Hospice & palliative care handbook : quality, compliance, and reimbursement / Tina M. Marrelli.
"Hospice & Palliative Care Handbook, Third Edition, offers concise, focused coverage of all aspects of hospice and palliative care for clinicians, managers, and other team members who provide important care while meeting difficult multilevel regulations. Author Tina M. Marrelli, Director of the first U.S. hospice program to attain Joint Commission accreditation for hospice services, helps caregivers meet quality, coverage, and reimbursement requirements in daily practice and documentation. Filled with key topics such as professional standards and guidelines, bereavement services considerations, outcomes, goals, and quality control, this comprehensive book provides the tools hospice caregivers need for success."--Back cover.
Record details
- ISBN: 9781945157455
- ISBN: 1945157453
- Physical Description: xxiii, 275 pages ; 22 cm
- Edition: Third edition.
- Publisher: Indianapolis, IN, USA : Sigma Theta Tau International, [2018]
Content descriptions
Bibliography, etc. Note: | Includes bibliographical references and index. |
Formatted Contents Note: | Hospice Care: An Overview of Quality and Compassionate Care -- Documentation: An Important Driver for Care and Coverage -- Planning, Managing, and Coordinating Care -- Hospice Diagnoses and Guidelines for Care -- Hospice Conditions of Participation: Subpart B-Eligibility, Election, and Duration of Benefits -- Hospice Conditions of Participation: Subpart F-Covered Services -- State Hospice and Palliative Care Organizations. |
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Available copies
- 1 of 1 copy available at Kirtland Community College.
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- 0 current holds with 1 total copy.
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Location | Call Number / Copy Notes | Barcode | Shelving Location | Status | Due Date |
---|---|---|---|---|---|
Kirtland Community College Library | RA 1000 .M37 2018 | 30775305534365 | General Collection | Available | - |
Hospice and Palliative Care Handbook : Quality, Compliance, and Reimbursement
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Table of Contents
Hospice and Palliative Care Handbook : Quality, Compliance, and Reimbursement
Section | Section Description | Page Number |
---|---|---|
About the Author | p. vii | |
Reviewers | p. ix | |
Foreword | p. xvii | |
Preface | p. xix | |
Introduction | p. xxi | |
1 | Hospice Care: An Overview of Quality and Compassionate Care | p. 1 |
History of Hospice | p. 2 | |
Hospice and Hospice Growth | p. 3 | |
Hospice in the Care Continuum: Where Does It Fit? | p. 5 | |
What Is a Terminal Illness from a Hospice Perspective? | p. 5 | |
Where Is Hospice Care Provided? | p. 6 | |
The Hospice Interdisciplinary Group: Who Are They? | p. 6 | |
Interdisciplinary Roles | p. 7 | |
Hospice "Core" Services | p. 8 | |
Hospice "Noncore" Services | p. 13 | |
Hospice Reimbursement | p. 15 | |
Medicare Hospice Benefit | p. 15 | |
Components of the Medicare Hospice Benefit | p. 20 | |
Revocation/Change of Provider/Discharge | p. 28 | |
Revocation of the Medicare Hospice Benefit-The Patient's Right to Revocation | p. 28 | |
Change of Hospice Provider-Another Patient Right | p. 28 | |
Discharge from Hospice | p. 29 | |
The Four Levels of Hospice Care | p. 30 | |
Medicare Hospice Quality: What Is It? | p. 32 | |
Hospice Quality Reporting to CMS: Linking Quality to Payment | p. 34 | |
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey | p. 35 | |
CMS Hospice Compare-The Public Display of Quality Measures and Other Hospice Data | p. 36 | |
Defining Hospice Nursing | p. 37 | |
Hallmarks of Effective Hospice Care | p. 38 | |
Differences in Goals Between Home Health and Hospice Nursing | p. 42 | |
Skills and Knowledge Needed for Hospice Care | p. 42 | |
Hospice Orientation: Considerations for Success | p. 46 | |
Hospice Orientation Considerations | p. 48 | |
Defining the Hospice Orientation | p. 49 | |
Competency Assessment and Validation | p. 49 | |
Organizational Orientation Topics | p. 50 | |
Trends in Hospice Care: Staying Apprised and Engaged | p. 55 | |
Length of Stay | p. 55 | |
Live Discharge | p. 56 | |
Hospice Data | p. 56 | |
Advance Care Planning | p. 57 | |
Summary | p. 58 | |
References | p. 58 | |
2 | Documentation: An Important Driver for Care and Coverage | p. 61 |
Hospice Documentation: Why Is the Clinical Record So Important? | p. 61 | |
Increased Scrutiny of Hospice Services | p. 62 | |
The Emphasis on Quality Assessment and Performance Improvement (QAPI) | p. 63 | |
The Emphasis on Standardization of Care, Policies and Procedures, and Processes | p. 64 | |
Recognition and Empowerment of the Nursing Profession and the Nursing Shortage | p. 64 | |
Emphasis on Effectiveness and Efficiency in All Healthcare Settings | p. 66 | |
Importance of the Hospice Patient Record | p. 67 | |
Documentation: The Key to Care, Coverage, Compliance, and Quality | p. 69 | |
Hospice Documentation: The Fundamentals | p. 70 | |
Documentation Tips for Paper-Based Documentation | p. 70 | |
Documentation Tips for Electronic Health Records | p. 72 | |
Documentation Quality and Value Considerations | p. 73 | |
Documentation Strategies | p. 74 | |
Focused Documentation | p. 74 | |
Compariative Documentation | p. 75 | |
Inconsistent and Insufficient Documentation Considerations | p. 76 | |
Accurate and Objective Documentation | p. 77 | |
Hospice Documentation Resources | p. 78 | |
Local Coverage Determinations | p. 78 | |
Symptom and Functionality Measurement Scales | p. 79 | |
Supporting Eligibility and Terminal Prognosis | p. 80 | |
Decline, Terminal Plateaus, and Chronic Status Considerations | p. 80 | |
Summary | p. 83 | |
References | p. 84 | |
3 | Planning, Managing, and Coordinating Care | p. 85 |
The Hospice Initial and Comprehensive Assessment | p. 85 | |
Initial Assessment | p. 85 | |
Comprehensive Assessment | p. 86 | |
The Hospice Plan of Care and Coordination of Care | p. 89 | |
Review of the Plan of Care | p. 93 | |
Medication Management | p. 93 | |
Controlled Drug Management and Disposal | p. 95 | |
Patient Death | p. 97 | |
Care Planning and IDG Cultural Competency | p. 98 | |
Case Study: Eligibility and the Plan of Care | p. 98 | |
Case Study: Frequency and Intensity of Services | p. 101 | |
Summary | p. 102 | |
References | p. 103 | |
4 | Hospice Diagnoses and Guidelines for Care | p. 105 |
Common Symptoms in the Last days of Life (Active Dying) | p. 108 | |
Staging Scales | p. 110 | |
Guidelines for Hospice Care | p. 111 | |
Volunteer(s) | p. 111 | |
Dietitian/Nutritional Counseling | p. 111 | |
Occupational Therapist | p. 111 | |
Physical Therapy | p. 112 | |
Bereavement Counselor | p. 112 | |
Complementary Therapies | p. 112 | |
Alzheimer's Disease and Other Dementias Care | p. 113 | |
1 | General Considerations | p. 113 |
2 | Eligibility Considerations | p. 113 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 114 |
4 | Safety Considerations | p. 115 |
5 | Skills and Services Identified | p. 116 |
6 | Patient, Family, and Caregiver Educational Needs | p. 124 |
7 | Tips for Supporting Quality, Safety, and Eligibility | p. 124 |
8 | Quality Metrics | p. 127 |
Bedbound, Coma, and Skin Care | p. 128 | |
1 | General Considerations | p. 128 |
2 | Eligibility Considerations | p. 128 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 129 |
4 | Safety Considerations | p. 130 |
5 | Skills and Services Identified | p. 131 |
6 | Patient, Family, and Caregiver Educational Needs | p. 139 |
7 | Tips for Quality, Safety, Eligibility, and Reimbursement | p. 140 |
8 | Quality Metrics | p. 142 |
Cancer | p. 143 | |
1 | General Considerations | p. 143 |
2 | Eligibility Considerations | p. 143 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 144 |
4 | Safety Considerations | p. 145 |
5 | Skills and Services Identified | p. 146 |
6 | Patient, Family, and Caregiver Educational Needs | p. 154 |
7 | Tips for Quality, Safety, Eligibility, and Reimbursement | p. 155 |
8 | Quality Metrics | p. 158 |
Cardiac and Cerebrovascular Accident (Stroke) Care | p. 159 | |
1 | General Considerations | p. 159 |
2 | Eligibility Considerations | p. 159 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 160 |
4 | Safety Considerations | p. 162 |
5 | Skills and Services Identified | p. 163 |
6 | Patient, Family, and Caregiver Educational Needs | p. 170 |
7 | Tips for Quality, Safety, Eligibility, and Reimbursement | p. 171 |
8 | Quality Metrics | p. 174 |
Liver Disease Care | p. 175 | |
1 | General Considerations | p. 175 |
2 | Eligibility Considerations | p. 175 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 176 |
4 | Safety Considerations | p. 176 |
5 | Skills and Services Identified | p. 177 |
6 | Patient, Family, and Caregiver Educational Needs | p. 185 |
7 | Tips for Supporting Quality, Safety, and Eligibility | p. 185 |
8 | Quality Metrics | p. 188 |
Neurologic Disease Care | p. 189 | |
1 | General Considerations | p. 189 |
2 | Eligibility Considerations | p. 189 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 190 |
4 | Safety Considerations | p. 191 |
5 | Skills and Services Identified | p. 191 |
6 | Patient, Family, and Caregiver Educational Needs | p. 199 |
7 | Tips for Quality, Safety, Eligibility, and Reimbursement | p. 200 |
8 | Quality Metrics | p. 203 |
Pulmonary Care | p. 204 | |
1 | General Considerations | p. 204 |
2 | Eligibility Considerations | p. 204 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 205 |
4 | Safety Considerations | p. 205 |
5 | Skills and Services Identified | p. 206 |
6 | Patient, Family, and Caregiver Educational Needs | p. 214 |
7 | Tips for Quality, Safety, Eligibility, and Reimbursement | p. 215 |
8 | Quality Metrics | p. 217 |
Renal Disease Care | p. 218 | |
1 | General Considerations | p. 218 |
2 | Eligibility Considerations | p. 218 |
3 | Potential Diagnoses ICD-10-CM Diagnostic Coding | p. 219 |
4 | Safety Considerations | p. 219 |
5 | Skills and Services Identified | p. 220 |
6 | Patient, Family, and Caregiver Educational Needs | p. 227 |
7 | Tips for Supporting Quality, Safety, and Eligibility | p. 228 |
8 | Quality Metrics | p. 231 |
References | p. 232 | |
A | Hospice Conditions of Participation: Subpart B-Eligibility, Election, and Duration of Benefits | p. 233 |
B | Hospice Conditions of Participation: Subpart F-Covered Services | p. 245 |
C | State Hospice and Palliative Care Organizations | p. 251 |
D | Resources | p. 261 |
Index | p. 263 |