Hospice Quality Certificate Program

• • • 12 pre-recorded modules, a 45-question Post Test and an Evaluation make up this program
    • Approximately 14 hours of educational content
    • 14 total CE/CME or CPHQ credits upon completion of the entire program
    • Ability to start and stop as needed for up to six months
    • After six months, your login will be disconnected

1. 1. 1. Introduction to Hospice Compliance and the Compliance/Quality Connection
         This module provides an overview of the current Medicare compliance climate, the implications for hospice providers, and the connection between compliance and quality.
      2. Medicare Hospice Regulations – Conditions of Participation (3 parts)
         This 3 part module covers the following CoPs: Subpart B: Eligibility, Election and Duration of Benefits; Subpart C: Patient Care; and Subpart D: Organizational Environment.
      3. Medicare Hospice Conditions of Payment – Subpart F: Covered Services
         This module addresses the Medicare payment requirements to receive reimbursement for hospice services.
      4. Survey Process and Plans of Correction
         This module covers condition vs standard, plan of correction, disputes in plan of correction, and survey readiness.
      5. Billing for the Compliance Professional
         This module provides you with a knowledge of modifiers, what to look for on claims for compliance, and how to share information on changes with billers.
      6. HIPAA Compliance
         This module offers the basics of privacy and security; identifies risks through a gap analysis, and provides case examples from the Office of Civil Rights.
      7. Role of the Healthcare Board of Directors
         This module discusses the expectations for board oversight, board evaluation of the Compliance Program, and who and what should be reported to the board.
      8. Hospice Quality and Compliance
         This module focuses on the connection between quality, compliance and financial health of organization and provides direction on how to align your organizational culture to support quality.
      9. Measurement, Reporting, and Process (7 parts)
         This 7 part module covers an array of topics, issues, and strategies for your quality measurement, reporting, and processes.
      10. CMS Hospice Quality Reporting Program and Public Reporting
          This module provides an overview of the CMS Hospice Quality Reporting Program and Hospice Compare to help you use data to improve the quality of care.
      11. Compliance and Quality Integration (2 parts)
          This 2 part module discusses annual reviews and dashboards, emergency preparedness, survey readiness and response, and hospice care in specialty environments (i.e. facilities).
      12. Education & Competency Programs in Hospice
          This module will provide strategies for improving your annual needs assessments, education plans, orientations, and staff competencies.

• • • Discuss compliance and federal regulations as the foundation of a quality hospice program
    • Examine the federal hospice regulations as the framework for care within the Medicare Hospice Benefit
    • Identify the relationship between compliance, ethics, and hospice quality outcomes
    • Examine the requirements and considerations for a high functioning QAPI program
    • Review strategies for self-assessment, performance improvement, and quality outcomes monitoring
    • Discuss the HQR program and strategies for performance improvement

Important Message: This program is designed to provide timely information about the subject matter covered. Some of this information may be based on one or more of the federal blanket waivers and other flexibilities issued by CMS for hospices and other health care providers to use during the COVID-19 emergency.  As with most topics related to COVID-19, this is an evolving area, and providers are encouraged to regularly check CMS’s website for up-to-date information on such waivers and flexibilities that may be available to you during the coronavirus pandemic.

• • • Jean Acevedo, LHRM, CPC, CHC, CENTC, AAPC Fellow, Acevedo Consulting
    • Ann Marie Akerman, BSN, MBA, RN, Hospice & Community Care
    • Tarie Kendall, Blessing Hospice & Palliative Care
    • Jennifer Kennedy, EdD, MA, BSN, RN, CHC, NHPCO
    • Natalie McNeal, MBA, MHA, Wellstar Community Hospice
    • Judi Lund Person, MPH, CHC, NHPCO
    • Meg Pekarske, JD, Husch Blackwell LLP
    • Sylvia L. Singleton, RN, CHC, Caris Healthcare
    • Kim Skehan, RN, MSN, HCS-D, Simione Healthcare Consultants
    • Eugenia Smither, RN, CHC, CHE, CHP, Bluegrass Care Navigators
    • Jennifer Vennare, MSN, BSN, RN, UPMC Family Hospice and Palliative Care

• • • Carrie Hoover, NHPCO
    • Jennifer Kennedy, EdD, MA, BSN, RN, CHC, NHPCO
    • Judi Lund Person, MPH, CHC, NHPCO

Disclosure: NHPCO, faculty, and planners have no relevant financial relationships with commercial interests to disclose.

Release Date: January 1, 2021
Expiration Date: December 31, 2023

CE/CME Credit

This course offers CE/CME credit for Nurses, Physicians, and a certificate of participation for Non-Physician Healthcare Professionals.

To receive CE/CME credit, each participant must complete each module in sequence; partial CE/CME credit is not available. Each participant must watch all module videos, review the references and resources provided, explore the discussion forums, score a minimum of 70% on the post-test (two attempts), evaluate the overall course, and request CE/CME before the expiration of their registration.

• CE/CME Statements

  Nurse: NHPCO is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

  NHPCO designates this enduring material for a maximum of 14 contact hours. Nurses should only claim the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education activities and does not imply endorsement of any commercial product displayed in conjunction with this activity.

  Physician: NHPCO is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

  NHPCO designates this enduring material for a maximum of 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: For participants* whose disciplines are other than nurse and physician, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the sessions attended that were certified for physician credit (AMA PRA Category 1 Credit(s) TM). It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including bereavement professionals, counselors, compliance officers, physician assistants, social workers, spiritual care givers, etc