Hospice Clinical Orientation RN Track 3: Certified Hospice and Palliative Care

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Name Hire Date: Branch: A learner s progression will be based on their ability to demonstrate knowledge and competency to the satisfaction of their immediate Supervisor. Week 1 Attend Kindred at Home Learning/Hospice New Employee Welcome Call CLN2026VIR Learners Virtual will be auto enrolled and will need to refer to the Hospice Orientation Schedule on the KAH Resource Page for more details. Complete Core Orientation Checklist with statement: * Please refer to the Core Orientation Office Manager Checklist for items which learners may take 30 days or more to complete. Complete 2017 Kindred Hospice Core Education HOS3014SP needs to be completed prior to Self Paced going into a patient s home. Complete KindredLink : SN Module CLN2016SP Complete the Road to Hospice CLN0131SP Schedule time with each office position including Sales In Person Complete Hospice Nursing Need to Know RN Module HOS2002SP Self Paced Complete Kindred Hospice Eligibility Module HP00018SP Self Paced/Virtual This module contains courses/resources related to Hospice Eligibility including: Features of the Medicare Benefit, Coverage of Hospice Services and the Certification Process CIA0015CBT, Disease Specific Hospice Eligibility Determination and Documentation Series Palmetto REL HOS 0DSHEDDP Complete the courses above prior to completing the Kindred Hospice Eligibility VIRTUAL HP00006VIR Virtual classes are auto enrolled on your learn plan but you must register for a class time/session Review Criteria to Support Hospice Eligibility Review with MCP/QM Attend Stand Up Meeting Review with MCP/QM Attend IDG Meeting Review with MCP/QM Attend All Staff Meeting Review with MCP/QM Complete Hospice RN Test HP00016SP Self Paced/MCP HCO: RN Track 3 Page 1 of 6 REVISED: 8/23/2017

This test should be taken prior to providing patient care or no later than week 2 The test results will be utilized for further education. Patient Visits with Preceptor (Introduction and importance of patient care documentation In Person including eligibility). Begin Hospice RN Skills/Competency Module HOS2019SP with Preceptor Preceptor This module contains your Skills/Experience Checklist Prior to performing any skill required competency, the skill must be witnessed/observed by a preceptor and documented (with a rating code of competence on the appropriate form). Review Policies Kindred Enterprise and KAH Clinical Policies Review with Preceptor/MCP Documentation and Forms Review Legacy Gentiva: Gentivanet > Clinical Operations Hospice > Forms Legacy Kindred: Knect > Global > Training > Kindred at Home > Clinical Forms Library/MCP Review with MCP/QM Review of Restraints Policy Review with Preceptor/MCP Care Process Review QM/MCP Week 2 Complete Kindred Hospice Clinician New Hire Orientation Survey 1 CS0040SP Self Paced Attend IDG Meeting as required for additional training Review with QM/MCP Review Bereavement Services Program Overview Meet with BC Review Volunteer Services Program Overview Meet with MVS Review The Hospice Medical Direction Overview Meet with QM/HMD Review the On Call Process Meet with QM/MCP Complete ELNEC NPC REL PAL ELNEC CMPMPC ELNEC Core Module 2: Pain Management in Palliative Care Complete ELNEC Core Module 3: Symptom Management in Palliative Care REL PAL ELNEC CMSMPC Complete Hospice Documentation Fundamentals VIRTUAL HOS0112VIR Virtual Provide independent Patient Care with MCP/Preceptor Oversight (suggest 10 12 task patient visits by end of week #2) MCP/QM reviews all clinical documentation before complete/submission Review with MCP/QM HCO: RN Track 3 Page 2 of 6 REVISED: 8/23/2017

Complete Kindred Hospice Wound Module HP00019SP Complete HP00019SP (self paced) prior to completing the HOS0114VIR (virtual) Self Paced/Virtual Virtual classes are auto enrolled on your learn plan, but you must register for a class time/session Review Quality Programs: Introduction Meet with QM/MCP Review Specialty Programs: Introduction Meet with QM/MCP Recognizing Depression in Home Health & Hospice Settings CLN0347CBT Self Paced Week 3 Complete Kindred Healthcare required education (General Compliance Training, HIPAA) Kindred Code of Conduct HR0003SP General Compliance Training: Part 1: HR0004SP Part 2: HR0005SP HIPAA Privacy in the Workplace CC0051CBT This training must be completed prior to day 25. State Specific Training: Meet with ED Observe Referral Process and Admission Process Review with Admission Staff Complete Referral to Admission Process Overview VIRTUAL HOS0119VIR Virtual Complete Face to Face Encounters for Hospice REL HOS 0 FFEH Complete The Hospice Plan of Care VIRTUAL HOS0116VIR Virtual Complete Technical Eligibility Requirements REL HEN 1882 Complete Hospice and the Skilled Nursing Facility: Partners in Care HOS0115SP Self Paced Complete Hospice Case Management for Best Patient Outcomes REL HEN 2552 DME Process Review Review with MCP Complete Pharmacy Management HOS0002SP Self Paced HCO: RN Track 3 Page 3 of 6 REVISED: 8/23/2017

Complete Admission Assessments with MCP/Preceptor Oversight (suggest 6 8 by end of week #3) MCP/QM reviews all clinical documentation before complete/submission Meet with immediate Supervisor Complete Kindred Care Connect CLN3023SP Self Paced Weeks 4 5 Full Productivity In Person Weeks 6 8 Complete Kindred Hospice Clinician New Hire Orientation Survey 2 CS0041SP at the 45 day mark Complete the Memory Care Courses listed below: Making Dementia Patients and Families a Priority through Specialized Dementia Care HOS1001CBT Self Paced Making Documentation a Priority for Specialized Dementia Care HOS1002CBT Supporting Patients and Their Families through Specialized Dementia Care HOS1003CBT Differentiating Dementias HOS1005CBT Managing Behavioral Change HOS1006CBT Weeks 9 12 Home Visit with Clinical Supervisor/Preceptor In Person Meet with immediate Supervisor for 90 day Performance Review to be done at 90 days In Person Complete Kindred Hospice Clinician New Hire Orientation Survey 3 CS0042SP at 90 days Self Paced 1 Year Complete Annual Home Visit In Person Not Applicable Receive Annual Performance Evaluation In Person Not Applicable Complete Employee Health Questionnaire Document Not Applicable Verify Kindred Annual Education was completed timely Print Transcript In Person Not Applicable HCO: RN Track 3 Page 4 of 6 REVISED: 8/23/2017

Week 1: Week 1: Week 2: Week 2: Week 3: Week 3: Weeks 4 5: Weeks 4 5: Weeks 6 8: Weeks 6 8: HCO: RN Track 3 Page 5 of 6 REVISED: 8/23/2017

Weeks 9 12: Weeks 9 12: I acknowledge by my signature that I have completed the Hospice Clinical Orientation: RN Track 3 requirements, and if I had any questions, they were answered or, if I needed any assistance, it was provided to me. Employee Signature s Date I acknowledge by my signature that the above employee has completed the Hospice Clinical Orientation: RN Track 2 3 Certified Hospice and Palliative Care, and I provided oversight and additional resources, as warranted, for successful completion of this track. Immediate Supervisor Signature s Date HCO: RN Track 3 Page 6 of 6 REVISED: 8/23/2017