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.  

Accreditation Statement

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