{"ref":"LA-HSP-IDG-02","title":"Plan of Care: Initial Plan, Reviews and Practitioner Orders","category":"Hospice care","summary":"Sets out the initial plan of care on the day of the assessment with IDT input within two days, the content Louisiana and Medicare require, review at least every 14 days for home care and every 7 days for general inpatient and continuous home care, documented attending practitioner participation, and orders signed within the Agency’s time frame and never later than 14 days (30 days with documented attempts).","inShort":["Write the initial plan of care on the day of the assessment, after talking with at least one other team member.","The rest of the team reviews it within two days.","Follow the plan of care. Give drugs and treatments only as ordered.","Review the plan at least every 14 days, or every 7 days for inpatient or continuous care, even if nothing changed.","Get orders signed within 14 days, and never later than 14 days (30 days with documented attempts)."],"primaryCitation":"LAC 48:I §8221.A, B","citations":["LAC 48:I §8221.A","LAC 48:I §8221.B","LAC 48:I §8201 (Plan of Care)","LAC 48:I §8217.I.1.b.viii-ix","LAC 48:I §8235.D.2.i-k","LAC 48:I §8223.A.3","LAC 48:I §8233.H.1, H.3, H.5","R.S. 40:2009.26(D)","Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §§24.2, 24.5"],"federalCitations":["42 CFR §418.56(b)-(d)","42 CFR §418.200","42 CFR §418.106(b)","42 CFR §418.24(d)(2)"],"surveyorAsks":["Show me the initial plan of care for this patient. Was it written on the day of the assessment?","Who gave input on this IPOC, and when?"],"forms":[{"ref":"LA-HSP-IDG-02-A","title":"Initial Plan of Care Development and IDT Input Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8221.A, B)","5. The Initial Plan of Care","6. Content of the Plan of Care","7. Following the Plan of Care","8. Review and Update","9. Participation of the Attending Practitioner","10. Signing of Orders","11. Involving and Teaching the Patient and Family","12. Medicaid Waiver and Personal Care Services","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. 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}}