We are in negotiation with a hospice group. The hospice administrator wants to meet 
with our MDS coordinators, to talk about how the MDS coordinators can identify hospice 
criteria.

 The Hospice administrator also said something about the need to do a significant 
change assessment when the resident elects hospice. I know that if there is a 
deterioration in condition that is the reason for the decision to elect hospice a 
significant change assessment should be done,  but if there is no change in physical 
condition, should we be doing a significant change assessment when the resident elects 
hospice?

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