{"ref":"LA-HSP-MD-01","title":"Medical Director, Physician Designee and Physician Services","category":"Governance","summary":"Sets out the Louisiana qualifications and responsibilities of the medical director and physician designee, the limits on advanced practice registered nurses, physician availability around the clock, the medical director’s role with attending practitioners and the interdisciplinary team, the record of active participation, and the two hours of end-of-life continuing medical education required each year.","inShort":["Dr. Morgan Sample is the medical director and is responsible for the medical side of all patient care.","When the medical director is not available, Dr. Riley Sample takes on the same responsibilities.","A physician is always reachable through the on-call nurse, 24 hours a day.","A nurse practitioner may care for a patient but may never be the medical director, the referring practitioner, or sign a certification of terminal illness.","The medical director completes two hours of end-of-life medical education every year and records the time spent on hospice work."],"primaryCitation":"LAC 48:I §8217.I","citations":["LAC 48:I §8217.I","LAC 48:I §8219.B.2","LAC 48:I §8219.C","LAC 48:I §8201 (Hospice Physician; Attending/Primary Physician; APRN)","LAC 48:I §8221.A, B.1.a","LAC 48:I §8221.C.2","LAC 48:I §8237.B","LAC 48:I §8203.E.2.e"],"federalCitations":["42 CFR §418.102","42 CFR §418.64(a)","42 CFR §418.25","42 CFR §418.3 (Physician designee)"],"surveyorAsks":["Who is your medical director, and who acts when the medical director is not available?","Show me documentation of the medical director’s active participation and time spent."],"forms":[{"ref":"LA-HSP-MD-01-A","title":"Medical Director Activity and Continuing Medical Education Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8217.I)","5. Qualifications and Appointment","6. Responsibilities","7. Physician Designee and Availability","8. Documentation of Active Participation","9. Continuing Medical Education","10. Advanced Practice Registered Nurses","11. Working With Attending Practitioners","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-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}}