15 Miss. Code. R. 16-1-1.19.1 - Patient Care Standard
1. Patient
Certification - To be eligible for hospice care, an individual, or his/her
representative, must sign an election statement with a licensed hospice; the
individual must have a certification of terminal illness and must have a plan
of care (POC) which is established before services are provided.
2. Admission criteria - The hospice shall
have written policies to be followed in making decisions regarding acceptance
of patients for care. Decisions are based upon medical, physical, and
psychosocial information provided by the patient's attending physician, the
patient/family and the interdisciplinary group. The admission criteria shall
include:
a. The ability of the agency to
provide core services on a 24-hour basis and provide for or arrange for
non-core services on a 24-hour basis to the extent necessary to meet the needs
of individuals for care that is reasonable and necessary for the palliation and
management of terminal illness and related conditions;
b. Certification of terminal illness signed
by the attending physician and the medical director of the agency upon
admission and recertification;
c. A
documented assessment of the patient/family needs and desires for hospice
services;
d. Informed consent
signed by patient or representative who is authorized in accordance with state
law to elect the hospice care, which will include the purpose and scope of
hospice services.
3.
Admission Procedure - Patients are to be admitted only upon the order of the
patient's attending physician.
4.
An assessment visit shall be made by a registered nurse, who will assess the
patient's needs with emphasis on pain and symptom control. This assessment
shall occur within 48 hours of referral for admission, unless otherwise ordered
by physician or unless a request for delay is made by patient/family.
5. Documentation at admission will
be retained in the clinical record and shall include:
a. Signed consent forms;
b. Documented evidence that a patient's
rights statement has been given or explained to the patient and/or family;
c. Clinical data including
physician's order for care;
d.
Patient Release of Information;
e.
Orientation of the patient/care giver, which includes:
i. Advanced directives;
ii. Agency services;
iii. Patient's rights; and
iv. agency contact procedures;
f. Certification of terminal
illness signed by the medical director and attending physician.
Notes
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