Hospice Training for SNF and ICF Presentation - Hospice Training

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Hospice Training for SNF and ICF Presentation - Hospice Training Powered By Docstoc
					     Hospice Training
   for SNF and ICF/MRS
to Meet CMS Requirements
   Articulate the regulatory significance requiring the
    training of staff who give care to hospice patients in
    Skilled Nursing Facilities or Intermediate Care
    Facilities with Mental Retardation
   Identity and describe the specific components of
    the training materials.
   List implementation strategies
   Describe regulatory responsibilities in maintaining
    records for survey verification
   Center for Medicare/Medicaid
   Services Hospice Requirement
Standard 418.112 (f)
 Hospice staff must assure orientation of
 SNF/NF or ICF/MR staffing furnishing care to
 hospice patients in the hospice philosophy,
 including hospice polices and procedures
 regarding methods of comfort, pain control,
 symptom management, as well as principles
 about death and dying, individual responses to
 death patient rights, appropriate forms and
 record keeping.
         Other Requirements not
        addressed in this training
 Standard 418.112 (d)
  A written hospice plan of care must be established
  and maintained in consultation with SNF and ICF/MR
  representatives. All hospice care provided must be in
  accordance with this hospice plan of care.
  1. The hospice plan of care must identify the care and
     services that are needed and specifically identify which
     provider is responsible for performing the respective
     functions that have been agreed upon and include in the
     plan of care.
  2. The hospice plan of care reflects the participation of the
     hospice, the SNF or ICF/MR, and the patient and family to
     extent possible.
           Coordination of Services
         Standard 418.112(e)
          The hospice must designate a member of each
          interdisciplinary group that is responsible for a
          patient who is a resident of a SNF/MR or ICF/MR.
          The designated interdisciplinary group member is
          responsible for:
    i.      Providing overall coordination of the hospice care of the
            SNF/MR resident with SNF or ICF/MR representatives
    ii.     Communicating with SNF or ICE/MR representatives and
            other health care related providers participating in the
            provision of care for the terminal illness and related
            conditions and other conditions to ensure quality of care
            for the patient and family.
Barriers to meeting this requirement

 Orientation had not been created

 Time for facility staff

 Inadequate tracking mechanisms of training
Approach to meeting this requirement
    Minnesota Network of Hospice and Palliative Care
     Standards Committee, Metro Area Managers and
     Supervisors work group
    Developed a standardized paper orientation tool
    Reviewed the orientation tool, revised the tool and
     obtained approval from the Minnesota Department of
     Health Survey Section
    Dissemination of this tool to all facilities and hospice
     providers in the state of Minnesota
    Implementation of the orientation tool within all
   Structure & Components of the
          Training Packet
 Designed to be a comprehensive tool
 Quick and easy to read
 6 components and a post test
 Not designed for CEUs
         Learning Components

   Hospice Philosophy
   Comfort, Pain and Symptom Control in Hospice
   Patient Rights
   Communication & Documentation
   Death & Dying
   What is Grief?
   Post Test
       Hospice Philosophy

 Comfort focus

 Limited life expectancy

 Coverage for Hospice services

 Care Team involvement

 24 hour nursing available

 Collaborative care
      Comfort, Pain & Symptom
         Control in Hospice
 Promoting comfort and symptom control
  through medications
 Non-pharmacological comfort and
  interdisciplinary approach
 Comfort maintained in their current setting

 Facility staff as family
             Patient Rights

 Respecting the rights of every individual
  receiving Hospice care
 Required under Standard 418.52 of the
  Center for Medicare/Medicaid Services
  Hospice Conditions of Participation
 Communication & Documentation

 Promotes quality resident and family care

 Continues throughout the resident’s care

 Information provided by Hospice

 Hospice involvement in the facility survey
             Death & Dying

 Understanding what is normal and expected

 Dying process

 No two people die the same however patterns
 Hospice is there for you
             What is Grief?

 Normal reaction to loss

 Physical and psychosocial responses to loss

 Helping yourself and others through the
 Seeking professional help if necessary
                 Post Test

 Acknowledges a basic understanding of
  Hospice services and care
 Required as part of the training packet

 Emphasis on training staff who care for
  Hospice residents
       Implementation Strategies
             New Staff 
 Include hospice training as part of new hire
 List hospice orientation as one of the
  orientation components
 Retain hospice orientation test in employee
  personnel file
      Implementation Strategies
          Existing Staff 

 Include hospice training as part of facility
  staff mandatory training, education
 Retain hospice orientation test in employee
  personnel file
   Regulatory Responsibilities

 During surveys hospice programs will be
  required to provide proof of facility staff
 Facility staff orientation will be retained at
  the facility
 Hospice providers will be responsible to
  audit documentation of hospice training

Minnesota Network for Hospice and Palliative Care

Hospice Bill of Rights
Aging Services of Minnesota

Care Providers of Minnesota

Hospice and Palliative Nurses Association

National Hospice and Palliative Care Organization

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