26 Tex. Admin. Code § 506.35 - Residential AIDS Hospice Designation
(a)
General. A special care facility designated as a residential AIDS hospice shall
meet the standards of this section. These standards are in addition to the
other standards described in this chapter that apply to special care
facilities.
(b) Service
requirements.
(1) Palliative care. The
facility shall provide palliative care that is reasonable and necessary to meet
the needs of a resident and the management of the resident's terminal illness
and related conditions.
(2) Support
services. Support services shall be available to both the resident and the
family. Support services shall:
(A) include
social, spiritual and emotional care provided to a resident and the family;
and
(B) be under the supervision of
a qualified individual who may be a person with a master's degree in social
work, an accredited or ordained member of the clergy, or other individual with
appropriate training and experience.
(3) Counseling services. Counseling services
shall be available to the resident and the family. If provided, counseling
services shall be identified as a need in the resident's plan of care described
in subsection (c) of this section.
(4) Bereavement services. Bereavement
services shall be available to the family. The provision of bereavement
services shall be:
(A) provided in an
organized program under the supervision of a qualified person who may be a
person with a master's in social work, an accredited or ordained member of the
clergy, or other individual with appropriate training and experience;
(B) available to families for up to one year
following the death of the resident; and
(C) identified as a need for the family in
the resident's plan of care described in subsection (c) of this
section.
(c)
Plan of care.
(1) An interdisciplinary team
shall develop an individual plan of care for each resident receiving hospice
services.
(A) The interdisciplinary team
shall consist of the resident, a physician, a registered nurse and other
appropriate members who are involved with the resident's care.
(B) Members of the interdisciplinary team may
also include a volunteer, an employee of the facility, an individual under
contract with facility, or an employee or representative of a home and
community support services agency employed by the resident to provide
services.
(C) The interdisciplinary
team shall review and revise the resident's plan of care as needed based on
changes in the resident's needs, but not less than once a month.
(2) The plan of care shall
identify the need for counseling and bereavement services, as
appropriate.
(3) A physician shall
conduct a clinical and medical review of the care and services provided to a
resident receiving hospice services. The physician conducting the review shall
serve as a member of the interdisciplinary team described in paragraph (1) of
this subsection. The physician may be an employee, a volunteer, or a contracted
consultant to the facility.
(d) Designation process. The department must
approve a special care facility's designation as a residential AIDS hospice
prior to the facility's implementation of hospice services.
(1) A special care facility may request
designation as a residential AIDS hospice on the initial application form, or
by submitting a written request to the department at any time during the
licensing period.
(2) The
department will evaluate the facility's compliance with subsections (a) - (c)
of this section prior to approving the residential AIDS hospice designation.
This evaluation may be accomplished through a presurvey conference with review
of required policies and documents or by means of an onsite
inspection.
(3) The department will
send a written notice to the facility regarding the approval or denial of the
residential AIDS hospice designation. If denied, the written notice will state
the deficient items that resulted in the denial of the application. The
facility may submit additional information and request reconsideration of the
application.
(4) The facility may
withdraw the residential AIDS hospice designation by submitting a written
request to the department. The request shall include the effective date of
withdrawal.
Notes
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