Ariz. Admin. Code § 9-10-612

Current through Register Vol. 30, No. 17, April 26, 2024

Section R9-10-612 - Hospice Services

A. An administrator shall ensure that the following are included in the hospice services provided by the hospice:

1. Medical services;

2. Nursing services;

3. Nutritional services, including menu planning and the designation of the kind and amount of food appropriate for a patient;

4. Medical social services, provided as follows:

a. By a personnel member qualified according to policies and procedures to coordinate medical social services; and

b. If a personnel member provides medical social services that require a license under A.R.S. Title 32, Chapter 33, Article 5, by a personnel member who is licensed under A.R.S. Title 32, Chapter 33, Article 5;

5. Bereavement counseling for a patient's family for at least one year after the death of the patient; and

6. Spiritual counseling services, consistent with a patient's customs, religious preferences, cultural background, and ethnicity.

B. In addition to the services specified in subsection (A), an administrator of a hospice service agency shall ensure that the following are included in the hospice services provided by the hospice:

1. Home health aide services;

2. Respite care services; and

3. Supportive services, as defined in A.R.S. § 36-151.

C. An administrator shall ensure that the medical director provides direction for medical services provided by or through the hospice.

D. A medical director shall ensure that:

1. A patient's need for medical services is met, according to the patient's care plan and the hospice's scope of services; and

2. If a patient is receiving medical services not provided by or through the hospice, hospice services are coordinated with the physician providing medical services to the patient.

E. A director of nursing shall ensure that:

1. A registered nurse or practical nurse provides nursing services according to the hospice's policies and procedures;

2. A sufficient number of nurses are available to provide the nursing services identified in each patient's care plan;

3. The care plan for a patient is implemented;

4. A personnel member is only assigned to provide services the personnel member can competently perform;

5. A registered nurse:

a. Assigns tasks in writing to a home health aide who is providing home health aide service to a patient,

b. Provides direction for the home health aide services provided to a patient, and

c. Verifies the competency of the home health aide in performing assigned tasks;

6. A registered dietitian or a personnel member under the direction of a registered dietitian plans menus for a patient;

7. A patient's condition and the services provided to the patient are documented in the patient's medical record after each patient contact;

8. A patient's physician is immediately informed of a change in the patient's condition that requires medical services; and

9. The implementation of a patient's care plan is coordinated among the personnel members providing hospice services to the patient.

Ariz. Admin. Code § R9-10-612

Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-612 repealed effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). . Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.

The following Section was repealed under an exemption from the provisions of the Administrative Procedure Act which means these rules were not reviewed by the Governor's Regulatory Review Council; the Department did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; and the Department was not required to hold public hearings on the repealing of these rules.