NewsLine - July 2012 - (Page 6)

continued from previous page recorded seminar on the proper way to complete narrative statements. Lessons Learned During this review process, we learned several important lessons: • First, we realized that new hospice medical directors needed thorough education on the narrative statement process as part of their orientation to the company. Physicians who didn’t receive this initial training generally required more intensive educational and corrective efforts. • Second, we learned that education on the process was best delivered by physicians and verbally delivered training that accompanied written material was generally the most well received. • Finally, we concluded that a comprehensive quality improvement project with a focus on improving documentation was more effective than a punitive approach. Ultimately, over a two-year period, we documented significant improvement in the quality of randomly selected hospice narrative statements. Given the increased regulatory focus on the hospice certification process, hospices would be well served to conduct formal quality review processes of medical director narratives. Kevin Henning is a family physician and board-certified in both family practice and hospice and palliative medicine. He currently serves as senior vice president and chief medical director for the home health care and hospice operations of Amedisys, Inc., where he leads the clinical strategy of more than 500 home health care centers and 94 hospice care centers. Prior to joining Amedisys, he was national medical director for the hospice division of Gentiva Health Services. NHPCO Resources for Physicians Physician Guide to Hospice Care This Guide explores the current regulatory landscape and provides hospice physicians with practical advice and resources. It includes appendices on the Hospice CoPs; Criteria and Lab Values for Non-cancer Diagnoses; Evaluative Scales for Determining Functional Limitations; Patient and Family Resources; and a complete copy of the “Medical Guidelines for Determining Prognosis in Selected Non-Cancer Diseases.” (Item 714384; Member Price: $10.99) See the display ad on page 27. Certification & Recertification of Hospice Terminal Illness This laminated pocket guide—with maps to guide hospice admissions— has just been updated to reflect the most recent regulatory changes. (Item 821733; Member Price: $9.95) 6 NewsLine

Table of Contents for the Digital Edition of NewsLine - July 2012

Improving Physician Narratives
A Message From Don
NHPCO Resources for Physicians
When Life Gets Serious…Glatfelter Healthcare Practice (display ad)
Simione: Solving Your Hospice Challenges (display ad)
A Study in Green Building
The Steward Center for Palliative Care
The Voice of NCHPP
The Changing Role of CT
My.NHPCO—a Great Resource for Allied Therapists
Physician Guide to Hospice Care (display ad)
Ethical Issues: Tools to Support Your Practice
Results From 2012 NHDD
2013 Circle of Life Award Nominations
New (and Free) Resources From WHV
Exploring PC Support in Our Schools
Hospice in the Media
Member News and Notes
Compliance Tip of the Month
2012 CTC (display ad)
Resource Links to Bookmark
Videos Worth Watching

NewsLine - July 2012