North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 13 - NC MEDICAL CARE COMMISSION
Subchapter K - HOSPICE LICENSING RULES
Section .1000 - EVALUATION
Section 13K .1001 - EVALUATION REQUIRED
Current through Register Vol. 39, No. 6, September 16, 2024
(a) The hospice shall develop and implement policies and a written plan for the implementation of a comprehensive assessment at least annually of its overall program and performance. The quality and appropriateness of care provided shall be assessed with the findings used to verify policy implementation, to identify problems and to establish problem resolution and policy revision as necessary.
(b) The hospice shall determine what individuals will carry out the evaluation. Representatives of the governing body, hospice staff, the interdisciplinary care team, and other appropriate professionals may be used.
(c) The evaluation shall include, as a minimum, a review of all policies and procedures and a medical record review.
(d) Documentation of the evaluation shall include the names and qualifications of the persons carrying out the evaluation, the criteria and methods used to accomplish it, and the action taken by the agency as a result of the findings.
Authority
G.S.
131E-202;
Eff. November 1,
1984;
Amended Eff. February 1, 1996; November 1, 1989;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. December 22,
2018.