Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.00 contact hours for participating in this course.
Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Nurses will receive 1.00 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 1.00 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.
Georgia Board of Nursing CE Provider #: 50-290
Nurses will receive 1.00 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]
New Mexico Board of Nursing (CEBroker Provider # 50-290)
This course awards 1.00 contact hours upon successful completion.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Certification & Recertification of Terminal Illness
The Initial Certification and Recertification of Terminal Illness
The Face-to-Face Encounter
Who Performs the Face-to-Face Encounter?
Exceptions to the Face-to-Face Encounter Requirement
Time Frames for Certifications and Recertifications
Certification and Recertification Content
Additional Certification and Recertification Content
Review
Summary
Section 3: Regulatory Requirements
The Origin of the Physician Narrative
Introduction to the Regulatory Requirements
The Attestation and the Narrative
Signatures
The Narrative Summary Statement
Narrative Format
Elements of an Optimal Narrative: Elements 1-2
Elements of an Optimal Narrative: Elements 3-9
Review
Summary
Section 4: Initial Certification Narratives
Clinical Scenario Examples
Initial Certification Narrative: The Certain Certification, Example 1
Initial Certification Narrative: The Certain Certification, Example 2
Initial Certification Narrative: The Certain Certification Example 2 Continued
Initial Certification Narrative: Eligibility Supported by Medical Records, Example 1
Initial Certification Narrative: Eligibility Supported by Medical Records Example 1
Initial Certification Narrative: Eligibility Supported by Medical Records, Example 2
A Note about the Eligibility Supported by Medical Records, Example 2
A Note about Dementia and Eligibility Codes
Initial Certification Narrative: No Medical Records Available
Initial Certification Narrative: No Medical Records Available, Example 1
No Medical Records Available, Example 1 Narrative
A Note About Debility and Adult Failure to Thrive
Initial Certification Narrative: No Medical Records Available, Example 2
Review
Summary
Section 5: Recertification Narratives & Narratives for the Deceased
Recertification into the Advanced Benefit Period: Clearly Eligible, Example 1
Clearly Eligible Example 1 Recertification Narrative, Continued
Clearly Eligible Example 1 Recertification Narrative, Continued
Recertification into the Advanced Benefit Period: Clearly Eligible, Example 2
Clearly Eligible Example 2 Factors to Consider
Recertification into the Advanced Benefit Period: Slow Decline Example
Slow Decline Example Factors to Consider
Slow Decline Example In-Depth Analysis
Person is Deceased at the Time the Physician Writes the Narrative
Person is Deceased at the Time the Physician Writes the Narrative Example
Review
Summary
Section 6: Conclusion
Summary
Course Contributors
Resources
References
Congratulations!
Dr. Aletha Tippett received her BS in chemical engineering from the University of Missouri in 1975 and her MD from the University of Cincinnati in 1997. Dr. Tippett has done wound care for 20 years and has treated over 15,000 wounds. Her main areas of focus in wound care are limb salvage and pressure ulcer prevention and treatment and she brings a bio-engineering approach to these. She has been honored with numerous awards in the healthcare community and is a published author and international speaker and teacher on wound care topics. She is president of the Hope of Healing Foundation, dedicated to limb salvage and novel wound therapies. She is a member of the International Biotherapy Society and is an active "biotherapist", using maggots and leeches in her wound care practice. Dr. Tippett is also active in hospice and is a certified hospice medical director for Brookdale Hospice in Dayton, Ohio. Disclosure: Aletha W. Tippett, BSChE, MD, ABFP, ABHPM, AAPM, WCC, CWS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Susan Heinzerling, BSN, RN, CHPN
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 Lifes 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.