{"ref":"GA-HSP-IDG-03","title":"Coordination of Care, Care Transitions and Physician Orders","category":"Hospice care","summary":"Sets out the Agency’s system for coordinating care among disciplines, settings and outside providers; how transitions across care sites (for example hospital to home hospice) are handled so that communication supports continuity of care; that patients stay on hospice during coordinated hospital admissions; and how physician orders, including verbal orders, are received, read back as \"repeated and verified\", sent in writing to the prescriber within 24 hours or by the end of the next business day, and signed.","inShort":["Only licensed nurses take verbal orders. Write it, read it back, and record \"repeated and verified\" with your signature, date and time.","The written copy goes to the physician within 24 hours or by the end of the next business day.","The physician signs within 14 days. Medical records tracks every unsigned order.","Never discharge or pressure a patient because of a hospital stay. Call the hospital the same day and stay involved.","When a patient moves between settings, send the plan of care, orders and advance directive documents with them."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-37-.17(5)","citations":["Ga. Comp. R. & Regs. 111-8-37-.17(5)","Ga. Comp. R. & Regs. 111-8-37-.07(5)(j)","Ga. Comp. R. & Regs. 111-8-37-.08(3)(g)","Ga. Comp. R. & Regs. 111-8-37-.10(1)(n)","Ga. Comp. R. & Regs. 111-8-37-.14(6)(e)-(f)","Ga. Comp. R. & Regs. 111-8-37-.16(4)(b)","Ga. Comp. R. & Regs. 111-8-37-.18(3)"],"federalCitations":["42 CFR §418.56(e)","42 CFR §418.106(b)","42 CFR §418.104(a)(7), (b), (e)"],"surveyorAsks":["Show me a verbal order taken last week. Where is \"repeated and verified\", and when did you send the written copy to the physician?","Who may take verbal orders for medications in your agency?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.17(5); 42 CFR §418.56(e))","5. System of Communication and Integration","6. Physician and Practitioner Orders","6.1 Receiving Verbal Orders","7. Transitions Across Care Sites and Providers","8. Hospital Admissions During Hospice Care","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","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}}