CMS Manual System - Louisiana Department of Health and Hospitals

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F500
§483.75(h) Use of Outside Resources
(1) If the facility does not employ a qualified professional person to furnish a specific
service to be provided by the facility, the facility must have that service furnished to
residents by a person or agency outside the facility under an arrangement described
in section 1861(w) of the Act or an agreement described in paragraph (h)(2) of this
section.
(2) Arrangements as described in section 1861(w) of the Act or agreements
pertaining to services furnished by outside resources must specify in writing that the
facility assumes responsibility for--
(i) Obtaining services that meet professional standards and principles that apply
to professionals providing services in such a facility; and
(ii) The timeliness of the services.
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F501
§483.75(i) Medical Director
(1) The facility must designate a physician to serve as medical director.
(2) The medical director is responsible for –
INTENT:
(i) Implementation of resident care policies; and
(ii) The coordination of medical care in the facility.
The intent of this requirement is that:
The facility has a licensed physician who serves as the medical director to
coordinate medical care in the facility and provide clinical guidance and oversight
regarding the implementation of resident care policies;
The medical director collaborates with the facility leadership, staff, and other
practitioners and consultants to help develop, implement and evaluate resident
care policies and procedures that reflect current standards of practice; and