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This Palliative Care Playbook provides step-by-step instructions developed by hospice experts, to guide hospices in the development and implementation of a palliative care program. It is based on the NHPCO Palliative Care Needs survey,
CREATING AN EFFECTIVE HOSPICE PLAN OF CARE. The Hyperlink Table, at the end of this document, gives the complete URL for each hyperlink. INTRODUCTION. The hospice Plan of Care (POC) maps out needs and services supplied for a Medicare patient facing a terminal illness, as well as the patient’s family/caregiver. The Centers for Medicare & Medicaid
The Plan of Care is the most important document in hospice and must reflect patient and family goals and interventions based on the problems identified in the initial, comprehensive, and updated assessments.
There are multiple functions of documentation: communication, record of care (goals of care, care plan: assessment, interventions, response to treatment, etc.), reimbursement, quality assurance and process improvement.
Hospice care is considered to be the model for quality, com-passionate care for people facing a life-limiting illness or inju-ry. Hospice care involves a team-oriented approach to expert medical care, pain management, and emotional and spiritual support expressly tailored to the patient’s needs and wishes.
Supports and manages the physical, medical, psychosocial, emotional, and spiritual needs of hospice patients and families. Sets up the POC at the time an individual chooses hospice. Continuously updates the POC while the patient gets the hospice benefit.
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