Hospice of the Chesapeake Admissions Packet

John & Cathy Belcher Campus 90 Ritchie Highway Pasadena, MD 21122 1-877-462-1101 Fax 443-837-1515

ETHICS COMMITTEE Mission Statement

The mission of the Ethics Committee is to:

consider matters of an essentially ethical nature involving patient care and/or Hospice policy or practice which are raised by a patient, family member, Hospice staff member or any person significantly involved with the care or support or welfare of a patient.

and, after confidential deliberation, to present its findings and when applicable make recommendations to the person or persons raising and/or presenting the matter or other appropriate persons.

If you would like the Ethics Committee to review an ethical matter, please notify your nurse or social worker by calling Hospice of the Chesapeake, 1-877-462-1101.

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Hospice of the Chesapeake Admissions Packet

Articles inside

Wash Your Hands Flyer

Medication Management Policy

Healthcare Decision Making Worksheet and MOLST

Discrimination is Against the Law Notice Flyer

Election of Hospice Benefit

HIPAA Notice of Privacy Practices

Basic Home Safety Standards

Patient Notification of Hospice Non-Covered Items, Services and Drugs

HIPAA Notice of Privacy Practices Acknowledgement Form

Admissions Checklist and Consent Form

Ethics Committee Mission Statement

Covered Services and Services which Require Pre-Authorization

Spiritual Care

Patient and Hospice Agreement

Your Interdisciplinary Team Detailed Description

Interdisciplinary Team, Care Coordinator, Withdrawal from Hospice

Purpose of Hospice, Choice of Care, Levels of Care

Volunteers and Guidelines for Medication Administration

Patient and Family Rights and Responsibilities