Hospice Consents: Do You Know What You Are Signing For?

Hospice consents typically include several key documents that ensure the patient and their representative understand the nature of hospice care, their rights, and the services provided. The process may seem daunting, but it does not have to be. I have simplified everything here. Here’s a summary of the main components:

1. Consent for Hospice Services

• Confirms that the patient and/or their representative agree to receive hospice care.

• Acknowledges that the care is palliative (focused on comfort) rather than curative.

• Explains that hospice care is interdisciplinary, involving nurses, aides, social workers, chaplains, and volunteers.

2. Election of Hospice Benefit

• Required for patients with Medicare, Medicaid, or private insurance.

• States that by electing hospice, the patient understands they are forgoing curative treatments related to their terminal illness.

• Specifies that the patient can revoke hospice at any time and return to curative treatment if they wish.

3. Patient Rights & Responsibilities

• Details the patient’s rights, including receiving quality care, privacy, respect, and the ability to voice concerns or complaints.

• Outlines responsibilities, such as following the hospice care plan and informing hospice if seeking emergency treatment or hospitalization.

4. Advance Directives & DNR (Do Not Resuscitate) Orders

• Ensures the patient’s wishes regarding life-sustaining treatments are documented.

• If applicable, includes a POLST (Physician Orders for Life-Sustaining Treatment) or a separate DNR form.

5. Notice of Privacy Practices (HIPAA)

• Informs the patient how their health information will be used and shared.

• Explains their right to access and control their medical records.

6. Financial Responsibility & Insurance Agreement

• Explains what is covered by insurance, Medicare, or Medicaid.

• Details any potential out-of-pocket costs for services not covered by hospice.

7. Medication & Treatment Consent

• Gives hospice permission to administer medications for symptom management.

• Lists common medications used in hospice and their purpose.

8. Hospice Revocation & Discharge Policy

• Describes how the patient can voluntarily revoke hospice care.

• Outlines reasons for discharge, such as condition improvement or moving out of the service area.

9. Bereavement Services Acknowledgment

• Confirms that the family will be offered bereavement support for up to 13 months after the patient’s passing.