Tenn. Comp. R. & Regs. 1200-08-27-.05 - ADMISSIONS, DISCHARGES AND TRANSFERS
(1) The hospice
service program shall have a policy to admit only patients who meet the
following criteria:
(a) Has been diagnosed as
terminally ill;
(b) Has been
certified by a physician, in writing, to have an anticipated life expectancy of
six (6) months or less;
(c) Has
personally or through a representative voluntarily requested admission to, and
been accepted by, a licensed hospice service organization; and
(d) Has personally or through a
representative, in writing, given informed consent to receive hospice care;
or
(e) Is a non-hospice patient
that has been determined to need palliative care only.
(2) Patients shall be accepted to receive
hospice services on the basis of a reasonable expectation that the patient's
medical, nursing and psychosocial needs can be met adequately by the
organization in the patient's regular or temporary place of
residence.
(3) Care shall follow a
written plan of care established and reviewed by the attending physician, the
medical director or physician designee and the interdisciplinary group prior to
providing care. Care shall continue under the supervision of the attending
physician.
(4) The agency staff
shall determine if the patient's needs can be met by the organization's
services and capabilities.
(5)
Every person admitted for care or treatment to any agency covered by these
rules shall be under the supervision of a physician as defined in this chapter
who holds a license in good standing. The name of the patient's attending
physician shall be recorded in the patient's medical record.
(6) The agency staff shall obtain the
patient's written consent for hospice services.
(7) The signed consent form shall be included
with the patient's individual clinical record.
(8) A diagnosis must be entered in the
admission records of the agency for every person admitted for care or
treatment.
(9) No medication or
treatment shall be provided to any patient of an agency except on the order of
a physician or dentist lawfully authorized to give such an order.
(10) A medical record shall be developed and
maintained for each patient admitted.
(11) No patient shall be involuntarily
discharged without a written order from the attending physician or the medical
director stating the patient does not meet hospice criteria, or through other
legal processes, and timely notification of next of kin and/or the authorized
representative.
(12) When a patient
is discharged, a summary of the significant findings and events of the
patient's care, the patient's condition on discharge and the recommendation and
arrangement for future care, if any, is required.
(13) The agency shall ensure that no person
on the grounds of race, color, national origin or handicap, will be excluded
from participation in, be denied benefits of, or otherwise subjected to
discrimination in the provision of any care or service of the agency. The
agency shall protect the civil rights of patients under the Civil Rights Act of
1964 and Section 504 of the Rehabilitation Act of 1973.
Notes
Authority: T.C.A. ยงยง 4-5-202, 4-5-204, 68-11-202, and 68-11-209.
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