3701-19-20 Admission of patients to the hospice care program.

(A) A hospice care program shall not admit any individual who does not meet the definition of a hospice patient.

(B) A hospice care program shall admit patients, provide care and services, and discharge or transfer patients without discrimination on the basis of sex, age, race, creed, national origin, or handicap.

(C) A hospice care program shall require that the patient, or the patient's authorized representative, sign an informed consent form. This form shall include an acknowledgement by signature of the patient or patient's representative, that they have been given a full explanation of the palliative rather than curative nature of hospice care as it relates to the patient's terminal illness and have been informed that the patient may withdraw consent at any time.

(D) A hospice care program shall permit a hospice patient to withdraw consent for hospice care at any time.

(E) A hospice care program shall provide a patient or the patient's representative with information regarding the scope of services provided by the hospice care program, including any limitations of the hospice care program and charges for the services.

(F) Prior to or within forty-eight hours after admission of each patient, a hospice care program shall obtain an oral statement from the patient's attending physician, if any, and the medical director of the hospice care program or the physician member of the interdisciplinary team certifying that the patient is terminally ill. The program shall obtain written confirmation of the oral statement after admission. The written certification statement shall be signed by the patient's attending physician, if any, and the medical director of the hospice care program or the physician member of the interdisciplinary team.

Interpretive guidelines: it is recommended that the hospice care program also take the following measures:

(1) The program should obtain the following information orally from the patient's attending physician if any, prior to or within forty eight hours of admission, and confirm the oral communication in writing, within twenty one days or within other acceptable written standards of practice guidelines:

(a) Information about current medical findings;

(b) Dietary restrictions;

(c) Medication orders;

(d) Treatment orders; and

(e) Other patient orders;

(2) The program should obtain from each patient's attending physician, if any, designation of an alternate physician to contact for emergency care of the patient or review of the patient's plan of care when the attending physician is not available; and

(3) The hospice care program should obtain written confirmation of the oral statement certifying that the patient is terminally ill within a reasonable period of time after admission, which is recommended to be not more than twenty-one days or within other acceptable written standards of practice guidelines.

Effective: 08/23/2009
R.C. 119.032 review dates: 05/19/2009 and 08/15/2014
Promulgated Under: 119.03
Statutory Authority: 3712.03
Rule Amplifies: 3712.01 , 3712.03 , 3712.06
Prior Effective Dates: 12/31/1990, 10/17/99