Current through Register Vol. 50, No. 9, September 20, 2024
A.
Patient Certification. To be eligible for hospice care, an individual, or
his/her representative, shall sign an election statement with a licensed
hospice; the individual shall have a certification of terminal illness and
shall have a plan of care (POC) which is established before services are
provided.
B. Admission Criteria.
The hospice shall have written policies to be followed in making decisions
regarding acceptance of patients for care. Decisions are based upon medical,
physical and psychosocial information provided by the patient's attending
licensed medical practitioner, the patient/family and the interdisciplinary
team. The admission criteria shall include:
1. the ability of the agency to provide core
services on a 24-hour basis and provide for or arrange for non-core services on
a 24-hour basis to the extent necessary to meet the needs of individuals for
care that is reasonable and necessary for the palliation and management of
terminal illness and related conditions;
2. certification of terminal illness (CTI)
signed by the attending licensed medical practitioner and the medical director
of the agency;
NOTE: The CTI shall not be signed by an APRN
3. assessment of the
patient/family needs and desires for hospice services;
4. informed consent signed by patient or
representative who is authorized in accordance with state law to elect the
hospice care, which will include the purpose and scope of hospice services;
and
5. patient meets all other
criteria required by any applicable payor sources.
C. Admission procedure. Patients are to be
admitted only upon the order of the patient's attending physician.
1. An assessment visit shall be made by a
registered nurse, who will assess the patient's needs with emphasis on pain and
symptom control. This assessment shall occur within 48 hours of referral for
admission, unless otherwise ordered by physician or unless a request for delay
is made by patient/family.
2.
Documentation at admission will be retained in the clinical record and shall
include:
a. signed consent forms;
b. signed patient's rights
statement;
c. clinical data
including physician order for care;
d. patient release of information;
e. patients signed designation of attending
licensed medical practitioner;
i. - iv.
Repealed.
f. orientation
of patient/caregiver, which includes:
i.
advanced directives and LaPOST;
ii.
agency services;
iii. patient's
rights; and
iv. agency contact
procedures; and
g. for
an individual who is terminally ill, certification of terminal illness signed
by the medical director or the physician member of the IDT and the individual's
attending physician.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2181-2191.
