HDR Final Quiz

Reporting of hospice deficiencies or complaints can be made to:

State Agencies
Regulatory Agencies
Accrediting Agencies
Any of the above

The principles of the hospice Conditions of Participation include all of the following EXCEPT:

Center care around patient assessment, care planning, and service delivery.
Use a nurse-centric approach that identifies the nurse as the decision-maker.
Develop and use an outcome-oriented quality and performance improvement program.
Ensure patient rights throughout the process.

True or False? condition-level deficiency means that the hospice has caused, or has the potential to cause impairment, injury, harm, or death to a hospice patient.

True.
False.

Examples of possible triggers for a condition-level deficiency include: (Select all that apply)

Failure to follow written plan of care.
Reported abuse.
Medication that did not produce the desired result.
Actions taken outside a provider’s scope of practice.

The OIG report on deficiencies in hospice found that there was at least one identified deficiency in:

25% of hospices
40% of hospices
55% of hospices
80% of hospices

The OIG Report identified the top 3 deficiencies as: (Select the three top deficiencies)

Infection control
Care planning
Hospice Aide Services
Patient Assessments

If the hospice is cited for a care planning deficiency, this is usually due to any of the following EXCEPT:

The plan of care did not work for the patient.
The providers did not provide the services in the care plan.
The care plan was not individualized.
The care plan was not updated when the patient’s condition changed.

If the hospice is cited for a hospice aide services deficiency, this is usually due to: (Select all that apply)

Failure to supervise aides.
Failure to provide patient-specific instruction to aides for patient care.
Failure to provide appropriate training to provide safe care.
Failure of aides to conduct a formal assessment.

If the hospice is cited for a patient assessments deficiency, this may be due to all of the following EXCEPT:

Failure to assess symptoms.
Failure of medication to produce the desired effect.
Failure to recognize changes in the patient’s condition.
Failure to update the initial assessment.

The Plan of Correction must include: (Select all that apply)

The deficiency being addressed.
The corrective actions that will be implemented.
How the changes will be monitored.
Target dates for completion of each corrective action.

HDR Final Quiz

Shae

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