Hospice Conditions of Participation




The provision of hospice care can be complex and it crucial that managers understand all aspects of care, services, care planning, the interdisciplinary team and the organizational environment requirements. The manager is responsible for  ensuring that care and services are compliant with the Medicare Hospice Conditions of Participation (CoPs) and meet  quality standards. This module will help managers understand the Medicare Hospice Conditions of Participation identified in the hospice regulations as Subpart C – Conditions of Participation: Patient Care and Subpart D – Conditions of Participation: Organizational Environment. These two subparts are part of the larger set of hospice regulations found at 42 CFR 418 – Hospice Care.  The module will review the development of the hospice plan of care, roles of the members of the interdisciplinary team, and the survey focus on four core CoPs – patient rights, initial and comprehensive assessment, interdisciplinary group, care planning, and coordination of services, and quality assessment and performance improvement.  The four levels of hospice  care will be discussed, with scenarios to describe when a change in level of care is warranted. The module will also discuss the provision of hospice care in nursing facilities, the role of the hospice medical director, and services provided by volunteers,  The Medicare Hospice Conditions of Participation were revised in their entirety in 2008, with additional changes published each year. They form the basis for the Medicare certification survey process. The current survey focus on quality of hospice care will be explored in depth so that the hospice manager understands the steps in providing quality of care and the specific regulations that are most important. Specific resources on developing the hospice plan of care and preparing for a hospice survey will be available.  



Nurse, Physician, Certificate of Participation for Non-physician Healthcare Professionals

4.75 hours

Learning Outcomes
  • Identify hospice components of care provision
  • Discuss hospice levels of care
  • Discuss provision of hospice care in a nursing facility
  • Provide tools and resources for providers about provision of care

None of the planners or faculty for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.


CE/CME Credit Hours


Nurse: NHPCO is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this enduring material for a maximum of 4.75 contact hours. Nurses should only claim the contact hours commensurate with the extent of their participation in the activity.

Physician: NHPCO is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this enduring material for a maximum of 4.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: For participants* whose disciplines are other than nurse and physician, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the sessions attended that were certified for physician credit (AMA PRA Category 1 Credit(s) TM). It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including bereavement professionals, counselors, physician assistants, quality professionals, social workers, spiritual care givers, etc.


Nurse 4.75 Contact Hours

Physician 4.75 AMA PRA Category 1 Credits™




In order to complete this online activity, participants must complete each module in sequence. Each participant must watch all module videos (2.5 hours), review the required reading (2 hours), explore the discussion forums, score a minimum of 80% on the post-test (2 attempts) and complete the evaluation. You will have access to the course for 90 days from the date of purchase.



Member Price

Non-Member Price


Additional Info

Release Date
April 16, 2010

October 14, 2022

Expiration Date
October 14, 2025