MEET THE KINDRED AT HOME HOSPICE TEAM MEMBERS

MEET THE KINDRED AT HOME HOSPICE TEAM MEMBERS Our mission is to help patients remain at home and in their own communities, surrounded by friends and family, while receiving the highest quality, most compassionate home based care possible In order to fulfill our mission it is important to not only work as a team but also to know what your teammate s roles are in achieving our mission. This document is a summary of the Hospice Program, Site, Area, Regional and Support positions responsibilities. Meet the Team: Preceptor: Your preceptor is an experienced professional who has extensive experience in the role. This individual will work with you to answer questions and assist with practical experience and training throughout your orientation. Your preceptor will be a resource as you become comfortable with your role. Hospice Aide (HA): The Hospice Aide provides personal care and related assigned services to terminally ill patients in the home, nursing homes and in patient units in accordance with an established hospice plan of care and under the supervision of a Registered Nurse Case Manager. Licensed Practical/Vocational Nurse (LPN/LVN): Licensed Practical / Vocational Nurses provide skilled professional nursing care to patient/family/caregiver as directed by the supervising Registered Nurse Case Manager or the Manager of Clinical Practice. Provides timely documentation of patient services based on plan of care. Works closely with other members of the interdisciplinary team to ensure all patient and family care needs are being met. Registered Nurse Case Manager (RNCM): The RN Case Manager provides skilled professional nursing care to patient/family/caregivers as prescribed by the physician and in compliance with regulations by the State Board of Nursing. The RN Case Manager oversees the implementation of Hospice Patient Centered Plan of Care provisions to meet the patient/caregiver/family needs, initiate appropriate interventions and support the patient and family upon admission and re evaluate the patient s nursing needs to provide appropriate, comprehensive and responsive care plan interventions ongoing. Works closely with and facilitates coordination of other members of the interdisciplinary group to ensure all patient and family care needs are being met. Medical Social Worker (MSW): The Medical Social Worker provides medical social services. The MSW utilizes their expertise to provide services to terminally ill patients and families while consistently exercising judgment to determine the patient and family s unique spiritual/cultural beliefs, strengths, coping skills, and pre bereavement and anticipatory grief needs. Interventions may include, but are not limited to education, support, individual/ family counseling, linkage to community resources/ services, and ongoing collaboration with the IDG and community providers. 1 P age Meet the KAH Hospice Team Members

Spiritual Care Coordinator (SCC): The Spiritual Care Coordinator is responsible for the provision of patient directed, spiritual care services for patients, families, and caregivers either directly or through coordination of care with other spiritual care providers. The SCC is nondenominational and works in an interfaith setting with different lifestyles, cultures, belief and values while also networking with community clergy and congregations. Manager Volunteer Services (MVS): The Volunteer Services Manager is responsible for managing volunteer program activities for their assigned program and assigning volunteers to patients and families. The MVS actively recruits volunteers while also conducting volunteer training programs on a regular basis and assuring compliance with Medicare requirements. The MVS is responsible for maintaining volunteer hours equal to 5% of total patient care hours. Bereavement Coordinator (BC): This individual is responsible for determining the level of care and support of bereaving families and significant others following the death of a hospice patient. The goal of the BC is to help the family/significant other cope with death related to grief and loss issues utilizing the necessary resources available, such as volunteers, social workers, spiritual care coordinators and more. Quality Manager (QM): The Quality Manager assists in direction and coordination of the clinical activities of the program to ensure compliance with acceptable standards of practice, applicable state and federal laws and regulations and Gentiva policies and procedures. The QM is responsible for the overall implementation of current clinical standards and practices through the performance improvement process and development of staff and maintains the on going comprehensive assessment of the quality of care and services provided by the hospice program. Nurse Practitioner (NP): The Nurse Practitioner provides diagnosis, treatment, consultation, and follow up (depending on the state licensure) under the supervision of 1 or more physicians in the practice. The Nurse Practitioner assesses patients based on: disease specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient s condition on the patient, caregiver and/ or family s quality of life. Admissions Coordinator (AC): The Admissions Coordinator has primary responsibility for the timely admission of all patients to the program. They serve as the lead coordinator of all patient admissions activities. The AC communicates with referral sources, insurance companies, patients and families and coordinates services and/or equipment with contracted vendors. They maintain communication with pending patients, their families, and referral sources and routinely follow the progress of prospective patients and those referrals not taken under care (NTUC). Admission Nurse (Admissions RN): The Admission Nurse explains the Hospice Benefit and company services to patients and families in a manner that results in the admission of appropriate patients. They interact with patients, families, and referral sources as needed and work closely with patient care team(s). The Admissions RN oversees pending patients and routinely follows the progress of prospective patients. 2 P age Meet the KAH Hospice Team Members

Medical Records Coordinator (MRC): The Medical Records Coordinator is responsible for managing all aspects of maintaining and protecting agency clinical records and assisting the Patient Care staff. Manager of Clinical Practice (MCP): The MCP is responsible for the management, development, and implementation of patient care for your site. This individual ensures compliance with regulatory authorities, including caregiver clinical documentation. The MCP provides daily direction to the team, including all scheduling, care planning, documentation, productivity and all other patient care operations and will answer questions throughout your orientation. Patient Care Secretary (PCS): The PCS assists the Patient Care Manager and Patient Care staff. The position is responsible for maintaining patient assignment list, making change notices on status of patients and logging admission and discharge of patients into Medical Records book. Office Manager (OM): Your Office Manager acts as a customer resource representative for office administrative associates, clinical associates, and patients as well as oversees functions such as payroll, accounting, billing, and data processing. Dietician: The Dietician is a participant of interdisciplinary team regarding patient s nutritional needs and problems related to their ability to maintain adequate nutrition. Responsibilities of the Dietician include evaluating or assisting the attending physician in evaluating the specialized dietary needs and food tolerance of the patient and assessing the capability of the home caretaker to cope with the patient s needs in order to develop the plan of care. Director of Clinical Services (DCS): The Director of Clinical Services is a member of the senior management team who ensures appropriate delivery of patient services and compliance with the Conditions of Participation of the Medicare Hospice Benefit, and State Hospice. In addition, this position achieves and maintains competency in several areas: quality care and service, staffing, leadership, census, and cost control. The DCS establishes and maintains standards of high quality care and customer service and oversees the implement of Hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy. Executive Director (ED): The Executive Director is responsible for the overall operation at the local office. Key responsibilities include employment of qualified hospice personnel and provision of hospice services. ED establishes and maintains standards of high quality care and customer service in compliance with federal and state regulations and guidelines. Hospice Medical Director (HMD): Responsible for certification of patient's hospice benefit eligibility, the Hospice Medical Director provides oversight and direct professional services to patients and clinical leadership of hospice care services in a variety of settings. Provides clinical leadership and expertise acts as the medical director to hospice interdisciplinary team(s). The HMD proactively identifies opportunities to improve the patient and family experience of care and to improve the efficiency and effectiveness of resource use while ensuring compliance with legal, regulatory, and clinical policies and procedures. 3 P age Meet the KAH Hospice Team Members

Hospice Specialist / Hospice Clinical Liaison (HS/HCL): This individual is responsible for promoting hospice services to physicians, facilities, and the community in the areas serviced by your site. Director Clinical Operations (DCO): The DCO is responsible for providing clinical/operational training and support to your program with on site assistance for clinical and operational questions and is a critical subject matter expert. The DCO assists sites with clinical operational processes and procedures and drives increased effectiveness and improvement in provision of care / methodologies. They serve as a mentor to program leadership and ensure programs achieve overall quality performance objectives. Area Vice President Human Resources: This position is responsible for: Talent Management, Strategic Human Resources initiatives, Coaching and Counseling, and Retention/Capacity programs. Works in conjunction with regional management team to meet operational goals, foster positive behaviors and attitudes, ensure compliance to policies, investigate incidents, and resolve issues/grievances. Area Vice President Sales (AVP S): AVP of Sales directs the activities of area sales specialists and/or clinical liaison specialist staff and provides sales related support to market/program management to ensure area sales and profit targets are achieved or exceeded. Regional Vice President Operations (RVP O): Responsible for general management of the regional operations while leading the region in planning and implementation of strategies and tactics required to fulfill the region s objectives, particularly in ensuring growth of the organization. Regional Vice President Sales (RVP S): The RVP of Sales is responsible for developing and directing implementation of overall regional sales strategy and growth plans. This position is accountable for maintaining the region s top line performance and all sales activities. Regional Vice President Clinical Operations (RVP C): The RVP of Clinical Operations provides support and direction to regional management ensuring the quality of clinical practices and operational processes and facilitates resources being appropriately allocated/ dispersed to ensure clinical stability of all locations and support of operations initiatives. Area Vice President Operations (AVP O): The AVP of Operations oversees general management and profitability of multi program operations, leading the operations team in the planning and implementation of strategies resulting in the delivery of quality patient care and achieving area / region / division / company objectives, particularly in ensuring sales / earnings growth. National Medical Director (NHMD): The NMDRs are responsible for providing the Company with hospice and palliative medicine physician representation in: compliance, education, IPU, ethics, policy, communication, technology and pharmacy. Hospice Clinical Facilitators: As members of the Learning and Professional Development Department, the Hospice Clinical Facilitators provide assist in development of education for clinical employees. The Clinical Facilitators provide information and resources consistent with corporate policy, practice and federal regulations through the provision of education programs, learning resources and materials to promote consistent best practice across the organization. 4 P age Meet the KAH Hospice Team Members

Meet the Rest of the Hospice Team Members: 5 P age Meet the KAH Hospice Team Members