Hospice & Palliative Care Handbook, Fourth Edition: Quality, Compliance, and Reimbursement

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Tina Marrelli

Hospice & Palliative Care Handbook, Fourth Edition

Quality, Compliance, and Reimbursement

Tina Marrelli

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English

SIGMA Theta Tau International
15 June 2023

Health systems & services; Accident & emergency medicine; Terminal care nursing

The goal of the fourth edition of this book is to help hospice clinicians, team members, and managers meet numerous quality, coverage, and reimbursement standards and requirements for success in daily practice, operations, and documentation. All these components are needed to meet the coverage requirements of the Medicare Hospice Benefit and provide skillful and compassionate hospice care.

Part 1-Hospice Care: An Overview of Quality and Compassionate Care. This part provides the foundational information needed to understand hospice and hospice within the confines of the larger healthcare system. Simply put, hospice, a type of palliative care, is the model for quality, compassionate care for people facing a life-limiting illness or injury. This model and special care is explained in this opening part.

Part 2-Documentation: An Important Driver for Care and Coverage. This part focuses on the numerous and important roles that documentation plays in the provision of care as well as quality and reimbursement components related to hospice care. This part provides the fundamentals as well as why documentation is the key to care coverage, compliance, and quality for hospice patients and organizations.

Part 3-Planning, Managing, and Coordinating Hospice Care. Hospice care is individualized care provided by the interdisciplinary group for each patient and the patient's family. This part clearly explains hospice care planning and the ongoing process for success.

Part 4-Hospice Diagnoses and Guidelines for Care. Prior parts of this book address that the Medicare Hospice Benefit is prognosis-based, which means that the patient must have a limited life expectancy and the hospice is responsible for caring for and covering all costs for the terminal or primary diagnosis and all diagnoses that contribute to the terminal prognosis. In this part, the guidelines for care or care problems are specific topics or diagnoses that are organized alphabetically for easy identification and retrieval of needed information. This information can

then be individualized for your hospice patient/family and used throughout care and care planning as well as in the clinical record. This information can even serve as a basis for a common glossary in team meetings, discussions, and ongoing care planning communications. This part was formatted and designed for easy review for care and care planning and related activities. The hospice diagnoses or care guidelines are generally formatted in the same manner across all sections/diagnoses topics, as follows:

General Considerations Eligibility Considerations

Potential Diagnoses ICD-10-CM Diagnostic Coding Safety Considerations Skills and Services Identified Patient, Family, and Caregiver Educational Needs Tips for Supporting Quality, Safety, Eligibility, and Reimbursement Quality Metrics

By: Tina Marrelli
Imprint: SIGMA Theta Tau International
Edition: 4th ed.
Dimensions: Height: 215mm, Width: 135mm, Spine: 18mm
Weight: 367g
ISBN: 9781646480852
ISBN 10: 1646480856
Pages: 326
Publication Date: 15 June 2023
Audience: General/trade , ELT Advanced
Format: Paperback
Publisher's Status: Active

"Tina M. Marrelli, MSN, MA, RN, FAANTina Marrelli is the author of numerous books, including Home Care Nursing: Surviving in an Ever-Changing Care Environment, her book directed toward caregivers, a sometimes undervalued person on the healthcare team; A Guide for Caregiving: What's Next? Planning for Safety, Quality, and Compassionate Care for Your Loved One and Yourself!; Handbook of Home Health Standards: Quality, Documentation and Reimbursement (2018); and The Nurse Manager's Survival Guide.Tina has a long-term relationship with hospice and hospice colleagues. Medicare did not recognize hospices or pay for hospice care until 1982. In the early years of hospice, both the staff at CMS and the leaders of the early hospices worked to make sense of the law and the population it served, working together to develop the kind of hospice care that is now identified with the name. She was an early participant and remembers those heady days. For the more ""experienced"" readers, you might recall Tom Hoyer of HCFA (now CMS) fame. Tom was termed the ""hospice czar"" and was a driving force for positive change. This means that at that time, hospice was primarily volunteer. It was pretty much grassroots and mission-driven to try to change and improve end-of-life care for patients and to support their loved ones. This all sounds common sense now, but looking back, it was not. At that time, Tina was the Director of a systems-based nonprofit Home Care and Hospice in Annapolis, Mary- land (USA), and it was the first hospice to receive TJC accreditation. So she has always embraced the hospice philosophy and model and (still) wonders why the rest of the healthcare system does not also embrace family and friend caregivers.Tina attended Duke University School of Nursing, where she received her undergraduate degree in nursing. She also has a master's degree in health administration and in nursing. Tina has worked in hospitals, nursing homes, and public health. She has practiced as a visiting nurse and man- aged in-home care and hospice for many years.Tina is the Chief Clinical Officer for Innovative Caregiving Solutions, LLC, an innovative e-caregiving technology (www.e-caregiving.com). Finally, caregiving and caregivers (loved ones, friends, partners, and others) are being recognized for their important contributions, knowl- edge, and roles. She is an international healthcare consultant, specializing in home care, hospice, and community-based models of care. Tina and her team of specialized consultants have been practicing in the home care and hospice environments for more than 20 years. Tina is a founding member of the International Home Care Nurses Organization (www.IHCNO.org), which was developed ""to support a vibrant worldwide network of nurses to promote excellence in providing opti- mal care to patients living at home wherever they live in the world."" The IHCNO was started with a small but ""mighty"" group of nursing leaders. She has been the editor of three peer-reviewed publications-most recently for Home Healthcare Nurse (now Home Healthcare Now), and she is an Editor Emeritus. Tina also serves on the editorial boards of the Journal of Community Health Nursing and The American Nurse."

Reviews for Hospice & Palliative Care Handbook, Fourth Edition: Quality, Compliance, and Reimbursement

"""This book is a perfect blend of compassion and competence that addresses the core values of care, the interdisciplinary team, self-care of staff, and the needs of an aging society."" -Betty Ferrell, PhD, FAAN, FPCN, CHPN Professor and Director, Nursing Research, City of Hope Medical Center Principal Investigator, End-of-Life Nursing Education Consortium ""While the core mission of hospice and palliative care remains to minimize suffering and optimize quality of life, the field has undergone sweeping changes in recent years. Today's hospice and palliative care practitioners are truly fortunate to be able to tap into Tina Marrelli's unparalleled clinical and operational expertise-as well as her rich historical perspectives on our nation's unique approach to end-of-life care. With the assistance of nationally recognized experts, Marrelli has expertly revised Hospice & Palliative Care Handbook, Third Edition. This book should be mandatory reading (and reference!) for hospice personnel."" -Theresa M. Forster Vice President for Hospice Policy & Programs National Association for Home Care & Hospice ""There has never been a more important time in hospice and palliative care for Tina Marrelli's invaluable manual. This book will guide both those new to this specialty field and those more veteran to meet the ever-increasing requirements for accurate, timely, and comprehensive documentation. The hospice and palliative care field is growing, and Marrelli's work provides an important resource to assist clinicians in meeting regulations while providing incredible care. This book is truly a must-have for all hospice and palliative caregivers."" -Soozi Flannigan, DNP, APRN Vice President of Hospice & Home Care The Connecticut Hospice Inc. ""Hospice & Palliative Care Handbook, Fourth Edition, is a must-have for administrators and clinicians because it perfectly weaves together clinical practice and the regulations that govern hospice care. This book is very comprehensive and easy to navigate. It has useful information for novice and seasoned clinicians and administrators and should be a staple for new orientation/onboarding, annual competency training, and when developing policies and procedures."" - Kenneth L. Miller, PT, DPT Board Certified Geriatric Clinical SpecialistAssistant Professor College of Health Professions, Division of Physical TherapyMedical University of South Carolina ""Tina Marrelli provides an outstanding and resourceful tool for staff, management, and administrators of hospice and palliative care. Her expertise and passion for patient-care quality are evident. Her knowledge of regulatory and compliance expectations is clearly presented and a great asset. Examples and case studies are an empowerment for learning. And the post COVID-19 observations of health disparity and impact on professional nursing help define current hospice and palliative care practice."" - Nikki Coffin, MS, RN Home Care and Hospice Surveyor The Joint Commission (Retired)"