by Rashani Rea & Kathy Douglas
Those who companion suffering daily, such as hospice nurses and volunteers, will surely appreciate this beautiful work. With 62 original art collages by Rashani Réa, five beautiful chapters by Kathy Douglas, and a foreword by Jean Watson, this exquisite book is a peaceful refuge for contemplation, inquiry, reflection and inspiration for those who traverse the joys and sorrows of nursing.
Kathy Douglas, RN, MPH-HA is a nationally recognized nurse leader, filmmaker and entrepreneur.
Rashani Réa is a prolific artist and musician, a creatrice of sanctuaries and a respected spiritual mentor.
“This is a beloved book and beyond a book. It is an evocative, poetic, ecstatic, and inspirited sacred, experiential calling. A calling to you--YES, YOU.”
— Jean Watson, PhD, RN, AHN-BC, FAAN, Living Legend (AAN)
“Those who companion suffering daily need to turn inward to metabolize what they have witnessed. This exquisite book, filled with beautiful images and poetic wise words, is the inspiration and support needed to grow a wise heart.”
— Frank Ostaseski, founder and director of the Metta Institute and author of The Five Invitations: Discovering What Death Can Teach Us About Living Fully
“In this unique time of the COVID-19 pandemic, this book should be considered a tribute to the tremendous courage being displayed by nurses around the world. There is much wisdom conveyed throughout by those who have been there serving others with such grace.”
— Greg Schneider President, HVA, co-author of The Changing Face of Hospice Volunteering in Hospice and Palliative Care
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Replies
Some additional information on the QAPI program can be found in the Regulatory - Medicare Group. While the basic focus is on improving patient care, the extent of the data tracking requirements generally reflects the nature of the specific hospice organization. One of the key points in the CoPs is that the rule (i.e. Federal Register / Vol. 73, No. 109 / Thursday, June 5, 2008 / Rules and Regulations) does not require hospices to use any specific patient outcome measures or data elements. Therefore the data collected will be dependent upon the nature of the organization and the way it implements its specific plan of care.
The key focus of the QAPI is:
"...hospices are required to identify patient outcome measures that they will apply to all patients. These measures should help the hospice identify areas of strength and weakness in patient and family care delivery. Once the measures are identified, hospices must choose which data elements they will collect in order to measure their performance."
What I would suggest is getting more familiar with the specific outcome measures your hospice has identified and the corresponding data collection requirements. Based upon that, identify related items you might that you might track in your volunteer programs. For example, beyond just the % of volunteer hours would be to measure the number of hours being provided against the Plan of Care for each patient. Other options might be whether alternative services that can be provided by volunteers are useful such as a music therapy program. How a patient and/or family perceives the value of these services is also very important.
Hope that is helpful.