Care Delivery: The Compassus Way

Care Delivery the Compassus Way is based on the foundational understanding that all patients with serious illness and at the end of life have universal needs. These needs are Comfort, Safety and Autonomy, and Quality of Life

Workplace Essentials and Tools

Understand the organization

Hospice Admission & Certification Pearls

Referral > Prognosis > Eligibility > Admission >Certification

  • Initial Certification: 15 days prior to 2 days after election of hospice services
  • Recertification: 15 days prior to 2 days after new benefit period
  • Conduct face-to-face visit: within 30 days prior to new certification period (Only required prior to 3rd benefit period and any subsequent benefit periods).
  • Notice of Termination: within 5 days after patient is discharged from hospice
  • Certification of Terminal Illness

Homecare Homebase (HCHB)

  • Hospice Electronic Medical Record (EMR)
  • Patient documentation for all specialties 
  • Review and create narratives
  • Order signature & medication reconciliation
  • Documentation of face-to-face visits


HCHB F2F Guide (PDF, 180 KB)

HCHB IDT Console


  • Timely documentation (IDT notes, F2F, CTI, order signatures & timesheets)
  • Activate & utilize Compassus email, promptly respond to messages and calls
  • Timely face-to-face completion
  • Participate in quarterly medical director meeting
  • Notify DCS when taking time off and coordinate coverage
  • Death certificate completion
  • Establish and maintain accreditation Hospice Medical Director Certification
  • Medical Directors Roles and Responsibilities

General Inpatient Care (GIP)

  • Short-term hospice care for symptom control not achieved in outpatient setting (intractable pain, terminal agitation, IV drip)
  • Daily documentation supporting need for inpatient care
  • Develop disposition plan in advance of symptom control
  • GIP is not substitute or bridge to nursing home placement
  • GIP Toolkit (PDF, 4.1 MB)
  • GIP Presentation

Interdisciplinary Team Meeting (IDT)

Pain assessment & opioid  stewardship

CME, Meetings & Resources

Care delivery pathways

Our Care Delivery Mobile App @

The Care Delivery web app presents the methodology, reference, tools, and resources to ensure patients receive care and training to be successful in the home.