Onboarding Checklist Name of Onboarding Physician(Required)Regional Medical Director(Required)This field is hidden when viewing the formProgram(Required)Program(Required)Austin TXCentral TXFt Worth TXHouston TXMuskogee OKSan Antonio TXTulsa OKVinita OKAuburn MABedford NHConnecticut CTEastern MAMaine MENew Jersey NJNorthampton MAVirginia VABaton Rouge LAGreater Philadelphia Area PAGreater Reading Area PAHattiesburg MSJackson MSLafayette LALancaster PAMemphis TNMeridian MSMid- Mississippi MSMonroe LANew Orleans LANewtown Sqaure PANortheastern PATennessee TNAthens GAAtlanta GAAuburn ALBirmingham ALFayetteville GAFlorence ALHuntsville ALKennesaw GAMacon GANorth GAPell City ALRidgeland SCRoanoke ALSavannah GATroy ALUpstate SCWest Virginia WVCincinnati/Dayton OHColumbus OHMarion OHAthens OHDublin OHLexington OHCleveland OHHSW MOJefCo-Central MOJefCo-North Central MOKansas City MOSouth Central MOSt Louis MOTri-Lakes MOWestern MOWichita KSBillings MTBozeman MTCasa Grande AZHelena MTNew Mexico MMNorth Central AZPayson AZPhoenix AZPikes Peak CORocky Mountains COWestern AZWhite Mountains AZYuma AZCass City MIDetroit MIEvansville INGrand Blanc MIIndianapolis INKalamazoo MIKokomo INLansing MIMuncie INNorth Detroit MINorthern MISaginaw MIArbor Vitae WIDeKalb ILEastern IAGreen Bay WIMarshfield WIMilwaukee WINeenah WINorthwest ILPlover WISheboygan WIPhysician Education Completed(Required) Hospice Eligibility Certification of Terminal Illness IDT / HomeCare HomeBase PointCare / Face-to-Face Microsoft Teams Opioid Stewardship iPrescribe / Doctor First Deprescribing nVoq (Note Assist) MD Timesheet QAPI Select AllOrientation includes evidence of training in the prevention of transmission of TB(Required) Yes Emergency Operations Plan at the local level / attestation(Required) Yes Infection Control / BBP / Exposure Contral(Required) Yes Hospice-specific benefit training(Required) Yes Professional Boundaries(Required) Yes Attestation of CTI Course Completion(Required) Yes This field is hidden when viewing the formMD Time Sheet Process(Required) Yes HCHB Training to include: F2F visits and Physician Hospice Visits(Required) Yes User set up for pointcare (BOC/BOM in office can assist)(Required) Yes This field is hidden when viewing the formInitial Competency(Required) Yes BYOD (bring your own device) ticket needs to be placed to IT(Required) Yes Completion of Death Certificate(Required) Yes Acknowledgement(Required) I acknowledgeBy submitting this form, I attest that I received orientation and training upon hire which included a review of infection control principles, bloodborne pathogens and respiratory protection. I have been oriented to the local program’s Emergency Operations Processes and know what is expected in the event of a declared emergency for this office. In addition, my orientation provided me the opportunity to learn about Compassus, about hospice care and services, and about my role and responsibilities as a physician providing hospice and palliative care as described in my contract and I have been able to ask and have my questions answered. I attest I feel prepared and ready for the role and am ready to practice independently with appropriate indirect supervision. I also understand that I can always seek additional support, clarification, and skills training from my peers and supervisors. Date of Completion(Required) MM slash DD slash YYYY I attest that I completed job specific training on the above date. Δ Back to Medical Director Resources Click here
