Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
NAHC Report: Issue# 2516, 9/26/2014
Follow us on:     
A Clarification in New Change in Attending Physician Rules Releases its 2014 Jobs Outlook
For Your Information: TMF Health Quality Institute Hosts Review of Hospice PEPPER on Thursday, October 2 at 1:00pm CST
NAHC/Home Care & Hospice Events
Job Corner
Email Center

Manage Your Account Contact the Editor Ensure Delivery Advertise in NAHC Report

A Clarification in New Change in Attending Physician Rules

As previously reported, on October 1, 2014, hospices must begin including attending physician information on the hospice election statement and patients must file a written request for a change in attending physician with the hospice.  There have been some questions about what constitutes a change in attending physician.  While CMS has not defined this specifically, it does state in the comments to the FY2015 final rule that a patient’s move to inpatient care does not necessitate a change in attending physician. 

Specifically, CMS wrote:

“A hospice patient is not required to change his or her attending physician in order to receive inpatient care, regardless of the setting. If the attending physician does not have privileges at the hospital(s) the hospice contracts with for inpatient care, or does not wish to care for the patient in an inpatient setting, then according to our CoPs at § 418.64(a)(3), the hospice physician or NP [nurse practitioner] must provide any needed physician’s services. The patient does not need to designate the hospice physician or NP as his or her attending physician for this to occur.” 

:: Read Full Article Releases its 2014 Jobs Outlook
Elaine Stephens, RN, MPH, FHHC, NAHC’s Executive Vice President, quoted on nurses’ changing role in community health, an online website for professional nurses, recently published it 2014 jobs outlook for the profession. NAHC’s Executive Vice President, Elaine Stephens, RN, MPH, FHHC, was quoted in the report discussing the changing role nurses play in the home and in community-based settings.

According to the report:

“Because they required so much autonomy, community settings were once seen as the sole province of experienced nurses. New graduates, the view held, would not have the confidence to take care of patients in their homes or supervise others in a long-term care setting. In long-term care, “we used to tell [new graduates], ‘Go to the hospital and work a year and then you can come back,’” Lori Gutierrez, BS, RN-C, DON-CLTC, CBN, a clinical development specialist with Chamberlain College of Nursing in Arizona and clinical educator with the American Association for Long Term Care Nursing, said. Now, she said, some hospitals are suggesting new grads get nursing experience somewhere else first. “It’s funny how the tables have turned.”

Healthcare reforms designed to keep patients out of the hospital are expected to create more growth in community healthcare settings. Home health is predicted to be the fastest growing segment of nurse employment, according to the Bureau of Labor Statistics, increasing 55% between 2010 and 2020.”

:: Read Full Article

TMF Health Quality Institute Hosts Review of Hospice PEPPER on Thursday, October 2 at 1:00pm CST
HAA encourages hospices to participate

The TMF Health Quality Institute has scheduled a webinar for Thursday, October 2, 2014, during which a review of the Hospice PEPPER (Program for Evaluating Payment Patterns Electronic Report) will be provided.

Specifically, the session will focus on:

  1. Updates for the new Hospice PEPPER (version Q4FY13), summarizing statistics for federal fiscal years 2011, 2012 and 2013
  2. The NEW method for accessing the Hospice PEPPER via the Secure PEPPER Access portal on

It is not necessary to pre-register for this event. Simply click on the link approximately 10 minutes prior to the scheduled start time to ensure participation.

Date and Time: Thursday, October 2, 2014 1:00pm CST.

Event address for attendees:
Event number: 920 733 053
Event password: autumn

Handout: A handout will be available the day before the session on the Hospice Training and Resources page of The session will be recorded; the recording will be posted on the Hospice Training and Resources section of at a future date.

You are encouraged to listen to the audio portion of the webinar through the online broadcast platform using your computer speakers. Although this program is being brought to you at no charge, if you prefer to listen to the session via telephone, the cost of the connection will be your responsibility and will depend on the telephone services/plan that you have. To listen by phone, use the following number and access code:

Teleconference number: 1-415-655-0003. This number will be active 15 minutes prior to the start of the session.
Access code: 920 733 053

Registered Nurses and Hospice Staff

Renown Health, based in Reno, Nevada, is looking for experienced, supportive Registered Nurses and hospice staff.

In keeping with our commitment to providing compassionate and continuum care at every stage of life, we are opening Renown’s first-ever hospice program and we're looking for experienced RNs and hospice staff with at least two years of prior hospice experience.

Renown Health is northern Nevada’s largest integrated health network and a nationally recognized healthcare leader. Based in Reno, Renown serves a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. The Reno-Tahoe region holds a range of lifestyle options that spans from downtown Reno to the shores of Lake Tahoe. With over 300 days of sunshine annually, it’s easy to understand why so many people choose to explore the natural beauty of our region. Experience as much or as little as you want as you thrive in our small-town feel and friendliness and all the financial benefits that come from a state with no state income tax.

Learn more at: or contact Anne Larson, Recruiter, at 775-982-6306. EEO/M/F/V/D


©  National Association for Home Care & Hospice. All Rights Reserved.