Federal regulations pertaining to hospice agencies have specific guidelines regarding the interdisciplinary group, the plan of care, and care coordination. To maintain compliance with these regulations, hospice team members need to understand these regulations and how they are applied to everyday practice. After reviewing the required elements of care coordination, you will consider how to apply them in patient scenarios.
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.25 contact hours for participating in this course.
DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).
Nurses will receive 1.20 contact hours for participating in this course.
Florida Board of Nursing CE Provider #: 50-290
Nurses will receive 1.00 contact hours for participating in this course.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Georgia Board of Nursing CE Provider #: 50-290
Nurses will receive 1.25 contact hours for participating in this course.
This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]
Section 1: Introduction
About This Course
Section 2: The Hospice Interdisciplinary Group
An Interdisciplinary Approach
Who is the Attending Physician?
The Interdisciplinary Group: Structure and Function
Interdisciplinary Group Documentation
Section 3: Plan of Care Criteria
Plans of Care Effect Surveys and Payment
Plan of Care Must Be Comprehensive
Plan of Care Should be Evolving
Content of the Plan of Care
Interventions for Pain and Symptoms
Medications and Treatments: Timely Response
Durable Medical Equipment and Supplies
Document Understanding of the Plan of Care
Section 4: Coordination of Services
Registered Nurse Role as the Coordinator of Care
Communicating a Change in Condition to the Interdisciplinary Group
Interdisciplinary Group for Policies and Procedures
Communication: The Interdisciplinary Group and the Attending Physician
Coordinating Unrelated Services
Section 5: Applying the Process: Case Studies
Mrs. Brady, Part 2
Section 6: Conclusion
Instructor: Colleen O'Keefe, RN, CHPN
Dr. Lauren Templeton, a Physician Consultant with Weatherbee Resources since 2017, has over 10 years of physician experience with 8 years specializing in hospice and palliative medicine. Dr. Templeton began her career in internal medicine, but soon thereafter was drawn to end-of-life care due to its overall philosophy and her passion for ensuring a dignified death for her patients.
Dr. Templeton currently works in hospice as the medical director for a medium size not-for-profit hospice based in Texas. In this role, she assists with compliance, quality improvement and documentation review. She continues to participate in clinical care managing hospice patients in both the home care and inpatient setting.
Dr. Templeton also serves as associate medical director for the Palliative Care Department at a local medical center, as well as, serving on the ethics committee for the same facility.
Dr. Templeton's mission is to help support hospices by educating on the role of the hospice medical director from a regulatory and clinical perspective. She continues a robust educational program within her own hospice program and is a speaker with the Texas New Mexico Hospice Organization. Dr. Templeton is an advocate of the hospice benefit and speaks to groups such as the Alzheimer's Association about hospice care.
As a Physician Consultant with Weatherbee, Dr. Templeton assists hospice providers and physicians with:
- Orientation for new medical directors and team physicians.
- Education, coaching, and mentoring for hospice physicians.
- Consulting on complex issues (e.g., making appropriate coverage determinations; ethical issues; challenging pain and symptom management cases; admission, recertification, and level of care eligibility; etc.).
- Auditing physician and other clinical record documentation (e.g., thoroughness and appropriateness with regard to hospice eligibility; compliance with regulatory requirements; appropriateness with regard to coverage determinations; etc.).
- Re-tooling the interdisciplinary group meeting and related processes.
- Preparing physicians for Administrative Law Judge (ALJ) hearings.
- Providing expert witness testimony in ALJ hearings and other legal matters involving patient eligibility.
Dr. Templeton graduated from Pennsylvania State University with a Bachelor of Arts and received her doctor of osteopathy from Ohio University College of Osteopathic Medicine in 2009. She completed a residency in Internal Medicine and is board certified with the American College of Osteopathic Internists. She completed a fellowship in Hospice and Palliative Medicine at Texas Tech University and became board certified in hospice and palliative medicine in 2013. Dr. Templeton became Hospice Medical Director Certified (HMDC) in 2018.Disclosure: Lauren Templeton, D.O. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Lynn Stange, RN, BSN, MA, CHC
Colleen O'Keefe RN, CHPN, is the Senior Project Specialist for Weatherbee Resources. She is certified in Hospice and Palliative Care and is also a Hospice and Palliative Nurses Association (HPNA) Approved Educator. Colleen has served as an RN Case Manager, Supervisor for a Continuous Home Care team, Clinical Educator, and Compliance Officer. Her clinical, regulatory, and leadership expertise allows her to deliver uncompromising consulting services.
As a Senior Consultant & Project Specialist with Weatherbee Resources, Colleen conducts clinical record audits for hospice organizations facing Additional Development Requests, writes independent expert cover letters to support technical and clinical eligibility for hospice care, and provides assistance and guidance throughout the appeals process. Colleen conducts comprehensive baseline assessment audits and mock surveys to assess regulatory compliance and identify potential risk exposures, and devises action plans to address problem areas. She also conducts education for hospice organizations across the country. Colleen also has experience and expertise in conducting investigations for hospices facing payment-related scrutiny by governmental agencies.
Colleen is a registered nurse and holds a bachelor's degree from Northwestern University.Disclosure: Colleen O'Keefe, RN, CHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Susan Heinzerling, BSN, RN, CHPN
Lynn Stange first joined the Weatherbee team as an Associate Consultant in 2006, and was promoted to Director of Consulting in 2007. Lynn re-joined Weatherbee in 2017 as the Chief Compliance & Consulting Integrity Officer and in February 2018, Lynn was promoted to President. In July 2018 Lynn, along with Carrie Cooley, Principal/CEO, purchased Weatherbee Resources, Inc. and Lynn assumed the title of Principal/President of Weatherbee Resources.
In her new role, Lynn is responsible for strategic growth initiatives in the areas of compliance, quality, and education. Lynn works with consulting clients in the areas of Quality Assurance Performance Improvement (QAPI), mock surveys and compliance audits, Joint Commission accreditation, State Licensure preparation, plans of correction, pursuit of the Malcolm Baldrige National Quality Award, hospice acquisitions/sales, and program development. Lynn will also oversee all aspects of Weatherbee's Hospice Compliance Network (HCN) and Weatherbee's product line. Lynn's breadth of experience with a variety of regulations and standards allows her to connect with clients quickly to aid them in identifying their most critical needs thereby assuring excellent outcomes.
Lynn is a nationally recognized speaker in both the hospice and compliance arenas, having spoken at both the National Hospice and Palliative Care Organization (NHPCO) annual Management and Leadership Conference and at the annual Health Care Compliance Association (HCCA) national conference. Lynn is a member of the NHPCO Regulatory Committee since 2014. As a member of Weatherbee's Speaker's Bureau, Lynn teaches on a variety of regulatory, compliance, and leadership-related topics and is a permanent faculty member of Weatherbee's renowned Hospice Regulatory Boot Camp.
Lynn has been a registered nurse for 30 years with a Bachelor's degree in nursing from Carroll College in Helena, Montana and a Master's degree in Organizational Management from the University of Phoenix, Las Vegas. Lynn has been a State surveyor in both Montana and Nevada, and earned her Certification in Healthcare Compliance (CHC) in 2014.Disclosure: Lynn Stange, RN, BSN, MA, CHC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Renal patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community. Disclosure: Susan Heinzerling, BSN, RN, CHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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