Course Code: REL-PAC-0-NHDRT
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2029
Learning Objectives:
Recall at least three ways hospice care may end and key clinical and documentation steps for each.
Identify at least three potential outcomes for patients and families when hospice ends before death.
Recognize how to notify patients, Medicare, and other providers during hospice transitions.
Outline:
Section 1: When Hospice Ends Before Death
A Good Death
Impacts of Live Discharge
Your Role
Why Track Discharge Patterns
Future Monitoring Tool
Payment Pressure: The Aggregate Cap
Quality Signals: Hospice Care Index
Key Points for Clinicians
Hospice Benefit Review
Benefit Periods
Face-to-Face Visit
Election Statement
Attending Physician
Hospice Responsibilities
Review
Key Takeaways
Section 2: Hospice-Initiated Discharge
Mr. Perez
Discharge: No Longer Terminally Ill
Discharge Planning
Discharge for Missing Face-to-Face
Discharge for Cause
Navigating Conflict
Out of the Service Area
Discharge Order
The Outcomes of Discharge
Review
Revisiting Mr. Perez’s Case
Clinical Consideration
Key Takeaways
Section 3: New Decisions
Patient Choices
Revocation
Definition
Patients’ Rights
Key Steps
Outcomes for Patients and Families
Transfer
Definition
Key Steps
Actions by Each Hospice
Responsibilities of the Original Hospice
Responsibilities of the Receiving Hospice
Outcomes for Patients and Families
Review
Key Takeaways
Section 4: Notifications to Patients, Medicare, and Providers
Beneficiary Notices
Advanced Beneficiary Notice of Noncoverage (ABN)
Notice of Medicare Non-Coverage (NOMNC)
Let’s Review
Notice of Termination of Hospice Election
Discharge Summary
Review
Key Takeaways
Section 5: Conclusion
Course Summary
Course Contributor
Resources
Resource Document
References
Subject Matter Expert: Susan Heinzerling, BSN, RN, CHPN
Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community.
Target Audience:
The target audience for this course is: Advanced Practice Nurses; Nursing Personnel; Social Workers; in the following settings: Hospice.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.