Every finding on record at Mainegeneral Health

Based on document reviews and interviews, it was determined that the agency failed to ensure that services, by the Home Hospice Aide, were provided in accordance to orders written by the physician and the written plan of care for for three (3) of thirteen (13) records reviewed (Patient #1, #6 and #11). --- The MaineGeneral Homecare and Hospice "Hospice Services" policy, last revised 11/2021 states in part, "To ensure Hospice services are delivered as specified in the Plan of Care (POC) which is developed with patient, family/caregivers, or representative (if any)...Hospice Aide (HHA): 1. Follows instructions for care prepared for them by the Registered Nurse...". On 2/24/2023 at approximately 10:30 AM, clinical records were reviewed with the Supervisor of the Informatics Program. This review indicated the following: Patient #1 had a plan of care that required the following: Beginning the week of 2/7/2023 through 2/11/2023, a Home Health Aide was required two (2) times; and Per the clinical record, only one (1) Home Health Aide visit was made during that week. Patient #6 had a plan of care that required the following: During the week of 1/8/2022 through 1/14/2023, a Home Health Aide was required two (2) times; and Per the clinical record, only one (1) Home Health Aide visit was made during that week. Patient #11 had a plan of care that required the following: During the week of 1/1/2023 through 1/7/2023, a Home Health Aide was required five (5) times; and Per the clinical record, only one (1) Home Health Aide visit was made during that week. On 2/24/2023 at approximately 10:30 AM, the Supervisor of the Informatics Program confirmed the above findings during the review.