Hospice Medical Director Resources



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Hospice Medical Director Resources

  • Hospice Medical Director Manual - http://aahpm.org/self-study/hmd-manual

  • AAHPM Hospice Medical Director Conference

  • AAHPM discussion forums - http://connect.aahpm.org/home

  • Fast Facts - https://www.capc.org/fast-facts/

  • Journal of Pain and Symptom Management and PC-FACs - http://amc-aahpm.informz.net/InformzDataService/OnlineVersion/Ind/bWFpbGluZ0luc3RhbmNlSWQ9MzI4ODA1NiZzdWJzY3JpYmVySWQ9ODE5MzA5ODk4

  • Conditions of Participation - https://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/Hospice.html

  • NHPCO Standards of Hospice Practice - http://virtualex.nhpco.org/artefact/file/download.php?file=555&view=42

  • Risk Evaluation and Mitigation Strategy (REMS) for Extended-Release and Long-Acting Opioids - http://aahpm.org/self-study/rems

An Abbreviated History of Hospice and Palliative Medicine in America

1978: National Hospice Organization Formed, later evolves into the National Hospice and Palliative Care Organization (NHPCO)

1982: Congress includes a provision to create a Medicare hospice benefit in the Tax Equity and Fiscal Responsibility Act of 1982, with a 1986 sunset provision.

1984: JCAHO initiates hospice accreditation.

1986: The Medicare Hospice Benefit is made permanent by Congress and hospices are given a 10% increase in reimbursement rates. States are given the option of including hospice in their Medicaid programs. Hospice care is now available to terminally ill nursing home residents.

1998: American Academy of Hospice and Palliative Medicine (AAHPM) Founded

1998: Institute of Medicine releases report – Approaching Death: Improving Care at the End of Life

1998: Care Beyond Cure: Physician Education in End-of-Life Care is released by the Annenberg Center for Health Sciences and the National Hospice Foundation.

2000: The Duke Institute on Care at the End of Life is established.

2006: The American Board of Medical Specialties (ABMS) recognizes hospice and palliative medicine as a medical specialty.

2007: The National Quality Forum releases A National Framework for Palliative and Hospice Care Quality Measurement and Reporting.

2008: ABMS and AOA board certification initiated

2008:the Medical Director Education Committee of the AAHPM, with support from the NHPCO, launched a multiphase research project to validate the need for and interest in a certification program for physicians practicing in hospice (medical directors or staff physicians) intending to become hospice medical directors.

2009: The Accreditation Council for Graduate Medical Education adds hospice and palliative medicine to its list of accredited programs.

2011: AAHPM's Medical Director Education Committee recommended establishment of a separate 501(c)6 certification organization to develop and oversee a certification to meet the needs of physicians providing hospice care.

2012: an organizing board of directors for the Hospice Medical Director Certification Board® (HMDCB) was appointed and began work on incorporation and development of the certification program.

2013: program development including an initial practice analysis study leading to Blueprint of Essential HMD Work Practices

2014: last opportunity for physicians to take the ABMS Board for Hospice and Palliative Medicine without completing a ACGME certified fellowship program

2014: Institute of Medicine (IOM) releases the report Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life

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