Current through all regulations passed and filed through September 16, 2024
(A) Each hospice
care program shall have an interdisciplinary team or teams that provides or
supervises the provision of hospice care and services. The registered nurse
designated to coordinate each interdisciplinary team shall ensure all of the
following for that team:
(1) There is ongoing
assessment of the hospice patient's and family's needs;
(2) That all components of the plan of care
are addressed by the interdisciplinary team; and
(3) The plan of care is implemented in
accordance with its terms.
(B) If the hospice care program has more than
one interdisciplinary team, it shall designate which team is to be responsible
for establishing the policies and procedures or it shall specify particular
areas for which each team is to establish policies and procedures.
(C) The interdisciplinary team or teams shall
perform the following functions:
(1) Establish
policies and procedures governing the provision of care;
(2) Ensure that all of its policies and
procedures are available and accessible to all personnel;
(3) Establish an interdisciplinary plan of
care for each patient and family;
(4) Review the interdisciplinary plan of care
on a periodic basis no less frequently than every fifteen days;
(5) Encourage and foster active involvement
of the patient and family in the development and implementation of the
interdisciplinary plan of care; and
(6) Evaluate the hospice care and services
provided and monitor the continuity of care across all settings for the hospice
care program's patients and their families.
(D) As part of a hospice patient's
interdisciplinary plan of care required by paragraph (A) of rule
3701-19-07 of the Administrative
Code, each hospice care program that provides hospice care and services in the
patient's home shall do all of the following:
(1) Before providing hospice care and
services:
(a) Distribute a copy of the written
policy established under division (A) of section
3712.062 of the Revised Code and
paragraph (C) of rule
3701-19-21 of the Administrative
Code, to the patient and patient's family and discuss the procedures included
in the policy with the patient and patient's family; and
(b) Inform the patient and the patient's
family that the hospice care program will dispose of any controlled substances
containing opioids that are no longer needed by the patient and were included
in the patient's interdisciplinary plan of care.
(2) Assess the patient, the patient's family,
and the care environment for any risk factors associated with
diversion;
(3) Maintain records of
controlled substances containing opioids prescribed to the patient and included
in the patient's interdisciplinary plan of care, including accurate counts of
the numbers dispensed and used;
(4)
Monitor the use and consumption of controlled substances containing opioids
prescribed to the patient and included in the patient's interdisciplinary plan
of care, including prescription refills, for signs of diversion;
and
(5) After the patient's death or when no
longer needed by the patient, request, in writing, that the patient or
patient's family relinquish any remaining controlled substances containing
opioids that were included in the patient's interdisciplinary plan of care to
the hospice care program for disposal.
(E) A hospice care program shall ensure that
each patient's attending physician, if any, is
periodically
sent a copy of the patient's plan of care.
The hospice care program shall document the date that
the copy of the patient's plan of care is sent to the attending physician in
the patient's clinical record.
