Documentation Pocket Guides

Project Owner: San Diego Hospice and the Institute for Palliative Medicine (SDHIPM)

Project Role

  • Collaborated with SME to structure content and developed guides

Project Purpose

  • Provide staff with a tool to enhance their skills of assessing and documenting diseases and maintain compliance.

Project Goals

  • All clinical staff will have a clear understanding of Local Coverage Determination (LCD) guidelines as defined by Medicare, and how to document a patient visits accurately to maintain compliance.

Project Audience

  • Nurses
  • Social workers
  • Spiritual counselors
  • Certified Home Health Aids

Project Deliverables

  • 12 electronic “pocket guides”, each covers a different diagnosis, staff can reference when documenting patient’s clinical status
    • Each pocket guide will offer discipline specific content
    • Pocket guides will be accessible on SDHIPM’s intranet


The following is a draft sample, the project is still under development.
© 2012 San Diego Hospice and the Institute of Palliative Medicine

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