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 Hospice Patient (Patient Not Present) Requiring Complex and Multidisciplinary Care
Summary
This procedure involves a healthcare provider overseeing the care of a hospice patient without the patient being physically present. The process includes developing and revising care plans, and reviewing patient status reports and related information to ensure comprehensive and coordinated care.
Purpose
Medical Condition or Problem
- End-of-life care
- Management of chronic, terminal illnesses
- Coordination of palliative care
Goals or Expected Outcomes
- Provide holistic and regular updates to the care plan
- Ensure the patient receives coordinated, multidisciplinary care
- Optimize the quality of life for the patient
Indications
Specific Symptoms or Conditions
- Advanced stages of terminal illnesses (e.g., cancer, heart failure, COPD)
- Complex medical, emotional, and social needs
Patient Criteria
- Enrollment in hospice care
- Requirement of coordinated care from multiple disciplines
Preparation
- No specific preparation needed by the patient
- Healthcare providers may need to gather patient reports and assess previous care plans and medical records
Procedure Description
- Review the patient's current care plan.
- Assess recent reports on the patient’s condition and status.
- Collaborate with a multidisciplinary team (nurses, social workers, therapists).
- Develop or revise the care plan based on updated information.
- Documentation and communication of the revised care plan to the relevant caregivers and family members.
Tools, Equipment, or Technology Used
- Electronic Medical Records (EMR) systems
- Communication tools (phone, video conferencing)
Anesthesia or Sedation Details
- Not applicable
Duration
- Typically ranges from 30 minutes to an hour depending on the complexity of the care needs.
Setting
- Can be performed in various healthcare settings such as hospitals, clinics, or even remotely via telehealth.
Personnel
- Primary healthcare provider (e.g., physician, nurse)
- Members of the multidisciplinary team (e.g., social workers, therapists, palliative care specialists)
Risks and Complications
Common Risks
- Miscommunication among team members
- Delayed updates on patient's condition
Rare Risks
- Inadequate care planning leading to unmet patient needs
Benefits
- Enhanced, coordinated care for the patient
- Regularly updated care plans to reflect changes in the patient’s condition
- Improved quality of life for the patient
Recovery
- Not applicable as the patient is not present and it's an ongoing supervisory task
Alternatives
Other Treatment Options
- Direct supervision of patient care with the patient present
- Utilization of a primary caregiver for more hands-on, direct care coordination
Pros and Cons of Alternatives
- Direct supervision: More immediate input and adjustment; however, may not be feasible if the patient is homebound.
- Primary caregiver coordination: Can be more personalized; however, caregivers may lack comprehensive medical knowledge.
Patient Experience
- Patients may not directly sense the procedure but benefit from improved care coordination
- Family members may experience reassurance knowing that a comprehensive plan is being regularly reviewed and updated.