Section 141.206 - Policies and Procedures(A) The hospice shall develop and implement written policies and procedures to coordinate an interdisciplinary program of hospice care services.(B) These policies and procedures shall be reviewed and approved by the governing body at least annually.(C) The policies and procedures shall include but need not be limited to:(1) philosophy, objectives and goals of the hospice;(2) the services to be provided and record keeping requirements for clinical records;(3) criteria for the selection, admission, discharge and transfer of terminally ill patients/ families;(4) affiliation or and referral arrangements with community and other health care facilities or agencies to assure continuity of patient/family care;(5) the hospice's professional management responsibilities for overseeing services provided under contractual arrangements;(6) patient/family consent and involvement in the development of a care plan;(7) patient/family education;(8) plans and arrangements for the patient's death whether at home or in an institution;(10) patient and family rights;(11) review of the quality and utilization of hospice services;(12) resuscitation practices; andAmended by Mass Register Issue 1358, eff. 2/9/2018.