COMPLIANCE

Stay Survey-Ready With SmartChart

“The software is geared more towards hospice than any other software I have reviewed. It is simple to use and very reliable when it comes to Federal and State Regulations”

mumms Software has been in hospice for over 30 years. This means the team has seen and adapted to many compliance changes over the years. mumms' team of experts are ready to help you meet any new or existing compliance requirement and stay survey-ready.

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Hospice Compliance Built In

CAHPS

SmartChart has a generic file report built-in at no additional cost to clients. mumms can interface with any approved CAHPS vendor to customize the report specific to that vendor.

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HIS

mumms automatically tags HIS data and pulls an easy-to-upload report allowing hospices to stay in compliance with HIS regulations.

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Scheduler CPF (Care Plan Frequency)

SmartChart's Scheduler is tied to the care plan, so your visits will always match the plan of care.

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Patient Scores

Did you know “patient not appropriate for hospice” was the second most common Medicare denial in Q1 2020? With patient scores added to the patient narrative and charts to show patient decline, mumms is making it easy to track patient goals over time.

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Surveyors Love SmartChart!

With over 30 years of experience in hospice and palliative care, mumms has worked with clients through countless survey processes. Here are some of the ways we make surveys easy on hospice administrators and the surveyor!

  1. Surveyor Specific Login – Easily add surveyors to only the specific charts they need to see.
  2. Surveyor Reports – Pre-built surveyor specific reports based on feedback from hospices and compliance officials.
  3. Support Team on Standby – mumms Support is at the ready to help with any surveyor or hospice request

Avoid Medicare’s Top 10 Deficiencies with Built-In Compliance

Deficiency #1: Plan of Care

All hospice care and services furnished to patients and their families must follow an individualized, written plan of care established by the hospice interdisciplinary group in collaboration with the attending physician (if any), the patient or representative, and the primary caregiver in accordance with the patient’s needs if any of them so desire.

Care Plans can be easily individualized. The interdisciplinary team can develop a patient and family plan of care that is individualized and based on the patient’s needs as part of their initial comprehensive assessment. The care plan is easily updated in collaboration with the patient, their primary caregiver, and the entire team.

Deficiency #2: Drug Profile

A review of all of the patient's prescription and over-the-counter drugs, herbal remedies and other alternative treatments that could affect drug therapy. This includes, but is not limited to, identification of the following: (i) Effectiveness of drug therapy (ii) Drug side effects (iii) Actual or potential drug interactions (iv) Duplicate drug therapy Drug therapy currently associated with laboratory monitoring.

Drug profile review made simple: The Surescript and Dr. First certified drug database checks all new medications entered for interactions, contraindications and duplications when they are prescribed to the patient. Nurses can save valuable time on admissions by accessing the patient’s medication history and adding appropriate medications to the profile with just a click. Providers can sign prescriptions using e-prescribe right within the program.

Deficiency #3: Supervision of Hospice Aides

A registered nurse must make an on-site visit to the patient’s home: No less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient’s needs. The hospice aide does not have to be present during this visit.

The RN routine visits have hospice aides’ supervisory visits available on every visit because we know you are checking aide compliance and patient satisfaction every time. The aide assignment and visit record keep the aide in compliance by only allowing them to see and document what has been assigned by the RN.

Deficiency #4: Content of the plan of care: The hospice must develop an individualized written plan of care for each patient

The plan of care must reflect patient and family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions.

Care Plans are built for individualization. The program allows you to use patient-stated goals whenever possible to really individualize your care plans and make them measurable. The Plan of Care updates and makes changes apparent with each IDG.

Deficiency #5: Content Plan of Care: A detailed statement of the scope and frequency of services necessary to meet specific patient and family needs.

The plan of care may include a range of visits and PRN orders for visit frequencies to ensure the most appropriate level of service is provided to the patient. A range of visits is acceptable as long as it continues to meet the identified needs of the patient/family. Visit ranges with small intervals are acceptable (i.e., 1‐3 visits/week; 2‐4 visits/week) but ranges that include “0” as a frequency are not allowed. The IDG may exceed the number of visits in the range to address patient/family’s needs. There should be documentation in the record to support the need for the extra visit(s). If the patient requires frequent use of PRN visits, the plan of care should be updated to include the need for additional visits. Standing orders or routine orders must be individualized to address the specific patient’s needs and signed by the patient’s physician. The IDG should be proactive in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis.

Visit Schedule Care Plans allows for PRN visits to be quantified and qualified to meet the needs of the patient. Updates can be easily accompanied by a note to reflect patient needs/status changes.

Deficiency #6: Standard: Prevention The hospice must follow accepted standards of practice to prevent the transmission of infections and communicable diseases, including the use of standard precautions.

Standard Precautions are based on the principle that all blood, body fluids, secretions, excretions (except sweat), non‐intact skin, and mucous membranes may contain transmissible infectious agents. Standard Precautions include a group of infection prevention practices that apply to all patients, regardless of suspected or confirmed infection status, in any setting in which healthcare is delivered. These include: hand hygiene; use of gloves, gown, mask, eye protection, or face shield, depending on the anticipated exposure; and safe injection practices. Any deficiency cited as a violation of accepted standards of practice must have a copy of the applicable standard of practice provided to the hospice along with the statement of deficiencies. A hospice may also be surveyed for compliance with State practice acts for each relevant discipline. Any deficiency cited as a violation of a State practice act must reference the applicable section of the State practice act allegedly violated, and a copy of that section of the act must be provided to the hospice along with the statement of deficiencies.

The program makes it easy to incorporate standard precautions in your plan of care and document educational materials provided to your patients.

Deficiency #7: Level of activity. L-Tag: L647

Volunteers must provide day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equals 5% of the total patient care hours of all paid hospice employees and contract staff. The hospice must maintain records on the use of volunteers for patient care and administrative services, including the type of services and time worked.

The program makes documentation simple, even for volunteers. Reports geared to track volunteer activities, whether they are patient care or admin, make keeping up with volunteer hours quick and easy.

Deficiency #8: Bereavement

An initial bereavement assessment of the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment must be incorporated into the plan of care and considered in the bereavement plan of care.

The program has robust bereavement tracking and documentation, providing automation to save your Bereavement Coordinator hundreds of hours. Caregivers automatically turn bereaved upon losing a their loved one. Bereaved can be put into different risk levels, and letters, phone calls, and visits can be automatically scheduled. Letters can also be very customized to each bereaved.

Deficiency #9: Timeframe for Completion of the Comprehensive Assessment

The program's interdisciplinary approach allows for every discipline to contribute to the comprehensive assessment. Tracking of documentation of each discipline improves compliance on your IDG notes and Sfax allows you to share documents quickly and easily with outside physicians.

The program's interdisciplinary approach allows for every discipline to contribute to the comprehensive assessment. Tracking of documentation of each discipline improves compliance on your IDG notes and Sfax allows you to share documents quickly and easily with outside physicians.

Deficiency #10: Coordination of Services Ensure that the care and services are provided in accordance with the plan of care.

ALL disciplines can document, making it easier to ensure coordination of care and services are provided in accordance with the plan of care. Nurses, Social Workers, Chaplains, Bereavement Coordinators, Aides, Volunteers, Medical Directors, NP, Physicians can ALL document in the same EMR.

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Reports

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Add-On Modules