We always have Dr write progress note for 6 months or less to live when hospice
starts.The patient always meets sig change criteria.We also don't feel that we should
trigger QI for decline when the decline is appropriate for a hospice patient. The care
plans always need to be redone esp to incorporate the hospice careplans.On one of our
recent QIS' our wgt loss was high but when we really looked into it at least half were
hospice patients and the loss was easily explained.
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