Performs Patient assessments: Accurately assesses patient’s appropriateness for hospice care, learning needs and progress toward goals. Develops the plan of care for the patient and family
Ensures appropriate utilization of services: Maintains visit productivity standards. Demonstrates knowledge of insurance reimbursement
Completes discharge assessments: Performs laptop transfer of data twice daily. Completes admission assessment and transfers within 24 hours. Completes re-visit documentation and transfers
Uses age appropriate teaching methods for patients and families: Evaluates teaching plan and revises as necessary. Documents patient education tools used
Assumes responsibility for Case Management: Develops/implements/evaluates plan of care based on evidence-based knowledge. Revises care plan as indicated.Prioritizes care needs.Demonstrates knowledge of hospice regulations and insurance reimbursement guidelines. Shows evidence of interdisciplinary communication. Performs HHA supervisions per standards. Ensures appropriate utilization of services. Follows scheduling process. Communicates progress toward goals with IDT. Attends and participates in IDT meetings every 2 weeks. Evaluates the plan of care and revises as needed
Maintains safe environment for patients and co-workers. Follows infection control measures and reports infections. Demonstrates knowledge of pharmacology and safe medication management. Routinely reconciles medications. Maintains current medication orders
Attends monthly staff in PI meetings and activities/committees as requested. Accepts other assignments as requested.
Assumes responsibility for case management: Prioritizes schedule to accommodate patient's needs. Documents case management activities. Demonstrates knowledge of pharmacology and safe medication management. Routinely reconciles medications. Maintain current medication orders.
Participates in Performance Improvement Program: Reviews health records and gathers data to support PI activities. Attends UR meetings as requested. Provides orientation/ mentorship to new employees. Cross trains to learn new skills and demonstrates a willingness to teach other
Assists with growing agency business: Provides orientation to new employees. Accepts other assignments as requested. Cross trains to learn new skills.