Hospice Policy & Procedure Manual
Version 4.0



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Sample Pages:
Table of Contents
Document Samples

 
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With MCN’s Hospice Policy and Procedure Manual you won’t have to reinvent the wheel when developing policies and procedures! This manual provides over 325 ready-to-implement policies, procedures and forms. Completely cross-referenced to The Joint Commission standards and CMS regulations, it allows you to stay current with the latest requirements! There is also a crosswalk for the Joint Commission standards and ACHC requirements.

This valuable resource manual provides administrative, operational and patient-centered policies and procedures, saving you time, money and effort in policy development. Key compliance areas covered in the Hospice Policy and Procedure Manual include:

  • Ethics, Rights and Responsibilities - Financial Incentives/Clinical Decision Making, Conflict of Interest, Advance Directives, Do Not Resuscitate/Do Not Intubate, Use of Advance Beneficiary Notice (ABN), Complaint/Grievance Process, Confidentiality of Information, Conflicts

  • Provision of Care, Treatment and Services - Intake Process, Certification, Hospice Assessment, Pain Assessment, Plan of Care, Patient Risk of Falls, Waived Testing, Patient Education, Home Safety Education, Discharge Planning

  • Medication Management - Administration and Documentation of Medications, Medication Monitoring, Reducing Medication Errors, Adverse Drug Reactions

  • Surveillance, Prevention and Control of Infection - Infection Control Plan, Hand Hygiene, Tuberculosis, Influenza Pandemic, Employee Health

  • Improving Organization Performance - Performance Improvement Plan, PI Monitoring and Evaluation, Sentinel Event

  • Leadership - Governing Body, Professional Advisory Committee and Annual Evaluation, Annual Operating Budget, Contracted Services, Agency Supervision

  • Environmental Safety and Equipment Management - Safety, Home Hazard Analysis Checklist

  • Management of Human Resources - Position Description, Population-Specific/Age-Related Competency, Annual Competency Clinical Skills Assessment

  • Management of Information - Information Management Plan, Confidentiality of the Medical Record, Unacceptable Abbreviation and Symbols

… and much more!

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