercial insurances also cover hospice care as well Most hospices are committed to caring for all patients, regardless of an individual s ability to pay

14 End of life symptoms Most patients and families who are living with a life-threatening illness can expect to experience multiple physical symptoms Some of these symptoms are related to the primary illness, others are related to adverse effects of medications or therapy or related conditions. Hospice care manages a patient s symptoms to promote comfort and quality of life.

15 Common end of life symptoms Pain Physical Emotional Spiritual Shortness of breath Nausea / vomiting Anorexia / Cachexia Weakness/ fatigue Constipation Delirium

16 Hospice service period The patient s primary physician and hospice team evaluate the patient s eligibility for hospice care on a regular basis. The first and second certification periods are 90 days; subsequent periods are 60 days. If a patient no longer meets criteria for hospice care, they may be discharged and readmitted at a later date.

17 Hospice core services Hospice core services must be routinely provided by the hospice, and cannot be delegated to the facility. Hospice core services include: Physician services Nursing services Social work services Counseling services Bereavement and spiritual Dietary

18 Who Are the Members of the Hospice Team? The hospice team is an interdisciplinary team (IDT) and together, they coordinate the patient s plan of care. Members of the hospice team include: The patient and family/ caregiver The patient s primary physician Hospice physician Nurse Social worker Chaplain Hospice aide Volunteers Bereavement counselor Additional team members may include dietician, occupational or physical therapist, pharmacist

19 Bereavement after patient death Every hospice program offers bereavement services to family and loved ones for a minimum of 12 months following the death of a patient. Services can be: Phone contact Short-term counseling Assessment of need and referrals to community resources Support groups Educational forums Written information on the grief process Memorial services

20 Bereavement Services are available to: Resident s roommate Family members Staff caregiver who experiences grief from the loss of the patient

21 The hospice facility partnership The nursing facility staff become part of the interdisciplinary team when a facility resident elects hospice care. Important for each provider to recognize each other s knowledge and remain open to two-way learning. Nursing facility staff are skilled in meeting the clinical and psychosocial, and spiritual needs of their residents. Hospice staff are skilled at meeting the special clinical, psychosocial, and spiritual needs at end of life. Combined expertise allows the nursing facility and hospice to deliver the most comprehensive care patient/ family possible.

22 The hospice facility partnership Successful partnerships between a hospice provider and a nursing facility include: Acknowledgement and respect for each other s regulations Developing an excellent communication process Consistent coordination of care by the hospice and the nursing facility Identification of care plan in both the nursing facility and the hospice medical record Consistent communication, coordination, and documentation are keys for success!

23 Partnership for patients The provision of high quality coordinated care end of life care is a win-win scenario for: A patient and their family A nursing facility and their staff A hospice and their staff Facility & staff Patient & family Hospice & staff

24 Hope, Dignity, Love It must be hospice

25 References The National Hospice and Palliative Care Organization. EndLink - Resource for End of Life Care Education (Northwestern University) Centers for Medicare and Medicaid Services -42 CFR Part 418, Medicare and Medicaid Programs: Hospice Conditions of Participation; Final Rule ( Pgs ) Attitudes Towards Death and Dying, Jeff Stats, APR,

Common Questions Asked by Patients Seeking Hospice Care

Common Questions Asked by Patients Seeking Hospice Care Common Questions Asked by Patients Seeking Hospice Care C o m i n g t o t e r m s w i t h the fact that a loved one may need hospice care to manage his or her pain and get additional social and psychological

More information

Hospice Care for the Person with Cancer

Hospice Care for the Person with Cancer Hospice Care for the Person with Cancer Hospice is a special type of care designed to provide comfort, support and dignity to patients with a lifelimiting or terminal illness. For hospice purposes, a life-limiting

More information

Hospice Clinical Record Review

Hospice Clinical Record Review Purpose: Surveyors may use this worksheet when conducting clinical record reviews during a hospice survey. Directions: Fill in appropriate data. Table 1. Patient Information Patient Information Residence

More information

TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE

TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE ...from the Middle Ages to the 21st Century TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE Emily Bradford RN CHPN Director of Hospice Services VNA Middle Ages: 16th-18th Centuries: Religious

More information

As Reported by the House Aging and Long Term Care Committee. 132nd General Assembly Regular Session Sub. H. B. No

As Reported by the House Aging and Long Term Care Committee. 132nd General Assembly Regular Session Sub. H. B. No 132nd General Assembly Regular Session Sub. H. B. No. 286 2017-2018 Representative LaTourette Cosponsors: Representatives Arndt, Schaffer, Schuring A B I L L To amend section 3712.01 and to enact sections

More information

Let s talk about Hope. Regional Hospice and Home Care of Western Connecticut

Let s talk about Hope. Regional Hospice and Home Care of Western Connecticut Let s talk about Hope Regional Hospice and Home Care of Western Connecticut Hospice is about hope. There are many aspects of hope in the care Regional Hospice and Home Care of Western CT provides. Hope

More information

2015 National Training Program. History of Modern Hospice. Hospice Legislative History. Medicare s Coverage of Hospice Services

2015 National Training Program. History of Modern Hospice. Hospice Legislative History. Medicare s Coverage of Hospice Services 2015 National Training Program Medicare s Coverage of Hospice Services For Those Who Counsel People With Medicare July 2015 History of Modern Hospice 1948 English physician Dame Cicely Saunders works with

More information

National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition

National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition National Hospice and Palliative Care OrganizatioN Facts AND Figures Hospice Care in America 2017 Edition NHPCO Facts & Figures - 2017 edition Table of Contents 2 Introduction 2 About this report 2 What

More information

What is palliative care?

What is palliative care? What is palliative care? Hamilton Health Sciences and surrounding communities Palliative care is a way of providing health care that focuses on improving the quality of life for you and your family when

More information

Palliative Care Competencies for Occupational Therapists

Palliative Care Competencies for Occupational Therapists Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive

More information

Talking to Your Doctor About Hospice Care

Talking to Your Doctor About Hospice Care Talking to Your Doctor About Hospice Care Death and dying subjects that were once taboo in our culture are becoming increasingly relevant as more Americans care for their aging parents and consider what

More information

National Standards Assessment Program. Quality Report

National Standards Assessment Program. Quality Report National Standards Assessment Program Quality Report - March 2016 1 His Excellency General the Honourable Sir Peter Cosgrove AK MC (Retd), Governor-General of the Commonwealth of Australia, Patron Palliative

More information

Model Colorado End-of-Life Options Act Hospice Policy & Procedures

Model Colorado End-of-Life Options Act Hospice Policy & Procedures Model Colorado End-of-Life Options Act Hospice Policy & s [Name of institution] Administrative Policies and Operating s Section: Patient Care Services Policy Title : End-of-Life Care Organization Wide

More information

July CFR Part 483 Requirements for State and Long Term Care Facilities Subpart B Requirements for Long Term Care Facilities

July CFR Part 483 Requirements for State and Long Term Care Facilities Subpart B Requirements for Long Term Care Facilities Provision of Hospice Care to Residents of Long Term Care Facilities Comparison of Current Medicare Regulations for Long Term Care Facilities and Hospices Prepared by Hospice Fundamentals July 2013 42 CFR

More information

The Palliative Care Program MISSION STATEMENT

The Palliative Care Program MISSION STATEMENT The Palliative Care Program MISSION STATEMENT believes in providing compassionate, comprehensive, multidisciplinary care to residents living with a life threatening illness and their families to relieve

More information

Understanding. Hospice Care

Understanding. Hospice Care Understanding Hospice Care What is Hospice Care? We take care of patients and families facing serious illness, so they can focus on living well. Quality of Life We are committed to the belief that there

More information

Understanding. Hospice Care

Understanding. Hospice Care Understanding Hospice Care What is Hospice Care? We take care of patients and families facing serious illness, so they can focus on living well. Quality of Life We are committed to the belief that there

More information

Mayo Clinic Hospice. Your guide Your hospice

Mayo Clinic Hospice. Your guide Your hospice Mayo Clinic Hospice Your guide Your hospice What opened the door for me to invite hospice in was when somebody told me that hospice was for helping people live life to the fullest. Father of a Mayo Clinic

More information

When is the right time for hospice care?

When is the right time for hospice care? Pathways Hospice Providing expert medical and comfort care for individuals navigating the last months of life and support for families, caregivers and those mourning the loss of a loved one Pathways Hospice

More information

P: Palliative Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141

P: Palliative Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141 P: Palliative Care College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141 Competency: P-1 Palliative Principles and Values P-1-1 P-1-2 P-1-3 Demonstrate knowledge and

More information

Hospice Residences. in Fraser Health

Hospice Residences. in Fraser Health Hospice Residences in Fraser Health Options for End of Life Care As a person s life draws to a close, the time comes when the focus changes from working towards a cure to loving care and comfort. Paying

More information

Path to Transformation Concept Paper Comments and Recommendations. Palliative Care Community Partners (PCCP)

Path to Transformation Concept Paper Comments and Recommendations. Palliative Care Community Partners (PCCP) Path to Transformation Concept Paper Comments and Recommendations Palliative Care Community Partners (PCCP) c/o Hospice Care of America, Inc., 3815 N Mulford Rd, Rockford, IL / (815)316-2697 As part of

More information

Palliative and End-of-Life Care

Palliative and End-of-Life Care Position Statement Palliative and End-of-Life Care A Position Statement Month Year PALLIATIVE AND END-OF-LIFE CARE MONTH YEAR i Approved by the College and Association of Registered Nurses of Alberta ()

More information

Hospice Care for anyone considering hospice

Hospice Care for anyone considering hospice A decision aid for Care for anyone considering hospice You or a loved one have been diagnosed with a serious illness that might not be curable. Many people find this scary or confusing. Some people feel

More information

Unit 301 Understand how to provide support when working in end of life care Supporting information

Unit 301 Understand how to provide support when working in end of life care Supporting information Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment

More information

Hospice Palliative Care

Hospice Palliative Care Position Statement Hospice Palliative Care A Position Statement September 2011 HOSPICE PALLIATIVE CARE: A SEPTEMBER 2011 i Approved by the College and Association of Registered Nurses of Alberta () Provincial

More information

E-Learning Module B: Introduction to Hospice Palliative Care

E-Learning Module B: Introduction to Hospice Palliative Care E-Learning Module B: Introduction to Hospice Palliative Care This Module requires the learner to have read Chapter 2 of the Fundamentals Program Guide and the other required readings associated with the

More information

Hospice Care in Glen Allen, VA

Hospice Care in Glen Allen, VA Hospice Care in Glen Allen, VA Hospice Community Care of Virginia s mission in Glen Allen, VA is to promote the availability and access to the best end-of-life care services possible. When choosing Hospice

More information

End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces.

End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. Terms Definitions End of Life Care To assist persons who

More information

(f) Department means the New Hampshire department of health and human services.

(f) Department means the New Hampshire department of health and human services. Adopted Rule 6/16/10. Effective: 7/1/10 1 Adopt He-W 544.01 544.16, cited and to read as follows: CHAPTER He-W 500 MEDICAL ASSISTANCE PART He-W 544 HOSPICE SERVICES He-W 544.01 Definitions. (a) Agent means

More information

HOSPICE IN MINNESOTA: A RURAL PROFILE

HOSPICE IN MINNESOTA: A RURAL PROFILE JUNE 2003 HOSPICE IN MINNESOTA: A RURAL PROFILE Background Numerous national polls have found that when asked, most people would prefer to die in their own homes. 1 Contrary to these wishes, 75 percent

More information

Cigna Medical Coverage Policy

Cigna Medical Coverage Policy Cigna Medical Coverage Policy Subject Hospice Care Table of Contents Coverage Policy... 1 General Background... 2 Coding/Billing Information... 5 References... 6 Effective Date... 3/15/2014 Next Review

More information

Mission Statement. Dunes Hospice, LLC 4711 Evans Avenue, Valparaiso, Indiana Ͷ (888)

Mission Statement. Dunes Hospice, LLC 4711 Evans Avenue, Valparaiso, Indiana Ͷ (888) Mission Statement The valued mission of is to be the premier provider of spiritual, emotional and physical care during the end-of-life journey. We are committed to serve with honor, dignity, and above

More information

What Is Hospice? Answers to Your Questions

What Is Hospice? Answers to Your Questions What Is Hospice? Answers to Your Questions Dear Prospective NorthShore Hospice Patients, Welcome! When you choose NorthShore Hospice, it means that you have surrounded yourself with an interdisciplinary

More information

QUALITY MEASURES WHAT S ON THE HORIZON

QUALITY MEASURES WHAT S ON THE HORIZON QUALITY MEASURES WHAT S ON THE HORIZON The Hospice Quality Reporting Program (HQRP) November 2013 Plan for the Day Discuss the implementation of the Hospice Item Set (HIS) Discuss the implementation of

More information

Hospice and End of Life Care and Services Critical Element Pathway

Hospice and End of Life Care and Services Critical Element Pathway Use this pathway for a resident identified as receiving end of life care (e.g., palliative care, comfort care, or terminal care) or receiving hospice care from a Medicare-certified hospice. Review the

More information

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness Palliative Care Care for Adults With a Progressive, Life-Limiting Illness Summary This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for

More information

Hospital Specialist Palliative Care Service

Hospital Specialist Palliative Care Service Hospital Specialist Palliative Care Service What is palliative care? Palliative care is an approach that aims to improve the quality of life for patients facing a serious illness and their familes, through

More information

The Medicare Hospice Benefit. What Does It Mean to You and Your Patients?

The Medicare Hospice Benefit. What Does It Mean to You and Your Patients? The Medicare Hospice Benefit What Does It Mean to You and Your Patients? The Medicare Hospice Benefit By the time Congress established the Medicare Hospice Benefit in 1982, hundreds of organizations in

More information

Patient Reference Guide. Palliative Care. Care for Adults

Patient Reference Guide. Palliative Care. Care for Adults Patient Reference Guide Palliative Care Care for Adults Quality standards outline what high-quality care looks like. They focus on topics where there are large variations in how care is delivered, or where

More information

Hospice Care in Merrillville, IN

Hospice Care in Merrillville, IN Hospice Care in Merrillville, IN Harbor Light Hospice s central mission in and the neighboring areas is to increase ease of access to reliable end-of-life care and other quality services for patients who

More information

While receiving hospice care services, non-hospice services may still be covered under other portions of the benefit plan.

While receiving hospice care services, non-hospice services may still be covered under other portions of the benefit plan. Medical Coverage Policy Effective Date... 3/15/2018 Next Review Date... 3/15/2019 Coverage Policy Number... 0462 Hospice Care Table of Contents Coverage Policy... 1 Overview... 2 General Background...

More information

Discussion Guide for Families Considering Hospice

Discussion Guide for Families Considering Hospice Discussion Guide for Families Considering Hospice What would we choose if we had control over how we live close to the end of life? We would want comfort, compassion, and dignity. We would not want to

More information

Hospice Residences Rev. May 28, 2014 R-4. Dame Cicely Saunders (1976) Founder of modern hospice movement. Design:

Hospice Residences Rev. May 28, 2014 R-4. Dame Cicely Saunders (1976) Founder of modern hospice movement. Design: Hospice Residences w w w. f r a s e r h e a l t h. c a in Fraser Health Dame Cicely Saunders (1976) Founder of modern hospice movement 280119 Rev. May 28, 2014 R-4 Design: www.kochink.com You matter because

More information

Hospice Pharmacy Services. Hospice is Good

Hospice Pharmacy Services. Hospice is Good Hospice is Good Optum Hospice Pharmacy Services & Our Hospice Partners All Over the Country Believe Optum supports hospice and its mission. The purpose of our Hospice is Good campaign is to recognize the

More information

Connecticut interchange MMIS

Connecticut interchange MMIS Connecticut interchange MMIS Provider Manual Chapter 7 Hospice August 10, 2009 Connecticut Department of Social Services (DSS) 55 Farmington Ave Hartford, CT 06105 DXC Technology 195 Scott Swamp Road Farmington,

More information

NURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512)

NURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512) NURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512) 330-0228 Program Overview Status of Hospice Nursing Facility Relationships Multiple contact points and transactions

More information

Eastern Palliative Care. Model of care

Eastern Palliative Care. Model of care Eastern Palliative Care Model of care 2009 Model of Care At EPC we actively engage with people and their families to develop a therapeutic relationship. We journey with them, recognising the essence of

More information

State of California Health and Human Services Agency Department of Health Care Services

State of California Health and Human Services Agency Department of Health Care Services State of California Health and Human Services Agency Department of Health Care Services TOBY DOUGLAS Director EDMUND G. BROWN JR. Governor DATE: OCTOBER 28, 2013 ALL PLAN LETTER 13-014 SUPERSEDES ALL PLAN

More information

Organization and administration of services

Organization and administration of services 418.106 Condition of participation: Drugs and biologicals, medical supplies, and durable medical equipment and 6 standards Medical supplies and appliances, as described in 410.36 of this chapter; durable

More information

Course Syllabus. RNSG 1193 End of Life Issues. Course Syllabus. RNSG 1193 Special Topics. End of Life. Revision Date: Fall,2013

Course Syllabus. RNSG 1193 End of Life Issues. Course Syllabus. RNSG 1193 Special Topics. End of Life. Revision Date: Fall,2013 Course Syllabus RNSG 1193 Special Topics End of Life Revision Date: Fall,2013 Course Syllabus RNSG 1193 End of Life Issues Catalog Description: Lecture Hrs. 1, Lab Hrs. 0 This class explores the issues

More information

At the heart of our community

At the heart of our community At the heart of our community St. Gemma s Hospice Strategy 2011 2016 Mission Statement St. Gemma s provides compassionate and skilled specialist palliative care of the highest quality, both in the Hospice

More information

Hospice Care in Tucson, AZ

Hospice Care in Tucson, AZ Hospice Care in Tucson, AZ Harbor Light Hospice is dedicated to facilitating better access to dignified end-of-life care and other high-quality services in Tucson, AZ. The hospice care we provide in Tucson,

More information

ADMISSION CONSENTS. 1. Yes No Automobile Medical or No Fault insurance due to an accident?

ADMISSION CONSENTS. 1. Yes No Automobile Medical or No Fault insurance due to an accident? Patient Name: I.D. Number: Section A: Identifying Proper Payor ADMISSION CONSENTS Are services provided to you by Hospice reimbursements through health insurance other than Medicare due to one of the following

More information

As Passed by the House. Regular Session Sub. H. B. No

As Passed by the House. Regular Session Sub. H. B. No 132nd General Assembly Regular Session Sub. H. B. No. 286 2017-2018 Representative LaTourette Cosponsors: Representatives Arndt, Schaffer, Schuring, Anielski, Antonio, Ashford, Barnes, Blessing, Boggs,

More information

10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When

10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When PALLIATIVE CARE What, Who, Where and When Mary Grant, RN, MS ANP Connections Nurse Practitioner Palliative Care Program Oregon Region WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION The Center for

More information

Welcome to the Richmond Integrated Hospice Palliative Care Program

Welcome to the Richmond Integrated Hospice Palliative Care Program Welcome to the Richmond Integrated Hospice Palliative Care Program Richmond Hospital 7000 Westminster Hwy Richmond, BC V6X 1A2 Tel. 604-278-3361 Welcome The purpose of this handbook is to tell you about

More information

APPENDIX I HOSPICE INPATIENT FACILITY (HIF)

APPENDIX I HOSPICE INPATIENT FACILITY (HIF) INTRODUCTION APPENDIX I HOSPICE INPATIENT FACILITY (HIF) The principles and standards in all chapters of the Standards of Practice for Hospice Programs apply to hospice care provided in an inpatient facility.

More information

Subpart C Conditions of Participation PATIENT CARE Condition of participation: Patient's rights Condition of participation: Initial

Subpart C Conditions of Participation PATIENT CARE Condition of participation: Patient's rights Condition of participation: Initial Subpart C Conditions of Participation PATIENT CARE 418.52 Condition of participation: Patient's rights. 418.54 Condition of participation: Initial and comprehensive assessment of the patient. 418.56 Condition

More information

Information. for patients and carers

Information. for patients and carers Information for patients and carers Welcome to St Richard s Hospice Having a life-limiting illness - such as cancer or another serious condition - should not mean that a person cannot live their lives

More information

Conditions of Participation for Hospice Programs

Conditions of Participation for Hospice Programs Conditions of Participation for Hospice Programs Code of Federal Regulations --- Title 42, Volume 2, Parts 400 to 429 TITLE 42 PUBLIC HEALTH CHAPTER IV CENTERS FOR MEDICARE AND MEDICAID SERVICES DEPARTMENT

More information

What You Need To Know About Palliative Care

What You Need To Know About Palliative Care www.hrh.ca Medical Program What You Need To Know About Palliative Care What s Inside: Who are your team members?... 2 Care Needs of Your Loved One: Information for the Family... 4 Options for Discharge...

More information

Hospice 101. Janet Montgomery, BSN, MBA Chief Marketing Officer, Hospice of Cincinnati

Hospice 101. Janet Montgomery, BSN, MBA Chief Marketing Officer, Hospice of Cincinnati Hospice 101 Janet Montgomery, BSN, MBA Chief Marketing Officer, Hospice of Cincinnati Hospice of Cincinnati Hospice of Cincinnati creates the best possible and most meaningful EOL experience for all who

More information

Interim Final Interpretive Guidelines Version 1.1

Interim Final Interpretive Guidelines Version 1.1 Interim Final Interpretive Guidelines Version 1.1 Big Changes from November 2008 to January 2009 418.54 Condition of participation: Initial and Comprehensive assessment of the patient L522 418.54(a) Standard:

More information

Hospice Care in the Nursing Home: The New Interpretive Guidelines for NF Surveyors

Hospice Care in the Nursing Home: The New Interpretive Guidelines for NF Surveyors Hospice Care in the Nursing Home: The New Interpretive Guidelines for NF Surveyors Subscriber Webinar The Plan 1. Brief Look: The Hospice Nursing Home Partnership 2. Brief Look: The Nursing Home Survey

More information

NHPCO Facts and Figures: Hospice Care in America

NHPCO Facts and Figures: Hospice Care in America NHPCO Facts and Figures: Hospice Care in America Released October 2008 Table of Contents Introduction... 3 About this report... 3 What is hospice care?... 3 How does hospice care work?... 3 Who is Cared

More information

PO Box 350 Willimantic, Connecticut (860) Connecticut Ave, NW Suite 709 Washington, DC (202)

PO Box 350 Willimantic, Connecticut (860) Connecticut Ave, NW Suite 709 Washington, DC (202) PO Box 350 Willimantic, Connecticut 06226 (860)456-7790 1025 Connecticut Ave, NW Suite 709 Washington, DC 20036 (202)293-5760 Se habla español Produced under a grant from the Connecticut State Department

More information

START THE CONVERSATION

START THE CONVERSATION START THE CONVERSATION SM conversation guide A public education initiative by vermont s non-profit vna s, home health and hospice agencies in partnership with vermont ethics network www.starttheconversationvt.org

More information

2011 Edition NHPCO Facts and Figures:

2011 Edition NHPCO Facts and Figures: 2011 Edition NHPCO Facts and Figures: Hospice Care in America Table of Contents Introduction... 3 About this report... 3 What is hospice care?.... 3 How is hospice care delivered?... 3 Who Receives Hospice

More information

Wellness along the Cancer Journey: Palliative Care Revised October 2015

Wellness along the Cancer Journey: Palliative Care Revised October 2015 Wellness along the Cancer Journey: Palliative Care Revised October 2015 Chapter 4: Home Care Palliative Care Rev. 10.8.15 Page 366 Home Care Group Discussion True False Not Sure 1. Hospice care is the

More information

Discussing Goals of Care

Discussing Goals of Care Discussing Goals of Care Sarah Beth Harrington, MD UAMS Assistant Professor of Medicine Central Arkansas Veterans Healthcare System Chief of Palliative Care Objectives Understand the importance of discussing

More information

The Joint Commission. Community Based Palliative Care: A Unique Certification for Home Health and Hospice Providers

The Joint Commission. Community Based Palliative Care: A Unique Certification for Home Health and Hospice Providers The Joint Commission Community Based Palliative Care: A Unique Certification for Home Health and Hospice Providers Margherita C. Labson MSHSA, CPHQ, CCM Executive Director Nov 16, 2016 1 Continuing Education

More information

Organizing Patient Focused IDG Meetings

Organizing Patient Focused IDG Meetings Organizing Patient Focused IDG Meetings Roseanne Berry, MSN, RN Charlene Ross, MSN, MBA, RN APPCO Spring Conference May 13, 2011 What You Will Learn Today The purpose & regulatory requirements of the interdisciplinary

More information

HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS

HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS The following checklist can be used to verify that the regulatory requirements are addressed in hospice contracts

More information

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy MEMORANDUM Texas Department of Human Services * Long Term Care/Policy TO: FROM: LTC-R Regional Directors & Program Managers State Office Section/Unit Managers HCSSA Program Administrators Jim Lehrman Associate

More information

Hospice Isle of Man Education Prospectus 2018

Hospice Isle of Man Education Prospectus 2018 Hospice Isle of Man Education Prospectus 2018 Leading the Way in Palliative Care Introduction The need for palliative and end of life care is changing, with increasing demands and complexity for patients

More information

VERMONT. Introduction to Medical Aid in Dying

VERMONT. Introduction to Medical Aid in Dying VERMONT Introduction to Medical Aid in Dying 800 247 7421 phone 503 360 9643 fax CompassionAndChoices.org/plan-your-care eolc@compassionandchoices.org Vermont s Patient Choice Act / 02 Steps for Using

More information

Variables that impact the cost of delivering SB 1004 palliative care services. Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017

Variables that impact the cost of delivering SB 1004 palliative care services. Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017 Variables that impact the cost of delivering SB 1004 palliative care services Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017 SB 1004 Palliative Care SB 1004 (Hernandez, Chapter 574, Statutes

More information

Partnering with Hospice: Reducing Skilled Nursing Facility to Hospital Readmissions

Partnering with Hospice: Reducing Skilled Nursing Facility to Hospital Readmissions Partnering with Hospice: Reducing Skilled Nursing Facility to Hospital Readmissions Scott Lavis, LICSW, CT Community Liaison Kline Galland Hospice Objectives for Today Quick review of regulations that

More information

What would you like to accomplish in the process of advance care planning and/or in completing a health care directive?

What would you like to accomplish in the process of advance care planning and/or in completing a health care directive? Completing a health care directive is an important step in making sure your loved ones and health care providers understand your values and choices for health care treatment if you are not able to speak

More information

The Medicare Regulations for Hospice Care, Including the Conditions of Participation for Hospice Care 42 CFR418

The Medicare Regulations for Hospice Care, Including the Conditions of Participation for Hospice Care 42 CFR418 The Medicare Regulations for Hospice Care, Including the Conditions of Participation for Hospice Care 42 CFR418 Current as of July 29, 2011 Hospice Provisions from: Balanced Budget Act of 1997 Balanced

More information

RIGHTS OF PASSAGE A NEW APPROACH TO PALLIATIVE CARE. INSIDE Expert advice on HIV disclosure. The end of an era in Afghanistan

RIGHTS OF PASSAGE A NEW APPROACH TO PALLIATIVE CARE. INSIDE Expert advice on HIV disclosure. The end of an era in Afghanistan Publications Mail Agreement Number 40062599 NOVEMBER 2013 VOLUME 109 NUMBER 9 RIGHTS OF PASSAGE A NEW APPROACH TO PALLIATIVE CARE INSIDE Expert advice on HIV disclosure The end of an era in Afghanistan

More information

Objectives. Objectives cont. 8/19/2016. Making the Most of Your IDT Care Plan Update Meeting

Objectives. Objectives cont. 8/19/2016. Making the Most of Your IDT Care Plan Update Meeting Making the Most of Your IDT Care Plan Update Meeting Marisette Hasan RN VP, SC Operations The Carolinas Center for Hospice and End of Life Care Email address: mhasan@cchospice.org 803-509-1021 (mobile)

More information

LOUISIANA MEDICAID PROGRAM ISSUED: 04/15/12 REPLACED: CHAPTER 24: HOSPICE SECTION 24.3: COVERED SERVICES PAGE(S) 5 COVERED SERVICES

LOUISIANA MEDICAID PROGRAM ISSUED: 04/15/12 REPLACED: CHAPTER 24: HOSPICE SECTION 24.3: COVERED SERVICES PAGE(S) 5 COVERED SERVICES COVERED SERVICES Hospice care includes services necessary to meet the needs of the recipient as related to the terminal illness and related conditions. Core Services (Core services) must routinely be provided

More information

Community pharmacy and palliative care

Community pharmacy and palliative care 8 This module is also online at pharmacymagazine.co.uk CPD MODULE module 261 Community pharmacy and palliative care Contributing author: Louise Baglole, healthcare/ pharmacy consultant and medical writer

More information

Reference Guide for Hospice Medicaid Services

Reference Guide for Hospice Medicaid Services Reference Guide for Hospice Medicaid Services for Florida s Statewide Medicaid Managed Care Plans (MMA & LTC) This reference guide is intended to provide general hospice information on Florida Medicaid.

More information

Outside the Box: A. Social Service Model of Community-based Palliative Care. Seniors At Home A division of Jewish Family and Children s Services

Outside the Box: A. Social Service Model of Community-based Palliative Care. Seniors At Home A division of Jewish Family and Children s Services Outside the Box: A Social Service Model of Community-based Palliative Care Seniors At Home A division of Services J. Redwing Keyssar, RN, BA, Author Director, Palliative Care and Nursing Services 1 The

More information

OBJECTIVES DISCLOSURES PURPOSE THE GIANT LEAP FORWARD: CARE PROVIDER TO CARE MANAGER CARE PROVIDER AND CARE MANAGER

OBJECTIVES DISCLOSURES PURPOSE THE GIANT LEAP FORWARD: CARE PROVIDER TO CARE MANAGER CARE PROVIDER AND CARE MANAGER THE GIANT LEAP FORWARD: CARE PROVIDER TO CARE MANAGER JENNIFER HALE, MSN RN CHPN CHIEF CLINICAL OFFICER COMPASSUS JENNIFER.HALE@COMPASSUS.COM OBJECTIVES Describe the differences between care providers

More information

CGS Administrators, LLC Clinical Hospice Documentation from CGS Missouri Hospice & Palliative Care Assoc. October 3, 2016

CGS Administrators, LLC Clinical Hospice Documentation from CGS Missouri Hospice & Palliative Care Assoc. October 3, 2016 Missouri Hospice & Palliative Care Conference Reviewer s decision is reliant upon documentation Results in a full denial for the submission Documentation must be legible Medical necessity is always based

More information

Blue Cross and Blue Shield of Illinois Provider Manual. Hospice Section

Blue Cross and Blue Shield of Illinois Provider Manual. Hospice Section Blue Cross and Blue Shield of Illinois Provider Manual Hospice Section 2017 Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent

More information

Palliative and Hospice Care In the United States Jean Root, DO

Palliative and Hospice Care In the United States Jean Root, DO Palliative and Hospice Care In the United States Jean Root, DO Hello. My name is Jean Root. I am an Osteopathic Physician who specializes in Geriatrics, or care of the elderly. I teach and practice Geriatric

More information

DISCLOSURES PURPOSE THE GIANT LEAP FORWARD: CARE PROVIDER TO CARE MANAGER

DISCLOSURES PURPOSE THE GIANT LEAP FORWARD: CARE PROVIDER TO CARE MANAGER THE GIANT LEAP FORWARD: CARE PROVIDER TO CARE MANAGER JENNIFER HALE, MSN RN CHPN VP, QUALITY AND STANDARDS COMPASSUS JENNIFER.HALE@COMPASSUS.COM 5/4/17 DISCLOSURES No disclosures and no conflict of interest

More information

10 THINGS. Hospice is a word most people have heard, but. few know much about it unless they have had. a direct experience with hospice care with a

10 THINGS. Hospice is a word most people have heard, but. few know much about it unless they have had. a direct experience with hospice care with a 10 THINGS that may surprise you about hospice care Hospice is a word most people have heard, but few know much about it unless they have had a direct experience with hospice care with a friend or family

More information

Trainee Assessment Palliative care Unit standard Version Level Credits

Trainee Assessment Palliative care Unit standard Version Level Credits Trainee Assessment Palliative care Unit standard Version Level Credits 28738 Describe the key principles of palliative care and a support worker s role in a palliative approach to care 2 3 3 Your name:

More information

Course Materials & Disclosure

Course Materials & Disclosure E L N E C End-of-Life Nursing Education Consortium Module 7 Loss, Grief, & Bereavement Course Materials & Disclosure Course materials including handout(s) and conflict of interest disclosure statement

More information

Talking to Your Family About End-of-Life Care

Talking to Your Family About End-of-Life Care Talking to Your Family About End-of-Life Care Sharing in significant life events during both happy and sad occasions often strengthens our bond with family and close friends. We plan for weddings, the

More information

Chapter 13. Death, Dying, Bereavement, And Widowhood. Sociology 431

Chapter 13. Death, Dying, Bereavement, And Widowhood. Sociology 431 Chapter 13 Death, Dying, Bereavement, And Widowhood Sociology 431 The Changing Context of Dying Many Americans are uncomfortable talking about death, especially the prospect of their own. People use euphemisms

More information

Learning from the National Care of the Dying 2014 Audit. Dr Bill Noble Medical Director, Marie Curie Cancer Care

Learning from the National Care of the Dying 2014 Audit. Dr Bill Noble Medical Director, Marie Curie Cancer Care Learning from the National Care of the Dying 2014 Audit Dr Bill Noble Medical Director, Marie Curie Cancer Care MARIE CURIE Major UK end of life charity Major service provider Network of 2000 Nurses caring

More information

Since the PACE model of care has all the essential elements for quality palliative medicine and end-of-life care: an interdisciplinary team, a

Since the PACE model of care has all the essential elements for quality palliative medicine and end-of-life care: an interdisciplinary team, a Since the PACE model of care has all the essential elements for quality palliative medicine and end-of-life care: an interdisciplinary team, a person-centered holistic approach, comprehensive care planning

More information

Making Your Wishes Known With the Help of the Five Wishes Document

Making Your Wishes Known With the Help of the Five Wishes Document Making Your Wishes Known With the Help of the Five Wishes Document Lora Rhodes, MSW, LSW Oncology Social Worker Department of Medical Oncology LBBC: Annual Conference for Women living with Metastatic Breast

More information