The following in an excerpt of The Hospice Guide to Quality Care and Reporting: Promoting Sustainability in an Evolving Regulatory Climate by Diane Link, RN, MHA. Click here for more information.
From a regulatory standpoint, any hospice staff member, including volunteers, contractors, and affiliates (e.g., staff from the quality division of the health system to which a hospice belongs), may complete the HIS.
Because the onus is on the hospice to submit accurate, complete, and timely HIS records, leaders must act strategically when designating staff to contribute to the process. Each person who completes a portion of a HIS—no matter how small—must note and sign off on their contributions in the final section of the record.
Uncommon care circumstances may (or may not) affect the typical trajectory of HIS activities. The following sections outline some of these cases.
A patient transfers between hospice providers with identical CCNs HIS reporting requirements are tied to CCNs. When a transfer occurs between two hospice providers that have different CCNs, standard HIS rules apply: The transferring hospice completes the HIS-Discharge record, and the receiving hospice initiates the HIS-Admission record.
However, if the transfer occurs between two hospices that have the same CCN, the initial hospice does not need to complete the HIS-Discharge upon transfer, and the receiving hospice does not need to complete a new HIS-Admission. The latter provider completes the HIS-Discharge when the patient is discharged from hospice services. These rules apply when a hospice organization has several locations operating under a single CCN. In this case, the HIS data from each location is rolled up into one submission file.