| 01/26/2022 | Complaint | LDPB | T0061 | PLAN OF CARE(5) Each hospice, in collaboration with the patient and the patient's primary or attending physician, shall prepare and maintain a plan of care for each patient, and the care provided to a patient must be in accordance with the plan of care. The plan of care shall be made a part of the patient's medical record and shall include, at a minimum:
(a) Identification of the primary caregiver, or an alternative plan of care in the absence of a primary caregiver, to ensure that the patient's needs will be met.
(b) The patient's diagnosis, prognosis, and preferences for care.
(c) Assessment of patient and family needs, identification of the services required to meet those needs, and plans for providing those services through the hospice care team, volunteers, contractual providers, and community resources.
(d) Plans for instructing the patient and family in patient care.
(e) Identification of the nurse designated to coordinate the overall plan of care for each patient and family.
(f) A description of how needed care and services will be provided in the event of an emergency.
(6) The hospice shall provide an ongoing assessment of the patient and family needs, update the plan of care to meet changing needs, coordinate the care provided with the patient's primary or attending physician, and document the services provided.
| 07/14/2022 |
