Course Code: REL-PAC-WB-HCICGPA
Hours: 1.75
Type: Online Course
Content Expiration Date: 12/31/2026
Learning Objectives:
Recall the 10 Hospice Care Index indicators.
Discuss the relationship between HCI indicators, organizational systems, and interdisciplinary group processes.
Identify strategies to foster patient outcomes consistent with goals of care and treatment and support positive HCI outcomes.
Outline:
Learning Objectives
§418.58 CoP: Quality Assessment and Performance Improvement
Quality Assessment and Performance Improvement (QAPI): Sources of Data
HQRP: Reminders
HCI: Reminders
HCI Indicators
Calculating the Score for HCI: Reminders
Formulas for Each Indicator
CMS Example of HCI
HCI: National Average
HCI: Care Compare
HCI: Information Gaps
Information Gap: Provision of Higher Levels of Hospice Services
Provision of Higher Levels of Hospice Services
§418.56 CoP: Interdisciplinary Group, Care Planning, and Coordination of Services
Goals of Care – Example
Example – IDG Meeting
IDG Meeting: Revision of the Plan of Care – Example
Provision of Higher Levels of Hospice Services
Information Gap: Visits by Professional Hospice Staff
Visits by Professional Hospice Staff: HCI Indicators
§418.56 (b) Standard: Plan of Care
Visits by Professional Hospice Staff: HCI Indicators
§418.54 CoP: Initial and Comprehensive Assessment of the Patient
Direct Link: Comprehensive Assessment and Plan of Care
§418.56 CoP: Interdisciplinary Group, Care Planning, and Coordination of Services
Direct Link: Comprehensive Assessment and Plan of Care
§418.56 (b) Standard: Plan of Care
Example – IDG Meeting
IDG Meeting: Revision of the Plan of Care - Example
Visit Frequencies
Visits by Professional Hospice Staff
Information Gap: Patterns of Hospice Live Discharges and Transitions
Patterns of Hospice Live Discharges and Transitions: HCI Indicators
Early Live Discharges
Late Live Discharges
Burdensome Transitions (Type 1)
Burdensome Transitions (Type 2)
“Revolving Door” Patients
Patterns of Hospice Live Discharges and Transitions
Information Gap: Medicare Spending Per Beneficiary
Hospice Ineligibility and Improper Billing
Contributing Factors
Hospice Eligibility and Proper Billing: Things to Consider
Questions
Subject Matter Expert: Colleen O'Keefe, RN
Colleen O’Keefe is the Senior Project Specialist for Weatherbee Resources and has worked for Weatherbee Resources since 2013. Colleen has served as an RN Case Manager, Supervisor for a Continuous Home Care team, Clinical Educator, and Compliance Officer. Her clinical, regulatory, and leadership expertise allows her to deliver uncompromising consulting services.
As a Senior Consultant & Project Specialist with Weatherbee Resources, Colleen conducts clinical record audits for hospice organizations facing Additional Development Requests, writes independent expert cover letters to support technical and clinical eligibility for hospice care, and provides assistance and guidance throughout the appeals process. Colleen conducts comprehensive baseline assessment audits and mock surveys to assess regulatory compliance and identify potential risk exposures, and devises action plans to address problem areas. She also conducts education for hospice organizations across the country. Colleen also has experience and expertise in conducting investigations for hospices facing payment-related scrutiny by governmental agencies. Colleen is a registered nurse and holds a bachelor’s degree from Northwestern University.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Hospice, Palliative Care.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.