This session is being recorded and will be made available on the NHPCO ECHO webpage

If you are not presenting or asking a live question please be sure your phones and computers are muted.

Can we get a copy of the Audit Tool - UR Review

Thanks Carol - we post the recoding of the session and the slides on our Project ECHO website within 2 weeks of the session date https://www.nhpco.org/regulatory-and-quality/quality/project-echo/project-echo-session-recordings/

Please add your questions or comments to the chat at any time.

Do you ever transition a live discharge patient to your palliative care program for continued follow up. Like you are saying these patients are debilitated and have a terminal diagnosis. I have found that heart failure and Alzheimer's disease are specifically 2 diagnosis that are readmitted to hospice within a year or unfortunately die without hospice within a year.

Thank you for that wonderful presentation!

Wow! This was so helpful and timely an issue. Thanks so much!

Thank you so much for sharing. Did you find in your follow up calls that any/many patients died after discharging?

Great presentation and ideas to tackle this issue. Love that you made it a team effort

LOVED the info in the slides, the description of your processes, thanks so much for sharing

Great presentation

Any tips or resources you used for educating/training clinicians about documenting to the decline

Thank you. Excellent and timely presentation.

any hesitancy from staff to discharge their longer length of staff patients. im thinking about the relationships established

What year is the publication date in the Hospice Quickflips book?

Can you talk about the importance of all disciplines documenting to decline, including social worker and chaplains

Was an audit a trigger for starting this process?

Judy-do you like Wellsky, is it easy to use?

Excellent presentation! Thank you!

Do you or did you have any concerns about going too far with the project? Too many early discharges alive with patients who die within 6-12 months of discharge? And how would you know if you've overshot your goal?

Great information, thank you so much for all the details you provided.

Kudos to your Project. Very thorough process, compassionate.

Thank you for the information. We are just starting this audit process and I found your information and findings very helpful. Great Job!

Thank you for sharing your process with all of us. Very helpful and practical.

With your documentation, did you instruct your staff to do more narrative and less check boxes?

Thank you so much for sharing this information. Your presentation of your process and evaluation of your results is truly fantastic. Well done!

We look forward to receiving your feedback via the post call evaluation that will be sent in the upcoming days via email