Hospice Compliance Audit

This Hospice Compliance Audit ensures thorough verification and compliance with CMS Hospice CoPs, 42 CFR 418, Joint Commission requirements. Designed for Hospice Directors, this checklist provides 27+ detailed inspection points across 6 sections. Applicable across US markets with local regulatory considerations.

Industry: Healthcare
Frequency: Monthly
Estimated Time: 30-60 minutes
Role: Hospice Director
Total Items: 32
Compliance: CMS Hospice CoPs, 42 CFR 418, Joint Commission

Pre-Audit Preparation

Initial setup, documentation review, and preparation activities.

Audit scope clearly defined?
Previous audit findings reviewed?
Required documentation available?
Relevant personnel notified and available?
Audit tools and checklists prepared?

Documentation and Records Review

Verify documentation completeness, accuracy, and compliance.

Policies and procedures current?
Required records complete and legible?
Record retention requirements met?
Training documentation current?
Licenses and certifications valid?
Change control processes followed?

Process Observation and Verification

Direct observation of operations and processes.

Staff following written procedures?
Equipment properly maintained?
Safety protocols being followed?
Environmental controls adequate?
Process controls in place and effective?

Regulatory Compliance Verification

Verify compliance with CMS Hospice CoPs, 42 CFR 418, Joint Commission requirements.

Regulatory requirements understood?
Compliance monitoring in place?
Corrective action process effective?
Regulatory updates communicated?
External audit findings addressed?

Risk Assessment and Controls

Evaluate risk management and control effectiveness.

Key risks identified and documented?
Risk controls effective?
Risk monitoring adequate?
Incidents reviewed and addressed?

Findings and Corrective Actions

Document findings, recommendations, and follow-up actions.

All findings documented?
Findings classified by severity?
Root cause analysis initiated for significant findings?
Corrective actions assigned with due dates?
Follow-up verification scheduled?
Overall Compliance Rating
Executive Summary

Related Healthcare Checklists

Related Regulatory Compliance Checklists

Why Use This Hospice Compliance Audit?

This hospice compliance audit helps healthcare teams maintain compliance and operational excellence. Designed for hospice director professionals, this checklist covers 32 critical inspection points across 6 sections. Recommended frequency: monthly.

Ensures compliance with CMS Hospice CoPs, 42 CFR 418, Joint Commission. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Hospice Compliance Audit cover?

This checklist covers 32 inspection items across 6 sections: Pre-Audit Preparation, Documentation and Records Review, Process Observation and Verification, Regulatory Compliance Verification, Risk Assessment and Controls, Findings and Corrective Actions. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed monthly. Each completion takes approximately 30-60 minutes.

Who should use this Hospice Compliance Audit?

This checklist is designed for Hospice Director professionals in the healthcare 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.