Iowa Admin. Code r. 481-53.8

Current through Register Vol. 47, No. 10, November 13, 2024

Rule 481-53.8 - Interdisciplinary team (IDT)

The IDT shall establish a plan of care for each patient based on assessments performed by team members.

(1) The interdisciplinary team shall include, but is not limited to, the:

a. Patient, to the extent the patient is able and willing to participate;

b. Hospice patient's family, to the extent the family is able and willing to participate;

c. A doctor of medicine or osteopathy who is an employee of or under contract with the hospice;

d. Patient care coordinator;

e. Registered nurse;

f. Social worker; and may include

g. A pastoral or other counselor and others deemed appropriate by the hospice.

(2) Within 48 hours of admission, the attending physician or registered nurse and at least one IDT team member shall develop an initial plan based on a preliminary assessment of the patient needs.

(3) Within five calendar days of admission, the interdisciplinary team shall assess the needs of the patient and family. A care plan shall be based on these findings.

(4) Within five calendar days of admission, the interdisciplinary team shall meet to develop a comprehensive written plan of care. The plan of care shall:

a. Identify the primary caregiver or an alternate arrangement for care;

b. List the needs of the patient and family;

c. List any intervention planned to meet the needs of the patient and family and the results expected from each intervention;

d. Indicate which team member(s) is responsible for each intervention;

e. Indicate the anticipated frequency of each intervention; and

f. Indicate the prognosis and expected disease process.

(5) The IDT shall monitor and revise the plan of care on a regular basis. The team shall meet at least every 15 days and exchange information regarding the needs of the patient and family. Changes in the care plan shall be made when the needs of the patient or family change or when interventions do not result in the expected or intended response.

This rule is intended to implement Iowa Code section 135J.3(5).

Iowa Admin. Code r. 481-53.8

Amended by IAB April 5, 2023/Volume XLV, Number 20, effective 5/10/2023