CMS SOM App. M, Tag L778

or ICF/IID resident with SNF/NF or ICF/IID representatives; and

Interpretive Guidelines §418.112(e)(1)(i)

The intent of this regulation is for the hospice IDG to designate a member responsible for

overseeing and coordinating the provision of care between the hospice and the facility.

This person may or may not be the hospice RN responsible for the coordination of

patient’s hospice care in the facility. It may also be the physician, social worker or

counselor member of the IDG. In order to facilitate the coordination and provision of

hospice care to the patient, the hospice and the facility should address how the hospice

staff access and communicate with facility staff. This includes, but is not limited to:

• Development of each provider’s portion of the plan of care to assure that the plans

are complimentary and reflect common goals and the patient’s expressed desire

for hospice care;

• Documentation in both respective entities’ clinical records or other means to

ensure continuity of communication and easy access to ongoing information;

• Role of any hospice vendor in delivering supplies or medications;

• Ordering, renewal, delivery and administration of medications; and

• Role of the attending physician, and process for obtaining and implementing

physician orders.