Statutes, codes, and regulations
Delaware Administrative Code
Title 16 - Health and SafetyDepartment of Health and Social ServicesDivision of Health Care Quality
Delivery of Hospice Services
Section 3380-4.0 - Personnel/Administrative

16 Del. Admin. Code § 3380-4.0

Download
PDF
Current through Register Vol. 28, No. 5, November 1, 2024
Section 3380-4.0 - Personnel/Administrative
4.1 No rules shall be adopted by the licensee or administrator of the hospice program which are in conflict with these regulations.
4.2 The Department of Health and Social Services shall be notified, in writing, of any changes in the hospice administration.
4.3 Hospice program shall comply with applicable local, state and federal laws and regulations governing the organization and delivery of health care to patients and families.
4.4 The hospice administration shall adopt by-laws identifying the purpose of hospice and the means of fulfilling them.
4.5 A hospice administrator will be identified and be responsible for the overall coordination and administration of the hospice program.
4.6 A governing authority must be established. Hospice established within existing licensed hospitals, nursing homes and home health agencies need not establish a separate governing authority specifically for hospice but must provide a hospice advisory committee.
4.7 Governing authority shall:
4.7.1 Adopt by-laws which identify the purposes of hospice and the means of fulfilling them.
4.7.2 The governing authority shall establish a procedure for and regularly conduct a systematic professional and administrative review and program evaluation of the services. Licensed hospitals, nursing homes and home health agencies may establish a committee specifically for this purpose or they may assign the responsibility to an existing committee.
4.7.3 Governing authority shall prepare an annual review and program evaluation which should include, but not be limited to the following, and should be available upon request to the licensing agency:

. Review and reevaluation of the program objectives.

. Evaluation of the appropriateness of the scope of services offered.

. Review of admission, discharge and patient care policies and procedures.

. Annual review of a random sample of patient/family records and written evaluation on quality of services provided.

. Annual review of staffing qualifications, responsibilities and needs.

16 Del. Admin. Code § 3380-4.0

25 DE Reg. 781( 2/1/2022) (Final)