1. Laws and Regulations Specific to Hospice
Click on This Arrow to Advance to the Next Slide
TOC

2. Navigation Using the navigation tools
Forward and backward arrows are in the
lower margin of each page
Click on Next arrow to advance to the next
slide
Click on the Back arrow to return to the
previous slide
TOC

3. Lesson Details TOC Target Audience: All new Hospice staff
All contractors and students working
for Fairview Hospice
Authors:
Pat Drake RN Director of Compliance
Valerie Bresin RN
Sources:
Minnesota Statutes- Licensure Law for Hospice
Contact:
Ann Allison RN PHN Education Coordinator
Contact Hours:
N/A
TOC

4. Lesson Details TOC Estimated Duration:
The expected time to complete this lesson activity is 10 minutes and should be completed during your regularly scheduled work time. Any lessons or classes completed outside your scheduled work time must have prior approval from your supervisor and a supervisor or manager must approve any overtime
TOC

5. Table of Contents Objectives Why is this Relevant?
Licensure Provisions
Plan of Care
Service Agreement and Contingency Plan
Handling Emergencies
Complaint Procedure
Discontinuing Hospice
Summary
TOC

6. Objectives Upon completion of this lesson, learners will be able to:
Name the types of services that are provided by hospice
Describe the purpose and provisions of a service agreement in hospice
Describe how patient emergencies or discharges are handled in hospice
TOC

7. Why is This Relevant? TOC
Learning about the hospice services, service agreements,
emergencies and discontinuing services will assist staff in
supporting and advocating for patients during their end of life
care
TOC

8. Licensure Provisions Hospice patient: Hospice service means: TOC
A hospice eligible person has terminal illness with less than one year to live
Hospice service means:
Palliative and supportive care to meet all needs of patient and family in final stages of illness, dying and bereavement directed by Inter-Disciplinary Group (or IDT)
TOC

9. Licensure Provisions
Hospice Programs must ensure at least two core services listed here are regularly provided:
Physician
Registered Nurse
Medical Social Worker
Counseling Services
TOC

10. Licensure Provisions Hospice Programs must also provide, if needed:
Physical Therapy
Occupational Therapy
Speech Therapy
Home Health (hospice) Aide
Volunteers
These services must be available 24 hours a day:
Physician
Nursing
Pharmacy
If necessary, inpatient hospital care for pain control or symptom management, respite care may provided in SNF or hospital
TOC

11. Plan of Care An interdisciplinary team must complete
an individualized and comprehensive
assessment of needs for each hospice patient and family
FHCH hospice must provide the hospice patient or responsible person a copy of the initial plan of care and changes upon request
The interdisciplinary team coordinates care with any persons or entity involved in care to ensure that services in the plan of care are provided
TOC

12. Service Agreements The Service Agreement describes the services
Hospice must provide written list of charges within 48 hours of admission
The Service Agreement describes the services
A copy is left in the patient’s home chart
Hospice must document and communicate contingency plans
Note: Categories and disciplines refer to physical therapy
Speech therapy, nursing,
Note: HHA or HMK will be included
In the Nursing or therapy Service Agreement
TOC

13. Service Agreements Contingency Plans:
The action to be taken by the hospice, patient, or responsible person if scheduled services cannot be provided
The method for a patient to contact a responsible person whenever staff are providing services
The method for hospice provider to contact hospice patient’s responsible person (if a responsible person is named)
TOC

14. Handling Emergencies
Hospice staff must complete an orientation and be trained in the handling of emergencies and use of emergency services
The hospice provider must ensure
the patient’s record
contains a copy of the patient’s
health care directive, if executed and available
TOC

15. Complaint Procedure Hospice is required to: Have a complaint procedure
Provide patients with the telephone numbers of these programs:
The Office of Health Facilities Complaints
The Office of Ombudsman for Older Minnesotans
Review any patient care complaints by the interdisciplinary team.
Take remedial action as appropriate
TOC

16. Discontinuing Hospice
If the hospice discharges or transfers a patient for any reason, the reason must be documented in the clinical record including:
The reason for discharge or transfer
Why the patient’s needs cannot be met
by the hospice agency, if hospice
services are still needed
The hospice must also provide the patient or responsible
party with a written list of providers that provide
similar services in the patient’s geographical area
TOC

17. Summary Hospice licensure law:
Describes the unique rules and regulations for the protection of patients throughout their care
Informs staff of the processes used to address patient concerns, complaints or emergencies
Describes how staff can ensure patients’ decisions are known, communicated and respected
TOC

18. You Have Completed This Lesson
Thank you!
Click the “x” in the upper right corner to close this window.
Continue to the LMS to take the test
TOC