Every finding on record at Osf Hospice - Eastern Region

Based on the clinical record review, policy review and Staff interviews, it was determined the Hospice lacked documentation of the required discharge summary. This was found in 1 of 2 (Pt. #18 ) ";live- discharge" records reviewed with the transfer of care to another Medicare facility. --- Findings include: 1. Pt. #18 SOC 12/22/22 Diagnosis: Dysphasia following Unspecified Cerebrovascular Disease. The clinical record was reviewed on 08/23/23 at 9:30 AM. The record for Patient # 18 included IDG documentation dated 06/14/23 with ";NOTES: Will not recertify for next benefit period due to patient stabilizing." The record lacked documentation that the required discharge summary was sent to the receiving Medicare facility. 2. The Hospice policy titled " Hospice Scope of Services" (Policy 13040121) was reviewed on 08/24/23 at 12:00 PM. The policy required "...10. Transfers, discharges and revocations are managed in a manner that provides coordination and continuity of care for patients, families and service providers ......" 3. The Hospice policy titled ";Patient Clinical Record" (Policy 12219162) was reviewed on 08/24/23 at 12:00 PM. The policy required "...l. Copies of patient summary reports sent to patients physician... m. Patient discharge/transfer summary..." 4. During the interview with the Hospice Administrator, on 08/25/23 at 8:25 AM, the above findings were confirmed.