Hospice Compare refresh, CAHPS and much more On November 8, 2017, National Partnership for Hospice Innovation (NPHI) chief data and quality officer Theresa Schmidt, met with Centers for Medicare & Medicaid Services (CMS) to discuss the upcoming Hospice Compare refresh, planned addition of Consumer Assessment of Healthcare Providers and Systems (CAHPS) measure, and how [...]
A story about perseverance and advanced care planning As physicians, we understand the importance of sustenance, especially in regard to how it affects our patients, particularly in regard to critical end-of-life decisions they are forced to make. I would like to share a story of a young woman who recently taught me so much about [...]
Changes in patient populations, expectations and provider responsiveness will reshape hospice In a recent webinar presented by the Hospice Foundation of America, Jim Monahan, vice president for marketing and communications for Community Hospice and Palliative Care, Jacksonville, Fla., outlined some of the major forces reshaping the landscape of hospice care in America, and how providers [...]
Recent hurricanes tested providers’ readiness for responding to emergencies As hospices get ready for the implementation of new requirements for emergency preparedness under a federal rule that goes into effect on November 15, some providers in Florida, Texas, the Virgin Islands, Puerto Rico and elsewhere recently found themselves confronting an all-hands-on-deck, live test of their emergency [...]
Introduction Here is the conundrum: A hospice clinician makes an error (she did not provide patient education on proper use of oxygen in the home because she thought the DME company provided it). Her error/omission resulted in an adverse patient outcome (patient smoked while using oxygen and set himself and surroundings on fire). Even though [...]
As the hospice industry becomes increasingly competitive and challenging, especially with upcoming transparency meant to highlight quality, hospices are asking how they can set themselves apart. Hospices are continuing to look for ways to demonstrate quality within their communities and as they form strategic partnerships. Utilizing the Malcolm Baldrige National Quality Award criteria and framework [...]
It’s that time of year again when the blooming landscape and longer days inspire a thoughtful inspection of how well our homes are in order. As we know, it is not uncommon during this process to stumble upon some areas of wear and tear that need fixing (e.g., broken gutters, missing shingles, clogged vents, the [...]
These are a few of the headlines and articles generated by the most recent OIG report entitled: Hospices Should Improve Their Election Statements and Certifications of Terminal Illness published September 15, 2016. Beginning with the leader in negative hospice hysteria, the Washington Post’s Peter Whoriskey (yes, that guy again), the relatively benign and definitely limited findings of [...]
Recently, one of Weatherbee’s senior consultants observed a hospice’s interdisciplinary group (IDG) meeting as part of an on-site mock survey of the organization. The 4-hour meeting included a review of all deaths and admissions that occurred during the prior 2 weeks, as well as a review of all existing patients on the hospice’s census. A total of 30 patients were discussed. The medical director, 4 registered nurses (RNs), 2 social workers, a chaplain, and the volunteer coordinator were present during the meeting.
In the midst of tremendous challenges facing the hospice industry, the Centers for Medicare and Medicaid Services (CMS) has issued guidance to Medicare Administrative Contractors (MACs) and Qualified Independent Contractors (QICs) that is likely to have a positive effect on hospice providers. The guidance from CMS directs MAC and QIC reviewers to limit the redetermination and reconsideration review to the reason(s) the claim was initially denied for all post-payment reviews.