Okla. Admin. Code § 310:661-5-2 - Plan of care
(a) A written plan of care must be established and maintained for each patient admitted to a hospice program and the care provided to an individual is in accordance with the plan.
(b) The plan must be established by the attending physician, the medical advisor, and the interdisciplinary group.
(c) The plan of care must be reviewed and updated by the hospice team at intervals specified in the plan and documented by the team members.
(d) The content of the plan must include an assessment of the patient's needs and identify the services provided. The plan must state in detail the scope and frequency of services needed to meet the patient's and family's needs.
(e) Continuous care must be provided under a plan of care that is developed specifically to resolve the patient's medical crisis. These plans must include:
(1) Caregiver education;
(2) Anticipated duration of the continuous care;
(3) Necessity of continuous care;
(4) Interventions required;
(5) Identification of interdisciplinary team members developing the plan; and,
(6) Physician orders for continuous care.
Notes
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