Hospice Care Quality & Compliance Checklist [FREE PDF]
Hospice administrators and quality coordinators use this checklist per CMS Hospice Conditions of Participation 42 CFR 418 requirements for patient care, IDG planning, and bereavement services.
- Industry: Healthcare / Hospice
- Frequency: Monthly
- Estimated Time: 15-20 minutes
- Role: Hospice Administrator
- Total Items: 8
- Compliance: CMS 42 CFR Part 418, State Hospice Licensure
Patient Care & Pain Management
Verify patient care delivery and symptom management.
- Are pain and symptom assessments documented at each visit with interventions?
- Is the comprehensive plan of care developed by the IDG and reviewed every 15 days?
- Are comfort measures and patient wishes documented and honored?
- Patient care notes
Compliance & Support Services
Verify compliance with hospice regulations and support services.
- Are hospice election forms complete with required beneficiary attestations?
- Is bereavement counseling offered and documented for at least 1 year after death?
- Does the volunteer program meet the 5% direct care hours requirement?
- Compliance notes
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Why Use This Hospice Care Quality & Compliance Checklist [FREE PDF]?
This hospice care quality & compliance checklist [free pdf] helps healthcare / hospice teams maintain compliance and operational excellence. Designed for hospice administrator professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: monthly.
Ensures compliance with CMS 42 CFR Part 418, State Hospice Licensure. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Hospice Care Quality & Compliance Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Patient Care & Pain Management, Compliance & Support Services. It is designed for healthcare / hospice operations and compliance.
How often should this checklist be completed?
This checklist should be completed monthly. Each completion takes approximately 15-20 minutes.
Who should use this Hospice Care Quality & Compliance Checklist [FREE PDF]?
This checklist is designed for Hospice Administrator professionals in the healthcare / hospice industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.