Every finding on record at Hospice of Redmond

Based on interview and medical record review, it was determined the hospice failed to include individualized measurable outcomes anticipated from implementing and coordinating the plan of care for 6 of 14 patient care plans reviewed (Patients #2, #4, #6, #7, #13, and #14). --- Findings include: 1. Review of the EMR for Patients #2, #4, #6, #13, and #14 revealed a section titled "Current Care Plan Problems." The section revealed for each patient, "Care Plan Problem: Physical comfort alteration due to Disease process" followed by a goal statement of "Patient will achieve and maintain optimal physical comfort." The care plans lacked information regarding what "Optimal" meant for each patient and how achieving it would be measured for each patient. 2. Review of the EMR for Patients #4, #7 and #14 revealed a section titled "Care Plan Problems." The section revealed for each patient, a problem of "Deficit related to airway and breathing patterns" followed by a goal statement of "Patient will achieve optimal breathing patterns, airway patency, and comfort." The care plans lacked information regarding what "Optimal" meant for each patient and how achieving it would be measured for each patient. During the exit conference on 04/17/2024 at 2:30 PM the above findings were presented. The Executive Director, Patient Care Manager, Compliance Manager, and Finance Manager were informed that during medical record review, it was noted that these care plans contained the exact same goal statements and outcome statements which lacked individualization and measurable outcome components. The Compliance Manager acknowledged the findings stating, "This will be good information for chart audits."