Md. Code Regs. 10.07.21.06 - Administration
A. Responsibility
of Licensee. A licensee shall ensure that the operation of the hospice care
program complies with Health-General Article, Title 19, Subtitle 9, Annotated
Code of Maryland, and this chapter.
B. Governing Body.
(1) A licensee shall have a governing body
for the hospice care program. The governing body shall:
(a) Determine the hospice care program's
mission and purpose;
(b) Conduct a
periodic community needs assessment;
(c) Provide outreach programs appropriate to
the needs of the communities it serves, including making information about
hospice care services readily available and providing appropriate educational
activities to the communities it serves;
(d) Make efforts to secure access to hospice
care services for the underserved;
(e) Adopt administrative and clinical
policies and procedures, and review them annually;
(f) Monitor the hospice's program and
establish a process to evaluate the quality of services it is
providing;
(g) Have fiscal and
fiduciary responsibility for the hospice care program including the review and
approval of its budget;
(h) Ensure
compliance with all legal requirements;
(i) Adopt bylaws which:
(i) Specify the role and responsibility of
the governing body, and
(ii) Define
the hospice care program's relationship to any other governing body;
and
(j) Develop and
implement a written conflict of interest policy which includes guidelines for
the resolution of any existing or apparent conflict of interest.
(2) All members of the governing
body shall participate in an orientation program and continuing education to
enable the members to fulfill their responsibilities to the hospice care
program.
C.
Administrator.
(1) The governing body or the
licensee shall:
(a) Identify an administrator
who has full responsibility for the day-to-day operations of the hospice care
program; and
(b) Evaluate the
administrator's performance on at least an annual basis.
(2) In the absence of the administrator, the
program shall remain under the continuous supervision of a designated
individual with appropriate experience and training.
Notes
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