Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of relate
CPT4 code
Name of the Procedure:
Supervision of a Hospice Patient (Patient Not Present) Requiring Complex and Multidisciplinary Care Modalities
Summary
This procedure involves the careful and ongoing supervision of a hospice patient who is not physically present. Healthcare professionals regularly develop and revise care plans, review patient status reports, and ensure coordinated multidisciplinary care to manage the patient's complex needs.
Purpose
The procedure addresses the medical and psychological needs of hospice patients with complex conditions requiring a coordinated approach. The goal is to ensure comprehensive care that maximizes patient comfort, manages symptoms effectively, and improves the overall quality of life.
Indications
- Terminal illnesses with multifaceted complications
- Patients requiring intensive symptom management
- Need for coordinated multidisciplinary care
- Regular reassessment and modification of care plans
Preparation
- Healthcare providers should be familiar with the patient's medical history and current status.
- Regular communication with the hospice team and family members is essential.
- Review of recent diagnostic tests and assessments may be required.
Procedure Description
- Care Team Coordination: Involves collaboration among doctors, nurses, social workers, and other specialists.
- Regular Review of Care Plans: Development and frequent revision of patient-specific care plans.
- Status Report Review: Detailed evaluation of patient status through reports from hospice staff.
- Multidisciplinary Meetings: Regular meetings to discuss and adjust care strategies.
- Communication: Frequent updates with family members and the hospice team.
- Documentation: Proper documentation of all care plans, revisions, and status reports.
Duration
This is an ongoing process with regular (often weekly or bi-weekly) reviews and adjustments.
Setting
Typically conducted in a hospice office or healthcare provider’s office but involves coordination with the patient’s place of residence.
Personnel
- Physicians
- Nurses
- Social Workers
- Palliative Care Specialists
- Other relevant healthcare professionals
Risks and Complications
- Possible miscommunication among multidisciplinary team members
- Delays in care plan adjustments due to complex coordination
- Potential for oversight in patient status changes
Benefits
- Comprehensive and coordinated care tailored to patient needs
- Improved symptom management and patient comfort
- Enhanced quality of life for terminally ill patients
- Support for family members and caregivers
Recovery
- Continuous adaptation of care strategies based on patient status
- Ongoing support for patient and family
- Regular follow-up appointments to reassess and modify care plans
Alternatives
- Direct patient supervision involving regular home visits by healthcare professionals
- Telehealth consultations with patients and caregivers
- Standard hospice care with less frequent interdisciplinary reviews
Patient Experience
Patients typically feel reassured and well-supported, knowing their care is comprehensive and regularly reviewed. Comfort measures and symptom management are constantly optimized to improve their quality of life.