Crossroads

Hospice Medical Director

Job Title/Position: Hospice Medical Director

Reports To: CEO/Executive Director/Administrator or Chief Clinical Officer (CCO)

JOB DESCRIPTION SUMMARY

The hospice Medical Director will have overall responsibility for the medical component of the

hospice program.

The hospice Medical Director will provide oversight of physician services by complementing

attending physician care, acting as a medical resource to the interdisciplinary group, assuring

continuity of hospice medical services, and assuring appropriate measures to control patient

symptoms. The Medical director will serve as a hospice champion – promoting and

representing the program to physicians, physician groups, discharge planners, other referral

sources, community health organizations, and potential donors, as appropriate.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

The duties and responsibilities of the Medical Director will include, but not be limited to, the

following:

1. Devoting his/her best ability to the proper management of the program

2. Providing overall medical direction to the program

3. Assuring that the established policies, bylaws, rules, and regulations of the organization are

followed in the program

4. Adhering to requirements, terms, and conditions required by Medicare Conditions of

Participation, accrediting body, and federal and state statutes governing the provision of

services

5. Establishing and continually reviewing policies and procedures related to patient care,

medical education, and emergency procedures

6. Developing and continually reviewing, in cooperation with the CEO/Executive

Director/Administrator and/or Chief Clinical Officer/Clinical Director, criteria to monitor the

quality of the education programs provided to physicians, personnel, and volunteers

7. Evaluating quality assessment performance improvement (QAPI) plans and monitoring to

identify medical education needs in cooperation with the CEO/Executive

Director/Administrator and/or Chief Clinical Officer/Clinical Director. Participates in QAPI

teams and activities, as needed

8. Proposing organizational programs to address the needs identified (with the assistance and

input of consultants of the specialties where medical education needs were identified)

9. Working with the CEO/Executive Director/Administrator and/or CCO/Clinical Director, after

implementation of the programs, to determine the impact of said programs on the quality of

care

10. Serving as a hospice champion in the community

11. Acting as a liaison to community physicians by providing consultation and education to

colleagues and attending physicians related to admission criteria for hospice and palliative

care

12. Acting as medical liaison with other physicians at Los Robles Healthcare

13. Providing training regarding the medical aspects of caring for terminally ill patients to

physicians, personnel, and volunteers

14. Reviewing patients’ medical eligibility for hospice services, in accordance with hospice

program policies and procedures, and establishing the plan of care in conjunctions with

attending physician and interdisciplinary group prior to providing care written certification of

terminal illness

15. Reviewing the clinical record and/or perform a medical examination to confirm the

appropriateness of services

16. Reviewing necessary data from the referral source in order to validate the diagnosis and

life-limiting prognosis established by the attending physician

17. Reviewing the clinical record and/or performing a medical examination to confirm the

appropriateness of services

18. Providing written certification of the terminal illness for all subsequent benefit periods

19. Performing face-to-face encounters within thirty (30) days of the third and subsequent

hospice benefit certification periods and attest to the encounter. (NP may complete the

encounter and report findings to the hospice physician.)

20. Consulting with attending physicians regarding pain and symptoms management for

hospice patients

21. Managing oversight of the patient’s medications and treatments

22. Acting as medical resource to the hospice interdisciplinary group

23. Attending interdisciplinary group meetings and working in a team approach with the group

24. In conjunction with the attending physician and interdisciplinary group, reviewing and

updating the plan of care at least every 15 days, or more frequently as needed.

25. Assisting in the development and implementation of the plan of care that is coordinated with

the attending physician

26. Documenting care provided in the patient’s clinical record, providing evidence of

progression of the end-stage disease process

27. Acting as primary physician for patients whose referring/attending physicians desire to

relinquish that care and/or if the referring/attending physicians are not available for further

contact

28. Insuring the availability of physician services and providing a substitute in the absence of

the attending physician

29. Maintaining current knowledge of the latest research and trends in hospice care and

pain/symptom management

30. Reviewing and developing protocols for treatment, and proposing the most current options

for interventions

31. Demonstrating knowledge in communications, and counseling patients and

family/caregivers dealing with end-of-life issues

32. Participating in resolution of interpersonal conflict and issues of clinical and ethical concern

33. Ensuring that competent physician services are routinely available on a 24-hour basis to

meet the general medical needs of the hospice patient to the extent the needs are not met

by the attending physician

34. Assisting with evaluation of protocols and procedures with respect to quality and cost

outcomes

The above statements are intended to be a representative summary of the major duties and

responsibilities performed by incumbents of this job. The incumbents may be requested to

perform job-related tasks other than those stated in this description.

POSITION QUALIFICATIONS

1. Licensed as a Doctor of Medicine or Osteopathy in the state without restriction or subject to

any disciplinary or corrective action.

2. Maintains controlled substances registration with state and federal authorities.

3. Have experience in hospice or palliative care and/or training in end of life care.

4. Participates in ongoing medical education activities related to the medical care of hospice

and palliative care patients.

5. Not excluded from participating in the Medicare program