NewsLine - May 2011 - (Page Cover1)

The Monthly Membership Publication of the National Hospice and Palliative Care Organization May 2011 Inside A Message from Don Nearly six months into the new year, President/CEO Don Schumacher discusses where we are and what he’s most proud of. POLST: An Evidence-based Tool for Advance Care Planning By Michael Nisco, MD, MBA; James Mittelberger, MD, MPH; and Judy Citko, JD The Time is Now to Begin Preparations Billing consultant, Jean Acevedo, discusses two upcoming changes that require the immediate attention of hospice providers—transition to version 10 of the ICD code set and the new 5010 protocol for electronic claims submissions. T Hospice in the Continuum LifeBeat is one of several diagnosticspecific programs offered by Southern Tier Hospice and Palliative Care in Upstate New York. Learn more about this program and how it’s helping to grow the organization’s census. he “Physician Orders for Life Sustaining Treatment” form, known as POLST, is designed to give seriously ill patients more control over their end-of-life care and is rapidly being adopted across the United States. In this article, we provide an overview of POLST, and then share our experience in developing and implementing POLST in California, with the hope that all NHPCO members will consider taking similar action in their own communities. POLST Basics POLST is a physician order that specifies the types of medical treatment that a patient wishes to receive toward the end of life. Produced on a distinctive brightly colored form and signed by both the doctor and patient (in some states), POLST travels with the patient when he or she is moved from one residential or medical setting to another. It ensures that the expressed wishes of patients always travel with them. As a result, POLST can prevent unwanted or medically ineffective treatment, reduce patient and family suffering, and help ensure that a patient’s wishes are honored. The POLST form captures important and specific procedural decisions to guide care at the end of life, including wishes about attempting cardiopulmonary resuscitation, administration of antibiotics and IV fluids, use of intubation and mechanical ventilation, and provision of artificial nutrition. POLST also outlines patients’ wishes regarding whether they would want to receive comfort care versus limited or full intensive care, and whether they would want to be transferred out of their residence for treatment. continued on next page The Voice of NCHPP Barry Kinzbrunner, MD, discusses an evidence base which shows that the health of patients is improved by the addition of spiritual care services— valuable insight from the physician’s perspective. Plus… • CMS Clarifications on the Face-toFace Encounter • Marc Meyers!’! Film, Harvest • NHPCO’s New MDP Summer School • Member News and Notes • Upcoming NHPCO Conferences, Webinars and More

Table of Contents for the Digital Edition of NewsLine - May 2011

POLST: An Evidence-based Tool for Advance Care Planning
A Message From Don
ICD-10: It’s Time to Begin Preparing
26th MLC Supporters (display ad)
Experience the ACHC Difference (display ad)
LifeBeat at Southern Tier Hospice and Palliative Care
Introducing NHPCO’s Custom Print Marketplace (display ad)
Voice of NCHPP: Spiritual Care: A Physician’s Perspective
NCHPP: Getting Involved
Recruiting Problems? HMR (display ad)
New - Hospice MDP Summer School (display ad)
CMS Clarifies Aspects of the Face-to-Face Encounter
Harvest: A New Film That Will Resonate With Members
Member News and Notes
Upcoming Educational Offerings
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NewsLine - May 2011