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When you or a loved one are diagnosed with a terminal illness, you wonder what can be done to make life easier and more meaningful during the remaining time on earth. In A Hospice Guide Book, author Dr. Curtis E. Smith shows how the concept of hospice, which emphasizes the important provisions of comfort care through the end-of-life journey, can help terminal patients die a comfortable, peaceful death with dignity. A resource for families, patients, and health care providers, A Hospice Guide Book provides a thorough explanation of the hospice concept. It discusses the definition of hospice care and its origins; hospice fallacies, myths, and facts; alternative care modalities; the hospice team and its responsibilities; levels of care and treatment; pain and pain management; hospice residences; end of life care. A Hospice Guide Book presents a plethora of information about hospice, enabling those who could become hospice patients the opportunity to receive the benefit of expert comfort care; pain control management; symptom control; and emotional, spiritual, and psychosocial support as they live with their terminal illness during the end-of-life journey and peacefully transition from this life to the next.
“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 “A must-read for all hospice providers. It is a comprehensive overview of the core elements required to practice effectively, compliantly, safely, and compassionately. An indispensable addition to all hospice libraries.” – Kim Corral, MA Ed, BSN, RN, COS-C Director of Corporate Compliance, Quality and Education Bridge Home Health and Hospice “I have utilized Tina Marrelli’s home health and hospice handbooks to support training new clinical staff and students for decades and consider these resources to be the gold standard.” – Kimberly Skehan, MSN, RN, HCS-D, COS-C Vice President of Accreditation Community Health Accreditation Partner Hospice & Palliative Care Handbook, Fourth Edition, offers updated coverage of all aspects of hospice and palliative care for the entire healthcare team who provide important care while meeting difficult multilevel regulations. This edition includes examples and strategies covering key topics related to standards, guidelines, goals, and effective care planning. TABLE OF CONTENTS Prologue: Hospice and Covid-19: A Pandemic Part 1: Hospice Care: An Overview of Quality and Compassionate Care Part 2: Documentation: An Important Driver for Care and Coverage Part 3: Planning, Managing, and Coordinating Hospice Care Part 4: Hospice Diagnoses and Guidelines for Care Alzheimer’s Disease and Other Dementias Care Bedbound, Coma, and Skin Care Cancer Care Cardiac and Cerebrovascular Accident (Stroke) Care Frailty and Geriatric Care Liver Disease Care Neurological Disease Care Pediatric Care: A Very Special Patient Population Pulmonary Care Renal Disease Care Skin and Wound Care Resources ABOUT THE AUTHORS TINA. M. MARRELLI, MSN, MA, RN, FAAN, is the author of over 10 award-winning books. She is an international consultant specializing in home care and hospice and is the President of Marrelli & Associates, Inc., a publishing and consulting firm working in healthcare and technology for over 25 years. JENNIFER KENNEDY, EdD, BSN, RN, CHC, is the Vice President for Quality, Standards, and Compliance at Community Health Accreditation Partner (CHAP) and is a nationally recognized hospice expert. She has more than 35 years of experience as a leader and nurse in diverse healthcare settings and has worked in hospice and palliative care for more than 25 years.
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Table of Contents Foreword Introduction Ch. 1 Home health administration : an overview 3 Ch. 2 The home health agency 16 Ch. 3 Medicare conditions of participation 27 Ch. 4 The joint commission's home care accreditation program 63 Ch. 5 CHAP accreditation : standards of excellence for home care and community health organizations 71 Ch. 6 Accreditation for home care aide and private duty services 81 Ch. 7 ACHC : accreditation for home care and alternate site health care services 86 Ch. 8 Certificate of need and licensure 92 Ch. 9 Credentialing : organizational and personnel options for home care 101 Ch. 10 The relationship of the home health agency to the state trade association 111 Ch. 11 The national association for home care and hospice 115 Ch. 12 The visiting nurse association of America 124 Ch. 13 Self-care systems in home health care nursing 131 Ch. 14 Home health care documentation and record keeping 135 App. 14-A COP standards pertaining to HHA clinical record policy 147 App. 14-B Abington Memorial Hospital home care clinical records 150 Ch. 15 Computerized clinical documentation 161 Ch. 16 Home telehealth : improving care and decreasing costs 176 Ch. 17 Implementing a competency system in home care 185 Ch. 18 Meeting the need for culturally and linguistically appropriate services 211 Ch. 19 Classification : an underutilized tool for prospective payment 224 Ch. 20 Analysis and management of home health nursing caseloads and workloads 236 Ch. 21 Home health care classification (HHCC) system : an overview 247 Ch. 22 Nursing diagnoses in home health nursing 261 Ch. 23 Perinatal high-risk home care 274 Ch. 24 High technology home care services 279 Ch. 25 Discharge of a ventilator-assisted child from the hospital to home 291 Ch. 26 Performance improvement 301 Ch. 27 Evidence-based practice : basic strategies for success 310 Ch. 28 Quality planning for quality patient care 315 Ch. 29 Program Evaluation 320 App. 29-A Formats for presenting program evaluation tools Ch. 30 Effectiveness of a clinical feedback approach to improving patient outcomes 341 Ch. 31 Implementing outcome-based quality improvement into the home health agency 352 Ch. 32 Benchmarking and home health care 383 Ch. 33 Administrative policy and procedure manual 395 Ch. 34 Discharge planning 399 Ch. 35 Strategies to retain and attract quality staff 421 Ch. 36 Evaluating productivity 436 Ch. 37 Labor-management relations 448 Ch. 38 Human resource management 459 Ch. 39 Staff development in a home health agency 474 Ch. 40 Transitioning nurses to home care 484 Ch. 41 Case management 495 Ch. 42 Managed care 499 Ch. 43 Community-based long-term care : preparing for a new role 507 Ch. 44 Understanding the exposures of home health care : an insurance primer 519 Ch. 45 Budgeting for home health agencies 527 Ch. 46 Reimbursement 535 Ch. 47 How to read, interpret, and understand financial statements 549 Ch. 48 Management information systems 558 Ch. 49 Legal issues of concern to home care providers 571 Ch. 50 Understanding the basics of home health compliance 590 Ch. 51 The HIPAA standards for privacy of individually identifiable health information 616 Ch. 52 Ethical practice in the daily service to home care client, their families, and the community 666 Ch. 53 Participating in the political process 675 Ch. 54 Strategic planning 693 Ch. 55 Marketing : an overview 708 Ch. 56 The internet in home health and hospice care 723 Ch. 57 Disease management programs 736 Ch. 58 The process of visiting nurse association affiliation with a major teaching hospital 756 Ch. 59 Grantsmanship in home health care : seeking foundation support 771 Ch. 60 Home care volunteer program 778 Ch. 61 The manager as published author : tips on writing for publication 796 Ch. 62 Student placements in home health care agencies : boost or barrier to quality patient care? 810 Ch. 63 A student program in one home health agency 818 Ch. 64 The role of the physician in home care 834 Ch. 65 Research in home health agencies 840 Ch. 66 Hospice care : pioneering the ultimate love connection about living not dying 850 App. 66-A State of Connecticut physician assisted living (PAL) directive 863 App. 66-B Summary guidelines for initiation of advanced care 864 Ch. 67 Safe harbor : a bereavement program for children, teens, and families 866 Ch. 68 Planning, implementing, and managing a community-based nursing center : current challenges and future opportunities 872 Ch. 69 Adult day services - the next frontier 883 Ch. 70 Partners in healing : home care, hospice, and parish nurses 891 Ch. 71 Meeting the present challenges and continuing to thrive in the future : tips on how to be successful as an administrator in home health and hospice care 899.