Question 41

The current hospice should arrange transfer of services.

Arranging the transfer of services is the appropriate action for the current hospice when a family decides to switch to another hospice. This ensures continuity of care and respects the family’s wishes while adhering to regulatory practices.

A) ask the family to revoke the Medicare Hospice Benefit

Asking the family to revoke the Medicare Hospice Benefit would not be appropriate in this situation. The family has already made the decision to change hospices, and revoking the benefit could hinder their ability to access necessary care during the transition.

B) arrange transfer of services

This option is correct because it involves facilitating the transition to another hospice, thereby ensuring that the patient continues to receive the necessary care without interruption. It reflects a cooperative approach to the family's decision and prioritizes the patient’s needs.

C) discharge the patient for cause

Discharging the patient for cause is not warranted in this scenario, as the family’s dissatisfaction does not constitute a valid reason for discharge. Such a decision could be detrimental to the patient’s well-being and would not align with ethical standards of care.

D) revoke the Medicare Hospice Benefit

Revoking the Medicare Hospice Benefit is inappropriate as it would prevent the patient from receiving hospice services during the transition to a new provider. This action does not support the family's decision and could lead to unnecessary complications in care.

Conclusion

Arranging the transfer of services is the best choice because it respects the family's decision to change providers while ensuring that the patient continues to receive essential care. The other options fail to support the family’s needs and can lead to unnecessary disruptions in care, highlighting the importance of a responsive and patient-centered approach in hospice care.