Please answer each of the questions completely and provide additional supporting What is the agency146s current geographic service area geographic service area or is the area going to be expanded and ID: 883160
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1 Multiple Hospice Location Questionnaire
Multiple Hospice Location Questionnaire Please answer each of the questions completely and provide additional supporting What is the agency’s current geographic service area? geographic service area or is the area going to be expanded and the proposed site What geographic boundary will be served by the proposed multiple hospice location? Is it 4. What is the mileage and estimated travel time between the parent agency office and the multiple hospice location? (Please note any unusual road conditions or terrain variations) and the multiple hospice location? process
2 ed for the multiple hospice location? lt
ed for the multiple hospice location? ltiple hospice location? Is direct nursing supervision at the multiple hosoffice? Please explain. Is a designated RN s 8. What is the planned frequency of visits by the parent agency nurse supervisor? MD? Will patients be admitted and plans he multiple hospice location Where will clinical records for the multiple hospice location be maintained? Are the clinical records for the multiple hospice location re ided from the multiple hospice location be orientation/inservice training of multiple hospice location staff? Arhospice location? Ar