007.05.16-8. Administration
AR ADC 007.05.16-8Arkansas Administrative CodeEffective: September 29, 2022
Effective: September 29, 2022
Ark. Admin. Code 007.05.16-8
007.05.16-8. Administration
A hospice may arrange for another individual or entity to furnish services to the patients. If services are provided under arrangement (i.e., under contract), the following standards shall be met:
The hospice program shall ensure the continuity of patient/family care in home, outpatient, and in-patient settings.
The hospice shall have a written agreement approved with an area hospital, hospice in-patient facility, or qualified skilled nursing facility which states that the hospice may continue to follow any hospice patient admitted to that facility.
A hospice may not discontinue or diminish care because of the lack of a payor source.
The hospice and all hospice employees shall be licensed in accordance with applicable Federal, State and local laws.
A hospice shall ensure all core services (i.e., Nursing, Medical Social Services, and Counseling) described in the following section are routinely provided directly by hospice employees. A hospice may use contracted staff if necessary to supplement hospice employees in order to meet the needs of patients during periods of peak patient loads or under extraordinary circumstances. If contracting is used, the hospice shall maintain professional, financial, and administrative responsibility for the services and shall assure the qualifications of staff and services provided meet the requirements specified for Nursing, Medical Social Services, Physician Services, and Counseling.
NOTE: Physician Services may be provided by an individual contract. The contract must specify the physician will assume all responsibilities as outlined in SECTION 11.
The Hospice Agency shall have a procedure addressing post mortem procedures.
Pet Therapy may be provided by the hospice in the patient's home. Birds, cats, dogs, and other animals may be permitted in the patient's home. Therapy animals shall have appropriate vaccinations and licenses. A veterinary record shall be kept on all therapy animals to verify vaccinations and be made readily available for review and shall not negatively affect the well being of the patient.
It shall be the responsibility of Administration, with advice and guidance from the Medical Staff and the Infection Control Committee, to establish and enforce policies concerning pre-employment physicals and employee health. The policies shall include but are not limited to:
2. There shall be measures for prevention of communicable disease outbreaks, especially mycobacterium tuberculosis (TB), All plans for the preventing the transmission of TB shall conform to the most current CDC Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Healthcare Settings; and
3. Work restrictions shall be placed on personnel who are known to be affected with any disease in a communicable stage. Such individuals shall not work in any area in any capacity in which there is the likelihood of transmitting disease to patients, personnel or other individuals within the hospice or a potential of contaminating food, food contact surfaces, supplies or any surface with pathogenic organisms.
Each agency shall keep a record of complaints received. Documentation shall include the name of the complainant, the relationship to the patient, the nature of the complaint, and the action taken to resolve the complaint.
An informed consent shall be signed by the patient or patient's representative for provision of hospice care.
The agency shall have certification signed by the attending physician and medical director or physician designee stating the patient has a terminal illness.
Credits
Amended May 1, 2010; Sept. 29, 2022.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.16-8, AR ADC 007.05.16-8
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