About Hospice Discharge, Revocation, and Transfer

Course Code: REL-PAC-0-AHLD

Hours: 1

Type: Online Course

Content Expiration Date: 12/31/2025

Learning Objectives:
Recall at least three ways hospice care may end and the required steps for each.
Identify at least three possible implications of ending hospice care prior to death.
Recognize areas of regulatory scrutiny related to ending hospice care.

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Quality End-of-Life Care

A Good Death

A Focused Review of the Medicare Hospice Benefit

Transitioning from Hospice

Review

Summary

Section 3: Hospice-Initiated Discharge

Mr. Perez

No Longer Terminally Ill

Discharge Planning

Mr. Robinson

Out of the Service Area

Mrs. Vinson

Discharge for Cause

Discharge Order

The Effects of Discharge

Beneficiary Notices

Filing a Notice of Termination of Election

Discharge Summary

Review

Summary

Section 4: New Decisions

Patient Choices

Ms. Simpson

Revoking the Hospice Election

The Effects of Revocation

What Do You Think?

Mr. Greenberg

Transfer or Change of Designated Hospice

Actions by Each Hospice

The Effects of Transfer

Review

Summary

Section 5: Regulatory and Payment-Related Scrutiny

Questionable Discharge Practices

PEPPER

The Hospice Quality Reporting Program

Review

Summary

Section 6: Conclusion

Course Summary

Course Contributor

Resources

References

Subject Matter Expert: Susan Heinzerling, BSN, RN, CHPN

Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community.

Target Audience:
The target audience for this course is: Nurses; in the following settings: Hospice.

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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.

To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.