{"ref":"DC-HSP-IDG-03","title":"Coordination of Services, Physician Orders and Waiver Coordination","category":"Hospice care","summary":"Sets the Agency’s system of communication and integration among its disciplines, contractors and settings, and with other providers who treat unrelated conditions; how drug and treatment orders, including verbal and electronic orders, are received, recorded and signed; and how hospice care is coordinated with DC Medicaid personal care aide services and with EPD and IDD waiver case managers.","inShort":["Send a coordination note to the registered nurse coordinator the same day about any change.","Only a licensed nurse, nurse practitioner, pharmacist or physician takes a verbal order.","Read the order back, record and sign it right away, and send it for the prescriber’s signature within 14 days.","Share the addendum and drug list with the patient’s other providers for unrelated care.","For EPD or IDD waiver patients, finish the coordinated plan with the case manager within 5 days of the first day of hospice care."],"primaryCitation":"42 CFR §418.56(e)","citations":["29 DCMR §939.18","29 DCMR §939.20(i)","29 DCMR §940.26"],"federalCitations":["42 CFR §418.56(e)","42 CFR §418.106(b)","42 CFR §418.76(i)","42 CFR §418.100(e)","42 CFR §418.112(e)","45 CFR §164.506"],"surveyorAsks":["How do the nurse, aide, social worker and chaplain share information about a patient between IDG meetings?","Show me a verbal order. Who took it, when was it recorded, and when did the physician sign it?"],"forms":[{"ref":"DC-HSP-IDG-03-A","title":"Coordinated Plan of Care With an HCBS Waiver Case Manager"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.56(e))","5. The Agency’s System of Communication","6. The Attending Physician","7. Sharing Information With Non-Hospice Providers","8. Physician and Practitioner Orders","8.1 Verbal and Electronic Orders","9. DC Medicaid Personal Care Aide Services","10. HCBS Waiver Participants","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"dc-hospice","state":"Washington, DC","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}