The Critical Role of Documentation
In hospice care, if it wasn't documented, it didn't happen. Proper documentation ensures continuity of care and protects your organization during surveys.
Comprehensive Assessment Documentation
Initial and ongoing assessments must be thorough and timely. Document physical, psychosocial, spiritual, and functional status.
Plan of Care Requirements
The plan of care must reflect the comprehensive assessment, include measurable goals, and be updated whenever patient needs change.