Axxess Hospice has added new Hospice Outcomes and Patient Evaluation (HOPE) questions to existing nursing visits to comply with the upcoming regulatory change that goes into effect on October 1.

The new questions are marked with a purple HOPE pill on the RN Initial/Comprehensive and RN Comprehensive forms. The fields are not required, but it is important to understand how they are used. HIS scrubbing and required fields are not affected by this change.

Living Arrangements and Availability of Assistance

Imminent Death

Neuropathic Pain

Types of Skin Conditions and Treatments

On the Skilled Nurse Visit, Skilled Nurse PRN Visit, LPN/LVN Visit, LPN/LVN PRN Visit, Skilled Nurse Continuous Care Visit and Skilled Nurse General Inpatient Visit forms, the following sections have a regulatory field and are marked with a purple HOPE pill. The questions are not required until HOPE is in effect. However, they are required for the HOPE update visits, which should be completed between days 6-15 and 16-30 of care.

Imminent Death

Types of Skin Conditions and Treatments

Opioid and Bowel Regimen

Updated on 04/09/2025