RULES AND REGULATIONS FOR HOSPICE IN ARKANSAS

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RULES AND REGULATIONS FOR HOSPICE IN ARKANSAS SECTION 18: PLAN OF CARE Agency #007.05 A written plan of care shall be established, maintained, and provided for each patient admitted to a hospice program. The plan shall include an assessment of the patient’s needs and identification of the services including the management of discomfort and symptom relief. It shall state in detail the scope and frequency of services needed to meet the patient’s and family’s needs. A written plan of care shall be: A. Developed by the attending physician, the medical director or physician designee and interdisciplinary group prior to providing care; and B. Reviewed and revised to reflect the patient and family’s current needs, by the attending physician, the medical director or physician designee, and interdisciplinary group. The reviews shall be documented. C. Content of plan. The plan must include assessment of the individual’s needs and identification of the services including the management of discomfort and symptom relief. It must state in detail the scope and frequency of services needed to meet the patient’s and family’s needs. 18-1
RULES AND REGULATIONS FOR HOSPICE IN ARKANSAS SECTION 19: CLINICAL RECORDS Agency #007.05 In accordance with accepted principles of practice, the hospice shall establish and maintain a clinical record for every patient receiving care and services. The record shall be complete, accurate readily accessible and systematically organized to facilitate retrieval. A. Content Entries shall be made for the day services are provided and filed within seven days. Entries shall be signed by the person providing the services. All entries shall be legible and readily accessible. The record shall include all services whether furnished directly or under arrangement. Each patient’s record shall contain the following: 1. Initial and subsequent assessments; 2. Plan of care; 3. Identification data; 4. Consent, authorization and election forms; 5. Pertinent medical history; and 6. Documentation of all services and events. B. Protection of Information The hospice shall use reasonable precautions to safeguard the clinical record against loss, destruction and unauthorized use. C. Record Retention Closed records shall be retained for a minimum of five years. 19-1
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RULES AND REGULATIONS FOR HOSPICE IN ARKANSAS

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