02 — Capability · BC-1890.30
Hospice & Palliative Care
Admit patients who choose hospice with a valid election and certification, care for them and their families through an interdisciplinary team around the clock, support the family after the death, and offer palliative consults to seriously ill patients who are not in hospice. Hospice billing notices and the cap are reimbursement.
- Hospice Services
- Hospice Operations
- End-of-Life Care
- Palliative Care Services
In scope
- Hospice election, certification of terminal illness and benefit period recertification
- Interdisciplinary group care plans, scheduled visits, on-call coverage and levels of hospice care
- Bereavement support for families for up to a year after a death
- Palliative care consults in the hospital, clinic and home
Out of scope
- Election and termination notices, benefit period billing and the hospice cap (see BC-1890.60)
- The HOPE assessment and hospice quality reporting (see BC-1890.40)
- Dispensing medications to hospice patients (see BC-1830.30)
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Decomposes into · 5
- BC-1890.30.10Hospice Election & CertificationAdmit each patient who elects hospice with a signed election statement and a timely certification of terminal illness, and recertify at each benefit period, with a face-to-face encounter before the third benefit period and every one after.
- BC-1890.30.20Hospice Interdisciplinary PlanningBring the physician, nurse, social worker, chaplain and others together to set and review each patient's hospice plan of care at the required interval, and record what the group decided.
- BC-1890.30.30Hospice Visits & On-CallSchedule nurse, aide, social worker, chaplain and volunteer visits, staff a round-the-clock on-call line, and arrange routine home care, continuous home care, inpatient respite or general inpatient care as each patient needs it.
- BC-1890.30.40Family Bereavement SupportAssess what each family needs after the patient's death and offer planned contacts, groups and referrals for up to a year, recording what was offered and taken up.
- BC-1890.30.50Palliative Care ConsultsRun palliative care consult services in the hospital, clinic and home for seriously ill patients who are not, or not yet, in hospice, from referral to recommendations recorded for the treating team.