Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1163 - INPATIENT HOSPITAL SERVICES
Subchapter A - ACUTE CARE GENERAL HOSPITALS UNDER THE PROSPECTIVE PAYMENT SYSTEM
UTILIZATION CONTROL
Section 1163.76 - Plan of care
Universal Citation: 55 PA Code ยง 1163.76
Current through Register Vol. 54, No. 12, March 23, 2024
(a) Before admission or no later than 2 days after admission of a recipient to a hospital, the attending or staff physician shall establish, and include in the recipient's medical record, an individual written plan of care.
(b) The plan of care shall include:
(1) Medical justification for admission and
continued stay.
(2) Diagnoses,
symptoms, complaints and complications indicating the need for
admission.
(3) A description of the
functional level of the individual.
(4) Orders for medications, treatments,
restorative and rehabilitative services, activities, therapies, social services
and diet.
(5) Plans for continuing
care including review and modification of the plan of care.
(6) Plans for discharge.
(c) The orders and activities shall be developed in accordance with physician's instructions and be reviewed and revised as appropriate to treat the recipient's condition.
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