La. Admin. Code tit. 48 § I-8219

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8219 - Patient Care Standard

A. Patient Certification. To be eligible for hospice care, an individual, or his/her representative, shall sign an election statement with a licensed hospice; the individual shall have a certification of terminal illness and shall have a plan of care (POC) which is established before services are provided.

B. Admission Criteria. The hospice shall have written policies to be followed in making decisions regarding acceptance of patients for care. Decisions are based upon medical, physical and psychosocial information provided by the patient's attending licensed medical practitioner, the patient/family and the interdisciplinary team. The admission criteria shall include:

1. the ability of the agency to provide core services on a 24-hour basis and provide for or arrange for non-core services on a 24-hour basis to the extent necessary to meet the needs of individuals for care that is reasonable and necessary for the palliation and management of terminal illness and related conditions;

2. certification of terminal illness (CTI) signed by the attending licensed medical practitioner and the medical director of the agency;

NOTE: The CTI shall not be signed by an APRN

3. assessment of the patient/family needs and desires for hospice services;

4. informed consent signed by patient or representative who is authorized in accordance with state law to elect the hospice care, which will include the purpose and scope of hospice services; and

5. patient meets all other criteria required by any applicable payor sources.

C. Admission procedure. Patients are to be admitted only upon the order of the patient's attending physician.

1. An assessment visit shall be made by a registered nurse, who will assess the patient's needs with emphasis on pain and symptom control. This assessment shall occur within 48 hours of referral for admission, unless otherwise ordered by physician or unless a request for delay is made by patient/family.

2. Documentation at admission will be retained in the clinical record and shall include:

a. signed consent forms;

b. signed patient's rights statement;

c. clinical data including physician order for care;

d. patient release of information;

e. patients signed designation of attending licensed medical practitioner;

i. - iv. Repealed.

f. orientation of patient/caregiver, which includes:

i. advanced directives and LaPOST;

ii. agency services;

iii. patient's rights; and

iv. agency contact procedures; and

g. for an individual who is terminally ill, certification of terminal illness signed by the medical director or the physician member of the IDT and the individual's attending physician.

La. Admin. Code tit. 48, § I-8219

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 15:482 (June 1989), amended LR 24:2268 (December 1998), Amended by the Department of Health, Bureau of Health Services Financing, LR 44598 (3/1/2018).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2181-2191.