Templates
Medical
Hospice Referral Process
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Hospice Referral Process

1
Identify the need for hospice care
2
Discuss with the patient and their family about the hospice referral
3
Obtain patient's consent for the referral
4
Gather all necessary medical documents and patient information
5
Approval: Physician to review and approve patient's medical records
6
Complete the hospice referral form
7
Submit the referral form to the selected hospice agency
8
Schedule a meeting with the hospice agency for initial consultation
9
Approval: Patient and Family to approve selected hospice agency
10
Confirm the date and time for initial consultation
11
Prepare the patient and their family for the initial consultation
12
Attend the initial consultation with the patient and their family
13
Approval: Patient and Family to approve the hospice care plan
14
Formalize the hospice care agreement
15
Arrange for the commencement of hospice care services
16
Inform all relevant parties about the commencement of hospice care
17
Ensure patient's comfort and needs are met during the commencement of hospice care
18
Regularly review the effectiveness of the hospice care and make necessary adjustments
19
Approval: Physician to approve changes in the hospice care plan
20
Communicate any changes to the plan to the patient and their family