Md. Code Regs. 10.07.21.25 - Home-Based Hospice Care Provided in a Licensed Health Care Facility
A. Professional
Management.
(1) When a hospice care program
delivers hospice care to a resident of a licensed health care facility, the
hospice care program shall assume full responsibility for professional
management of the patient's hospice care in accordance with the requirements of
this chapter.
(2) When a hospice
care program delivers hospice care to a resident of a licensed health care
facility, the hospice and the facility shall have a written agreement which
defines their respective roles and responsibilities in regard to the care of
the patient.
(3) The hospice care
program shall designate a qualified health care professional from the hospice
care program who shall coordinate the activities of the interdisciplinary care
team and the health care facility staff to assure continuous assessments of the
patient's and family's needs, and to ensure implementation of an integrated
plan of care.
(4) All core hospice
services, specifically, physician, nursing, social work, and counseling
services identified in the plan of care, shall be provided directly by hospice
care program employees or volunteers and may not be delegated to the health
care facility.
B. Plan
of Care.
(1) The interdisciplinary plan of
care shall be jointly developed by the patient, the patient's family, the
hospice care program, and the licensed health care facility, and shall identify
the services to be provided by each entity.
(2) Both providers shall review the
interdisciplinary plan of care at intervals specified in the plan, and shall
jointly update the plan as necessary to reflect the patient's current
status.
(3) Both the hospice care
program and the health care provider shall maintain the interdisciplinary plan
of care in their respective medical records.
Notes
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