Episode Forty-Nine: Don’t Fail Me Now

The Hospice Nursing Podcast

In this episode I answer the following question from a listener.
Hi, any chance of getting a podcast on Service Failures? I've been in hospice for around two years. I hear the term thrown around, but can't quite grasp all the details. I don't see any podcasts or blog posts around this subject, but I suspect the knowledge would be quite valuable.

Thanks,

Jade
I answer Jade’s question in two parts. I start by addressing Medicare’s Conditions of Participation for all hospice providers. For the second half I address service failures in general and how they relate to each hospice provider’s philosophy of care.

The Medicare COPs I review are the following.

1. Election of hospice benefit
2. The IDG/IDT
3. Admissions
4. Discharge Types
5. Face-to-face requirements
6. Individualized care plans
7. 24 Hour Nursing Services
8. The 4 Levels of Care

For agency philosophy we review the following areas that could result in service failures.

1. Visit frequencies
2. Medication Refills
3. Supplies
4. Calling 911
5. Patient dies in discomfort
6. On-Call
7. Anything that the patient perceives as a failure

I also promise to provide the NHPCO overview of the Medicare Conditions of Participation. You can download the COPs HERE.

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