3701-19-07 General requirements for hospice care programs after licensure.

(A) Any person or public agency licensed under section 3712.04 of the Revised Code and this chapter to provide a hospice care program shall:

(1) Provide a planned and continuous hospice care program, the medical components of which shall be under the direction of a physician;

(2) Ensure that care is available twenty-four hours a day and seven days a week;

(3) Establish an interdisciplinary plan of care for each hospice patient and his family that:

(a) Is coordinated by one designated individual who shall ensure that all components of the plan of care are addressed and implemented;

(b) Addresses maintenance of patient-family participation in decision making; and

(c) Is periodically reviewed by the patient's attending physician and by the patient's interdisciplinary team.

Interpretive guideline: specific requirements relating to the interdisciplinary team and the plan of care are prescribed by rule 3701-19-11 of the Administrative Code;

(4) Have an interdisciplinary team or teams that provide or supervise the provision of care and establish the policies governing the provision of the care;

(5) Provide bereavement counseling for hospice patients' families. Interpretive guideline: specific requirements relating to bereavement counseling are prescribed by rule 3701-19-18 of the Administrative Code;

(6) Not discontinue care because of a hospice patient's inability to pay for the care;

(7) Maintain central clinical records on all hospice patients under its care.

Interpretive guideline: specific requirements relating to central clinical records are prescribed by rule 3701-19-23 of the Administrative Code; and

(8) Provide care in individual's homes, on an outpatient basis, and on a short-term inpatient basis.

Interpretive guideline: specific requirements relating to home care and inpatient care are prescribed, respectively, by rules 3701-19-16 and 3701-19-24 of the Administrative Code.

A component or components of the care provided by a hospice care program may be provided under a written contract with another person or public agency, pursuant to rule 3701-19-12 of the Administrative Code.

(B) After receiving a license, a hospice care program shall comply with all requirements of Chapter 3712. of the Revised Code and Chapters 3701-13 and 3701-19 of the Administrative Code.

(C) Each licensed hospice care program shall notify the director, in writing, of any of the following:

(1) Any change in any of the information specified in the license application under paragraphs (C)(1) to (C)(3) of rule 3701-19-03 of the Administrative Code no later than fifteen days after the change;

(2) Any other change that would render the information submitted in the license application inaccurate at least twenty-one days prior to the effective date of the change; and

(3) Any intent to cease operation at least sixty days prior to ceasing operation. This notification shall include a plan for assuring continuity of care for the program's patients and their families after the program ceases operation.

Interpretive guideline: the following procedures for assuring continuity of care are recommended:

(a) Provision of written notice of the proposed closure of the program, at least sixty days prior to ceasing operation, to each patient or patient's family;

(b) Development of a written discharge plan to be placed in each patient's record to assist the person or public agency that will be responsible for care of the patient and his or her family after the program ceases operation; and

(c) Obtaining from each patient or his or her authorized representative written approval of any transfer to another licensed hospice care program and written authorization to release pertinent clinical record information to such a program or another person or public agency that will assume responsibility for the patient's and family's care.

R.C. 119.032 review dates: 05/27/2009 and 05/27/2014

Promulgated Under: 119.03

Statutory Authority: 3712.03

Rule Amplifies: 3712.01 , 3712.04 , 3712.05 , 3712.06

Prior Effective Dates: 12/31/1990; 10/17/99