As used in this chapter:
(A) "Advanced Practice Nurse" means a
registered nurse authorized to practice as a certified nurse specialist,
certified registered nurse anesthetist, certified nurse midwife or certified
nurse practitioner in accordance with section
4723.41 of the Revised
Code;
(B) "Applicant" means a
person or public agency that submits an application for a license to provide a
hospice care program under rule
3701-19-03 of the Administrative
Code.
(C) "Attending physician"
means the physician identified by the hospice patient or the hospice patient's
family as having primary responsibility for the hospice patient's medical
care.
(D) "Dietitian" means an
individual licensed under Chapter 4759. of the Revised Code to practice
dietetics.
(E) "Director" means the
director of health or any official or employee of the department of health
designated by the director of health.
(F)
For purposes of
this chapter, "follow-up inspection" means an inspection, which may include
on-site and off-site activities, conducted by the department to determine
whether the hospice care program has corrected a violation or violations cited
on a previous inspection.
(F)
(G) "Governing body"
means the entity that has ultimate responsibility and authority for the overall
operation of a hospice care program, as specified in rule
3701-19-06 of the Administrative
Code.
(G)
(H) "Home health aide" means an individual who, in
accordance with rule
3701-19-16 of the Administrative
Code, provides home care services for hospice patients and their
families.
(H)
(I) "Hospice aide," for the purpose of this chapter,
means a home health aide who has successfully completed a training and
competency evaluation program approved by the director under division (A) of
section 3721.31 of the Revised Code and
Chapter 3701-18 of the Administrative Code, is currently listed in good
standing on the state nurse aide registry, and is employed by a hospice care
program.
(I)
(J) "Hospice care program" or "program" means a
coordinated program of home, outpatient, and inpatient care and services that
is operated by a person or public agency and that provides the following care
and services to hospice patients, including services as indicated below to
hospice patients' families, through a medically directed interdisciplinary
team, under interdisciplinary plans of care established pursuant to section
3712.06 of the Revised Code and
rule
3701-19-11 of the Administrative
Code, in order to meet the physical, psychological, social, spiritual, and
other special needs that are experienced during the final stages of illness,
dying, and bereavement:
(1) Nursing care by
or under the supervision of a registered nurse;
(2) Physical, occupational, or speech or
language therapy, unless waived by the department of health pursuant to
paragraph (B) of rule
3701-19-19 of the Administrative
Code;
(3) Medical social services
by a social worker under the direction of a physician;
(4) Services of a home health aide;
(5) Medical supplies, including drugs and
biologicals, and the use of medical appliances;
(6) Physician's services which include
medical services provided by a physician or an advanced practice nurse acting
within his or her scope of practice, as defined in section
4723.01 of the Revised Code, or
a physician assistant acting within his or her scope of practice under the
supervision, control, and direction of one or more physicians as defined in
section 4730.01 of the Revised
Code.
(7) Short-term inpatient
care, including both palliative and respite care and procedures;
(8) Counseling for hospice patients and
hospice patients' families;
(9)
Services of volunteers under the direction of the provider of the hospice care
program;
(10) Bereavement services
for hospice patients' families.
(J)
(K) "Hospice patient"
or "patient" means a patient who has been diagnosed as terminally ill, has an
anticipated life expectancy of six months or less, and has voluntarily
requested and is receiving care from a person or public agency licensed under
Chapter 3712. of the Revised Code and this chapter to provide a hospice care
program.
(K)
(L) "Hospice patient's family" or "family" means a
hospice patient's immediate family members, including a spouse, brother,
sister, child, or parent, and any other relative or individual who has
significant personal ties to the patient and who is designated as a member of
the patient's family by mutual agreement of the patient, the relative or
individual, and the patient's interdisciplinary team.
(L)
(M)
"Inpatient facility" means a facility that either is operated by or under
contract with a hospice care program for the purpose of providing inpatient
care to the hospice care program's patients.
(M)
(N) "Inpatient hospice
facility" means a building or leased unit operated by a hospice care program
that is separate and distinct from another licensed or certified facility where
the hospice program directly provides accommodations and hospice services for
its hospice patients.
(N)
(O) "Interdisciplinary
plan of care" or "plan of care" means the interdisciplinary plan for care of a
hospice patient and his or her family prepared under rule
3701-19-11 of the Administrative
Code.
(O)
(P) "Interdisciplinary team" means a working unit
composed of professional and lay persons that includes at least a physician, a
registered nurse, a social worker, a member of the clergy or a counselor, and a
volunteer.
(P)
(Q) "Licensed practical nurse" means a person licensed
under Chapter 4723. of the Revised Code to practice nursing as a licensed
practical nurse.
(Q)
(R) "Nurse" means a registered nurse or licensed
practical nurse.
(R)
(S) "Palliative care" means
treatment
specialized
care for a patient
of any age who has been
diagnosed with a serious or life-threatening illness
directed at controlling pain, relieving other
symptoms, and enhancing the quality of life of the patient and the patient's
family rather than treatment for the purpose of cure
that is provided at any stage of the illness by an
interdisciplinary team working in consultation with other health care
professionals, including those who may be seeking to cure the illness and that
aims to do all of the following:. Nothing in
this section shall be interpreted to mean that palliative care can be provided
only as a component of a hospice care program.
(1)
Relieve the
symptoms, stress, and suffering resulting from the illness;
(2)
Improve the
quality of life of the patient and the patient's family;
(3)
Address the
patient's physical, emotional, social, and spiritual needs; and
(4)
Facilitate
patient autonomy, access to information, and medical decision making.
Nothing in this chapter shall be
interpreted to mean that palliative care can be provided only as a component of
a hospice care program or pediatric respite care
program.
(S)
(T) "Person" means an
individual, corporation, business trust, estate, trust, partnership, and
association.
(T)
(U) "Physician" means a person authorized under
Chapter 4731. of the Revised Code to practice medicine and surgery or
osteopathic medicine and surgery.
(U)
(V) "Physician
assistant" means a person who holds a certificate of authority to practice as a
physician assistant issued under Chapter 4730. of the Revised Code.
(V)
(W)
"Respite care" means hospice care program services provided by the program in a
patient's home or in an inpatient facility to give temporary relief to a
hospice patient's family or other caregivers when the patient's family or other
caregiver needs relief from the daily demands of caring for the
patient.
(W)
(X) "Registered nurse" means a person registered under
Chapter 4723. of the Revised Code to practice professional nursing.
(X)
(Y)
"Social worker" means a person licensed under Chapter 4757. of the Revised Code
to practice as a social worker or independent social worker.
(Y)
(Z)
"Staff member" or "staff" means an individual working for a hospice care
program including the owner; the administrator; a full-time, part-time or
temporary paid employee; or an individual working on contract.
(Z)
(AA)
"Volunteer" means a lay or professional person who offers and provides his or
her services to a hospice care program without compensation.
