{"ref":"LA-HH-GOV-01","title":"Governing Body, Organization Chart, and Lines of Authority","category":"Governance","summary":"Sets out how the governing body of the Agency holds full legal authority and responsibility for its operation, designates the person responsible for day-to-day management, completes the annual documented review that LAC 48:I §9102.B.1 requires, keeps signed minutes, receives the written notifications and QAPI results the rule lists, and maintains an organizational chart that shows lines of authority down to the patient care level.","inShort":["The governing body is legally in charge of the Agency and approves every policy.","Our organizational chart shows who you report to, right down to the patient's home.","The governing body reviews our policies, budget, complaints, statistics and emergency plan at least once a year.","Governing body minutes are signed by everyone who attends.","Tell the Administrator at once about anything that could affect how the Agency operates."],"primaryCitation":"LAC 48:I §9102","citations":["LAC 48:I §9101","LAC 48:I §9102","LAC 48:I §9102.B","LAC 48:I §9103.A","LAC 48:I §9105.A.1.g","LAC 48:I §9115.B.1.h","LAC 48:I §9115.B.1.i","LAC 48:I §9118","LAC 48:I §9119.A.2","LAC 48:I §9127","LAC 48:I §9131.B","R.S. 40:2116.33"],"federalCitations":["42 CFR §484.105","42 CFR §484.105(a)","42 CFR §484.65(e)"],"surveyorAsks":["Who is your governing body, and where are the minutes of its meetings with the attendees' signatures?","Show me the governing body's last annual documented review. Did it cover the policies, budget, program evaluation, statistics, complaint resolutions, projected changes and emergency preparedness?"],"forms":[{"ref":"LA-HH-GOV-01-A","title":"Governing Body Annual Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §9102)","5. Duties of the Governing Body","6. Meetings and Minutes","7. Written Notifications to the Governing Body","8. Organizational Chart and Lines of Authority","9. Annual Documented Review","10. Administrative Control, Contracted Services, and Branch Offices","11. Conflicts of Interest and Related Entities","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"la-hha","state":"Louisiana","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}