Cumplimiento en centros sanitarios 15 elementos
Hospice Interdisciplinary Group (IDG) Compliance Audit
Esta lista de verificación está en inglés.
Audit of hospice interdisciplinary group composition, comprehensive assessment, plan of care, and terminal-illness certification under the Medicare Hospice Conditions of Participation.
42 CFR 418.5642 CFR 418.5442 CFR 418.22CMS Hospice CoPs
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IDG Composition & Coordination
- Does the interdisciplinary group include a doctor of medicine or osteopathy, a registered nurse, a social worker, and a pastoral or other counselor? *
- Has the hospice designated a registered nurse to coordinate the implementation of each patient's plan of care? *
- If the hospice has more than one IDG, is one group designated to establish policies governing day-to-day provision of care? *
Initial & Comprehensive Assessment
- Is the initial assessment completed by a registered nurse within 48 hours of the election of hospice care, unless a different timeframe is documented? *
- Is the comprehensive assessment completed by the IDG no later than 5 calendar days after election? *
- Does the comprehensive assessment address the physical, psychosocial, emotional, and spiritual needs related to the terminal illness? *
- Is the comprehensive assessment updated by the IDG at least every 15 days? *
Individualized Plan of Care
- Is a written plan of care established for each patient before care is provided and reviewed/revised by the IDG at least every 15 days? *
- Does the plan of care include interventions to manage pain and symptoms, and the scope and frequency of services? *
- Are drugs and treatments, medical supplies, and the patient's and family's goals documented in the plan of care? *
Certification of Terminal Illness
- Is the certification of terminal illness signed for each benefit period, with prognosis of 6 months or less if the illness runs its normal course? *
- Does the certification include a brief narrative explanation of the clinical findings supporting the life expectancy? *
- For the third and later benefit periods, is a face-to-face encounter by a physician or nurse practitioner documented within 30 days prior? *
Bereavement & Volunteer Services
- Is an organized bereavement program under a qualified professional available to the family for up to one year after the patient's death? *
- Do volunteers provide administrative or direct patient care in an amount equal to at least 5% of total patient care hours? *
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