17 12, 2014

Part II. Appreciative Inquiry and the Certification Process…Imagine That! Discovery and Dream

By | December 17th, 2014|1 Comment

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17 12, 2014

Part III. Appreciative Inquiry and the Certification Process…Imagine That! Design and Destiny

By | December 17th, 2014|Comments Off on Part III. Appreciative Inquiry and the Certification Process…Imagine That! Design and Destiny

Through collaborative thinking, the team chooses innovative processes that are in alignment with both the strengths identified in Discovery and the imagined hopes of the future (Dream).  

30 10, 2014

In Hospice, Every Day is Election Day

By | October 30th, 2014|Comments Off on In Hospice, Every Day is Election Day

What does hospice have in common with political campaigns besides elections? Unfortunately, more than you'd think. It's not to late to reverse course and return to the days when journalists, patients/families, and referring physicians were promoting the benefits of hospice. Our colleague Kathy Brandt explores these similarities and ways each hospice can work to repair the reputation of hospice.

20 10, 2014

Back to the “Definition Board:” Defining Terminal Illness

By | October 20th, 2014|1 Comment

The Medicare Hospice Benefit has always defined the terminal illness, not as a single diagnosis, but as the interplay of conditions that together cause an individual to have a prognosis of 6 months or less.  At this point, the proposed definition is open for comments. However, my guess is that in the final determination there may well be a clear differentiation between the definition of ‘terminal illness’ and that of the ‘principle/hospice-qualifying diagnosis’ to better underscore the prognostic implication and comprehensive nature of the former.

25 09, 2014

Keep Calm…and Prepare for IMPACT – Part 1

By | September 25th, 2014|Comments Off on Keep Calm…and Prepare for IMPACT – Part 1

The passage of the 2014 IMPACT Act will bring more survey's to hospices. In this first of two blog posts, Joy Barry details what hospices need to do now to prepare for more frequent surveys of a hospice’s compliance with the Medicare Conditions of Participation (CoPs).

21 09, 2014

Will the Impact Act really help the hospice industry?

By | September 21st, 2014|2 Comments

Am I a party pooper?  A Debbie Downer? You can decide, but I don't think the hospice provisions in the Impact Act of 2014 are going to do much to increase transparency, sort out the "good"  hospices from the "bad," or, sadly, improve the quality of care provided by hospices. Let me explain...

12 09, 2014

What You Need to Know About the October 1st Notice of Election Changes

By | September 12th, 2014|Comments Off on What You Need to Know About the October 1st Notice of Election Changes

By now you have hopefully heard about the changes regarding the hospice Notice of Election (NOE), Notice of Termination/Revocation (NOTR), and processes for identifying/changing the attending physician that take effect October 1, 2014. This blog post details these changes and identifies best practices to comply with the changes.  At the conclusion of this post is a downloadable PDF that you can share with everyone who needs this information.

22 07, 2014

Is Your Marketing Ethical?

By | July 22nd, 2014|Comments Off on Is Your Marketing Ethical?

In May I wrote a post entitled Are Sales People Killing Hospice? that sparked an interesting discussion among members of the LinkedIn Hospice Group. A tangential discussion thread within the My.NHPCO Clinical and Operations Management Group on the use of admission representatives instead of nurses to make the initial visit prompted this post (if you are not an NHPCO member you probably won't be able to access the discussion). Specifically, NHPCO’s ethics guru (not an official title), Tim Kirk’s use of an ethical lens to think about the issue of informed consent reminded me of a perhaps underutilized NHPCO resource – the Ethical Marketing Statement.

5 06, 2014

Hospice Item Set: Call Your Electronic Medical Records Vendor TODAY!

By | June 5th, 2014|Comments Off on Hospice Item Set: Call Your Electronic Medical Records Vendor TODAY!

If we don't count today or weekends, there are only 17 full work days left until the July 1, 2014 implementation deadline for the Hospice Item Set (HIS). This is getting really serious.

I have had the opportunity in the past week to take my HIS show on the road to two State hospice organizations (Massachusetts and New Jersey).  The most important thing I learned from attendees at both 3 hour workshops is that there has been very little information provided by EMR (electronic medical records) vendors with regard to the HIS support that they will/will not be providing to their customers.