If a patient expires in the ED after order for comfort measures only and terminal extubation, does that meet the hospice exclusion in the manual?
When the patient is made CMO prior to meeting PTOS then they are excluded. So with your patient in the ED, assuming they haven’t met the LOS requirement prior to the determination for comfort measures, then they would be excluded.
If your patient was in the ED for extended time and met LOS before they went to CMO, then they would be included.
‘Admission to’ for our purposes can be admission to a hospice unit, service change, or just the status change/order for CMO, palliative care, hospice.
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