15 Miss. Code. R. 16-1-1.3.1
Unless a different meaning is required by the context, the following terms as used in these rules and regulations shall have the meaning hereinafter respectively ascribed to them:
1.
Administrator - Means the
person, designated by the governing body, who is responsible for the management
of the overall operation of the hospice.
2.
Advance Directives -
Directive from the patient/family (see definition of family) such as a durable
power of attorney for health care, a directive pursuant to patient
self-determination initiatives, a living will, or an oral directive which
either states a person's choices for medical treatment or, in the event the
person is unable to make treatment choices, designates who shall make those
decisions.
3.
Attending/Primary Physician - A Doctor of Medicine or Osteopathy
licensed to practice medicine in the State of Mississippi, who is designated by
the patient or responsible party as the physician responsible for his/her
medical care.
4.
Bereavement
Services - Organized services provided under the supervision of a
qualified counselor (see definition) to help the family cope with death related
grief and loss. This shall be available for at least one year after the death
of the patient.
5.
Autonomous - Means a separate and distinct operational entity
which functions under its own administration and bylaws, either within or
independently of a parent organization.
6.
Bed Capacity - Means the
largest number which can be installed or set up in the freestanding hospice at
any given time for use of patients. The bed capacity shall be based upon space
designed and/or specifically intended for such use whether or not the beds are
actually installed or set up.
7.
Bed Count - Means the number of beds that are actually installed
or set for patients in freestanding hospice at a given time.
8.
Branch Office/Alternate Site
- A location or site from which a hospice agency provides services within a
portion of the total geographic area served by the parent agency. The branch is
a part of the parent hospice agency and is located within the 50-mile radius of
the parent agency and shares administration and supervision. No branch office
site shall be opened unless the parent office has had full licensure for the
immediately preceding 12 months and has admitted 3 patients within the last
twelve (12) months. A branch office does not extend the Geographic Service Area
of the Parent Agency.
9.
Bureau - Mississippi State Department of Health, Bureaus of Health
Facilities, Licensure and Certification.
10.
Care Giver - The person whom
the patient designates to provide his/her emotional support and/or physical
care.
11.
Chaplain -
Means an individual representative of a specific spiritual belief who is
qualified by education received through accredited academic or theological
institutions, and/or experience thereof, to provide counseling and who serves
as a consultant for and/or core member of the hospice care team.
12.
Change of Ownership - Means
but is not limited to, intervivos, gifts, transfers, leases, cash and/or stock
transactions or other comparable arrangements whenever the person or entity
acquires a majority interest (fifty percent (50%) or more) of the facility or
service. Changes of ownership from partnerships, single proprietorships, or
corporations to another form of ownership are specifically included. Provided,
however, "Change of Ownership" shall not include any inherited interest
acquired as a result of a testamentary instrument or under the laws of descent
and distribution of the State of Mississippi. The change of IRS exemption
status also constitutes a change of ownership.
13.
Community - A group of
individuals or a defined geographic area served by a hospice.
14.
Continuous Home Care - Care
provided by the hospice during a period of crisis as necessary to maintain the
terminally ill individual at home. A minimum of eight hours of care must be
furnished on a particular day to be considered continuous home care. Nursing
care must be provided for more than one-half of the period of care and must be
provided by either a registered nurse or licensed practical nurse. Services may
be provided by a homemaker or hospice aide to supplement the nursing care. When
determining the necessity for continuous home care, a registered nurse must
complete/document a thorough assessment and plan of care that includes
participation of all necessary disciplines to meet the patient's identified
needs, prior to assigning a licensed practical nurse, homemaker, or a hospice
aide to a patient requiring continuous home care. This assignment must comply
with accepted professional standards of practice.
15.
Contracted Services -
Services provided to a hospice provider or its patients by a third party under
a legally binding agreement that defines the roles and responsibilities of the
hospice and service provider.
16.
Core Services - Nursing services, physician services, medical
social services, and counseling services, including bereavement counseling,
spiritual counseling, and any other counseling services provided to meet the
needs of the individual and family. These services must be provided by
employees of the hospice, except that physician services and counseling
services may be provided through contract.
17.
Counselor - Means an
individual who has at least a bachelor's degree in psychology, a master's, or
bachelor's degree from a school of social work accredited by the Council on
Social Work Education, a bachelor's degree in counseling; or the documented
equivalent of any of the above in education, training in the spiritual care of
the dying and end of life issues, and who is currently licensed in the state of
Mississippi, if applicable. Verification of education and training must be
maintained in the individual's personnel file.
18.
Department - Means the
Mississippi State Department of Health (MSDH).
19.
Discharge - The point at
which the patient's active involvement with the hospice program is ended and
the program no longer has active responsibility for the care of the
patient.
20.
Dietitian
- Means a person who is registered by the Commission on Dietetic Registration
of the American Dietetic Association or who has the documented equivalent in
education, training and/or experience.
21.
Do Not Resuscitate Orders
(DNR) - Orders written by the patient's physician which stipulate that
in the event the patient has a cardiac or respiratory arrest, cardiopulmonary
resuscitation will not be initiated or performed.
22.
Emotional Support - Support
provided to assist the person in coping with stress, grief, and loss.
23.
Family Unit - Means the
terminally ill person and his or her family, which may include spouse,
children, sibling, parents, and other with significant personal ties to the
patient.
24.
Freestanding
Hospice - Freestanding Hospice means a hospice that is not a part of any
other type of health care provider.
25.
Geographic Service Area -
Area around the Parent Office, which is within 50-miles radius of the Parent
Office premises. Each hospice must designate the geographic service area in
which the agency will provide services. Should any portion of a county fall
within a 50-mile radius of the Parent, then the entire county may fall within
the geographic service area of the Parent. Nothing herein is intended to
automatically expand the service area of any existing Parent. A hospice shall
seek approval of the Department for any expansion of their service area. The
full range of hospice services, as specified, must be provided to the entire
designated geographic services area.
26.
Governing Body - A hospice
program shall have a clearly defined organized governing body that has
autonomous authority for the conduct of the hospice program. (Section:
41-85-19) This governing body is not required to meet more often than
quarterly. Written minutes and attendance of governing body minutes shall be
maintained.
27.
Hospice
Aide - An individual who is currently qualified in the State of
Mississippi to provide personal care services to hospice patients under the
direction of a registered nurse of the hospice.
28.
Hospice Inpatient Facility -
Organized facilities where specific levels of care ranging from residential to
acute, including respite, are provided on a 24-hour basis within the confines
of a licensed hospital, nursing home, or freestanding hospice in order to meet
the needs of the patient/family. A hospice inpatient facility shall meet the
Condition of Participation for providing inpatient care directly as specified
in Title 42, Section 418.100 of the Code of Federal Regulations.
29.
Hospice - Means an
autonomous, centrally administered, nonprofit or for profit medically directed,
nurse-coordinated program providing a continuum of home, outpatient, and
homelike inpatient care for not less than four (4) terminally ill patients and
their families. It employs a hospice care team (see definition of hospice care
team) to assist in providing palliative and supportive care to meet the special
needs arising out of the physical, emotional, spiritual, social, and economic
stresses which are experienced during the final stages of illness and during
dying and bereavement. This care is available twenty-four (24) hours a day,
seven (7) days a week, and is provided on the basis of need regardless of
inability to pay. (Section
41-85-3)
30.
Hospice Care Team- Means an
interdisciplinary team which is a working unit composed by the integration of
the various helping professions and lay persons providing hospice care. Such
team shall, as a minimum, consist of a licensed physician, a registered nurse,
a social worker, a member of the clergy, or a counselor and
volunteers.
31.
Hospice
Services - Means items and services furnished to an individual by a
hospice, or by others under arrangements with such a hospice program.
32.
Hospice Physician - A Doctor
of Medicine or Osteopathy who is currently and legally authorized to practice
medicine in the State of Mississippi and is designated by the hospice to
provide medical care to hospice patients, in coordination with the patient's
primary physician.
33.
Hospice Premises - The physical site where the hospice maintains
staff to perform administrative functions, maintains its personnel records,
maintains its client service records, and holds itself out to the public as
being a location for receipt of client referrals. A hospice must be physically
located within the State of Mississippi. A license for a hospice program shall
not be issued if the hospice is to be located in an area in violation of any
local zoning ordinance or regulation.
34.
Informed Consent - A
documented process in which information regarding the potential and actual
benefits and risks of a given procedure or program of care is exchanged between
provider and patient.
35.
Inpatient Services - Care available for General Inpatient Care or
Respite Care that is provided in an Inpatient Hospice Facility, hospital, or
SNF that meets the Condition of Participation for providing inpatient care
directly as specified in Title 42, Section 418.100 of the Code of Federal
Regulations.
36.
Interdisciplinary Group (IDG) - An interdisciplinary group(s)
designated by the hospice, composed of representatives from all the core
services. The Interdisciplinary Group must include at least a
Doctor of Medicine or Osteopathy, a registered nurse, a social worker, and a
pastoral or other counselor. The interdisciplinary group is responsible for
participation in the establishment of the plan of care; provision or
supervision of hospice care and services; periodic review and updating of the
plan of care for each individual receiving hospice care, and establishment of
policies governing the day-to-day provision of hospice care and services. If a
hospice has more than one interdisciplinary team; it must designate, in
advance, the group it chooses to execute the establishment of policies
governing the day-to-day provision of hospice care and services.
37.
Interdisciplinary Team
Conferences - Regularly scheduled periodic meetings of specific members
of the interdisciplinary team (see Rule 1.3.36) to review the most current
patient/family assessment, evaluate care needs, and update the plan of
care.
38.
Level of
Care - Hospice care is divided into four categories of care rendered to
the hospice patient.
A. Routine home
care
B. Continuous home
care
C. Inpatient respite
care
D. General inpatient
care
39.
License
(Hospice) - A document permitting an organization to practice hospice
care for a specific period of time under the rules and regulations set forth by
the State of Mississippi.
40.
Licensing Agency - Means the Mississippi State Department of
Health.
41.
Life-Threatening - Causes or has the potential to cause serious
bodily harm or death of an individual.
42.
Medically Directed - Means
that the delivery of medical care is directed by a licensed physician who is
employed by the hospice for the purpose of providing ongoing palliative care as
a participating caregiver on the hospice care team.
43.
Medical Social Services -
Include a comprehensive psychosocial assessment; ongoing support for the
patient and family; and assistance with coping skills, anticipatory grief, and
grief reactions.
44.
Non-Core
Services- Services provided directly by hospice employees or under
arrangement that are not considered Core Services. These services include, but
are not limited to:
A. Hospice aide and
homemaker
B. Physical therapy
services
C. Occupational therapy
services
D. Speech-language
pathology services
E. General
inpatient care
F. Respite
care
G. Medical supplies and
appliances including drugs and biologicals.
45.
Nurse Practitioner/Physician
Assistant - Shall mean a nurse who is currently licensed as such in the
State of Mississippi and is performing duties in accordance with the
Mississippi Nurse Practice Act or a physician assistant who is currently
licensed as such in the State of Mississippi and is performing duties in
accordance with the Mississippi Physician Assistants Act.
46.
Occupational Therapist -
Means a person licensed to practice Occupational Therapy in the State of
Mississippi.
47.
Outpatient
Care- Means any care rendered or coordinated by the hospice care team
that is not "home care" or "inpatient care".
48.
Palliative Care - Means the
reduction or abatement of pain and other troubling symptoms by appropriate
coordination of all elements of the hospice care team needed to achieve needed
relief of distress.
49.
Parent Office - The primary location or site from which a hospice
agency provides services within a Geographic Service Area. The Parent Office is
used to determine the base of the Geographic Service Area.
50.
Patient - Shall mean the
terminally ill individual who meets criteria as defined per State
law.
51.
Period of
Crisis - A period in which a patient required predominately nursing care
to achieve palliation or management of acute medical problems.
52.
Person - Means an
individual, a trust or estate, partnership, corporation, association, the
state, or a political subdivision or agency of the state.
53.
Physical Therapist - Means
an individual who is currently licensed to practice physical therapy in the
State of Mississippi.
54.
Plan of Care (POC) - A written document established and maintained
for each individual admitted to a hospice program. Care provided to an
individual must be in accordance with the plan. The plan must include a
comprehensive assessment of the individual's needs and identification of the
care/services including the management of discomfort and symptom
relief
55.
Primary Care
person - A person designated by the patient who agrees to give
continuing support and/or care.
56.
Registered Nurse - An individual who is currently licensed in the
State of Mississippi or in accordance with criteria established per the Nurse
Compact Act and is performing nursing duties in accordance with the Mississippi
Nurse Practice Act.
57.
Representative - An individual who has been authorized under State
law to terminate medical care or to elect or revoke the election of hospice
care on behalf of a terminally ill individual who is mentally or physically
incapacitated.
58.
Residential Care- Hospice care provided in a nursing facility or
any residence or facility other than the patient's private residence.
59.
Respite Care- Short-term
care provided in an Inpatient Hospice Facility, hospital, or SNF that meets the
Condition of Participation for providing inpatient care directly as specified
in Title 42, Section 418.100 of the Code of Federal Regulations. Respite care
is short-term inpatient care provided to the patient only when necessary to
relieve the family members or other persons caring for the patient. Respite
care may be provided only on an occasional basis and may not be reimbursed for
more than five consecutive days at a time.
60.
Social Worker - An
individual who has a degree from a school of social work accredited by the
Council on Social Work Education and is licensed by the State of
Mississippi.
61.
Speech
Pathologist - Shall mean an individual who meets the educational and
experience requirements for a Certificate of Clinical Competence granted by the
American Speech and Hearing Association and is currently licensed as a Speech
and Language Pathologist in the State of Mississippi.
62.
Spiritual Services -
Providing the availability of clergy, as needed, to address the
patient's/family's spiritual needs and concerns.
63.
Terminally Ill- A medical
prognosis of limited expected survival of approximately six months or less, if
the disease follows its normal course, of an individual who is experiencing an
illness for which therapeutic strategies directed toward cure and control of
the disease alone outside the context of symptom control are no longer
appropriate.
64.
Volunteer - Means a trained individual who provides support and
assistance to the patient, family, or organization, without remuneration, in
accord with the plan of care developed by the hospice core team and under the
supervision of a member of the hospice staff appointed by the governing body or
its designee. All volunteers must follow the same rules as employees regarding
background checks and health screenings.
65.
Director of Volunteers -
Means a person who directs the volunteer program in accordance with the
acceptable standards of hospice practice.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.