A Heart for Hospice Conference Training Agenda

Day One

• Introductions
• Introduction to Provided Materials
• Conference Rules

• Defining Hospice
• History of Hospice
• Hospice Philosophy
• Palliative Care
• Goals of Hospice
• Services
• The Interdisciplinary Group (IDG)
• The Hospice Team including Core Members
• Hospice Physician Responsibilities
• Attending Physician Responsibilities
• Volunteer Services
• Bereavement Services
• Questions and Answers
• Levels of Care
• Routine Home Care (RHC)
• Continuous Care (CC)
• Respite Care
• General Inpatient Care
• Questions and Answers

• Holistic Approach
• Physical Effects
• Definition, Types and Assessing Pain
• Pain and Symptom Management
• Addiction
• Symptom Management
• Questions and Answers

• Death and Dying
• Psychosocial Needs
• Spiritual Aspects
• Family Dynamics
• Family Adaptation
• Hospice and the Family
• Fears of Dying
• The Dying Patient’s Bill of Rights
• Signs and Symptoms of Approaching Death
• Signs of Death
• Questions

• Medicare Hospice Benefit
• Benefit Periods
• Physician Certification
• Federal Guideline CONDITIONS OF PARTICIPATION (COP)
  • 418.100 Organization and Administration of services
  • 418.112 Hospice Care in a SNF/NF or ICF/IID
  • Contracts
• Quality Assessment and Performance Improvement (QAPI)
• Regulations and Policies and Procedures
• Reimbursement
• Questions and Answers

• Admission Criteria
• Admission Process
• The Informed Consent
• Time
• Funding
• Patient/family Meeting
• Overcoming Objections
• Questions to Ask
• Admission Paperwork
• Data Collection
• Physician Certification
• Questions and Answers

• Determining Appropriateness for Hospice
• Chronic vs Terminal
• End Stage Diseases
• Cancer
• Important Diagnosis Information
• Criteria to Support End State Neurological
• End Stage Dementia/Alzheimer’s Criteria
• Documentation to Support End Stage Dementia
• End Stage Pulmonary Disease Criteria
• Documentation to Support End Stage Pulmonary
• End Stage Cardia Criteria
• Documentation to Support End Stage Heart Disease
• End Stage CVA Criteria
• End Stage Liver Disease Criteria
• End Stage ALS Criteria
• End stage Renal Disease Criteria
• End Stage HIV Criteria
• Questions

Day Two

• Initial Patient/family Meeting
• Communication with Patients/Families
• Communication with the Team
• Communication of the Dying
• Confidentiality
• Documentation
• Documentation Tips
• Plan of Care (POC)
• Initial Plan of Care (IPOC)
• Comprehensive Plan of Care (CPOC)
• Interdisciplinary Group Meeting
• Coordination of Care
• Questions and Answers

• Legal Concerns
• Advance Directives
• Durable Power of Attorney
• Health Care Directives
• State Specific Advance Directives
• Questions and Answers

• What is Bereavement Counseling
• Bereavement Coordinator
• Bereavement Services
• Bereavement Risk Assessment
• Levels of Bereavement Programs
  • Low risk
  • Moderate Risk
  • High Risk
• Bereavement Files
• Bereavement Services
• Bereavement Tracking Tools
• Bereavement Mailing Resources
• Questions and Answers

• Volunteer Program
• Volunteer Video
• What do Hospice Volunteers do?
• Benefits of being a Volunteer
• A successful Volunteer Program
• Medicare Regulations Regarding Volunteers
• Documentation must include…
• Sample Volunteer Report
• Screening Potential Volunteers
• On line Resources
• Sample Volunteer Application
• Volunteer Orientation and Training
• Training Topics
• Volunteer Retention
• Volunteer Personnel File
• Volunteer Coordinator
• Volunteer Manager Tasks
• Where to Recruit Volunteers
• IDG and the Volunteer
• Challenges in Managing Volunteers
• Recognition of Hospice Volunteers
• Questions and Answers

• Hospice Information Set

• Conditions of Participation
• QAPI Program Requirements
• QAPI Activities Include
• QAPI Team
• The Process Step 1
• The Process Step 2
• The Process Step 3
• Sample QAPI Plan and Logs
• Sample Performance Improvement Project
  • Interactive Presentation 2 PIP Examples
• Annual Evaluation
• The Short Story
• Questions and Answers

Day Three

• Office Requirements
• Office Postings
• Insurance
  • Professional Liability
  • Surety Bond
  • Worker’s Compensation
• Fire Extinguisher
• Biohazardous Wastes
• Supplies
• Personnel files
• Questions

• Eligibility
• Benefit Periods
• Revocation of Hospice
• Change of Hospice
• Hospital Discharge
• Billing Process – Notice and Claims
  • NOE
• Levels of Care
• 2015 National Hospice Payment rate
• Routine home care (RHC)
• Continuous Home Care (CHC)
• In Patient Respite Care
• General Inpatient Care (GIP)
• Payment in addition to the Daily Hospice Rate
• Pre-Election evaluation and Counseling Services
• Physician/Nurse Practitioner Services
• Questions and Answers

• Taking Ownership
• Hiring Protocol
• Interview Process
• Being the Boss
• Change
• Functions of Management
• Leadership
• Questions and Answers

• Financial Considerations
• Accounting-Doug Walters, CPA
• Insurance-Kevin Byrne

• Integrating Marketing and Branding
• Set Your Book of Business
• Identifying key referral sources
• Website/SEO
• Closing Remarks and Farwell