{"ref":"LA-HSP-GOV-01","title":"Governing Body, Administrator and Key Designations","category":"Governance","summary":"Sets out what the governing body of the Agency must do itself under Louisiana’s hospice licensing rules, the written designations it makes (Administrator, Alternate Administrator, director of nurses, medical director and others), what the Administrator is responsible for, how leadership stays reachable during operating hours and surveys, and how the governing body keeps minutes and receives reports.","inShort":["The governing body of Sample Agency, LLC is legally responsible for the whole hospice and approves all policies at least once a year.","Pat Sample runs the Agency day to day. Jo Sample takes charge whenever the Administrator is unavailable.","Robin Sample, RN, the director of nurses, supervises all patient care. When the director is away, Casey Sample, RN is responsible.","If a state surveyor arrives, check their ID, let them in right away and call the Administrator or the Alternate Administrator.","Surveyors may see any area and any file and may talk to any staff member or patient. Never refuse or delay them."],"primaryCitation":"LAC 48:I §8217.F","citations":["LAC 48:I §8201 (Governing Body)","LAC 48:I §8217.F","LAC 48:I §8217.A","LAC 48:I §8217.E","LAC 48:I §8216.D","LAC 48:I §8239.D-F","LAC 48:I §8203.E.2.g","LAC 48:I §8205.E.6","LAC 48:I §8207.A.9","LAC 48:I §8215.A.7-8","R.S. 40:2181 et seq."],"federalCitations":["42 CFR §418.100(b)","42 CFR §418.58(e)","42 CFR §418.102","45 CFR §164.530(a)"],"surveyorAsks":["Who is your governing body, and where are its written minutes and attendance records?","Show me the written designations of the Administrator, the director of nurses and the person who assumes authority when the Administrator is unavailable."],"forms":[{"ref":"LA-HSP-GOV-01-A","title":"Governing Body Designation of Key Personnel"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8217.F)","5. What the Governing Body Does Itself","6. Written Designations","7. What the Administrator Does","8. Leadership Availability","8.1 During business hours","8.2 When a Department surveyor arrives","9. Governing Body Meetings, Minutes and Reports","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"la-hospice","state":"Louisiana","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}}