{"ref":"MI-HSP-IDG-03","title":"Coordination of Care, Physician Orders and Verbal Orders","category":"Hospice care","summary":"Sets out the Agency's system of communication and integration among all disciplines and with outside providers, who may order treatment, how standing, written, verbal and telephone orders are received, read back, recorded and signed (with the ordering practitioner's signature within the Agency's time frame of 14 days), coordination when a patient moves between settings or is hospitalized, the Medicaid monthly service log, and joint plans of care with other Medicaid programs.","inShort":["Give treatment only on a valid order from a physician or other authorized practitioner.","Only nurses (and therapists for their own discipline) may take verbal orders. Aides, social workers, chaplains, volunteers and office staff may not.","For a verbal order: write it down, read it all back, sign it at once, and send it for the practitioner's signature the same day.","Write your visit note by the end of the next business day, and the same day for any big change. Tell the nurse coordinator about changes at once.","For Medicaid patients, every visit must show on the monthly service log with the date and whether staff or a volunteer gave it."],"primaryCitation":"Mich. Admin. Code R 325.45199","citations":["Mich. Admin. Code R 325.45199","Mich. Admin. Code R 325.45129(3)","Mich. Admin. Code R 325.45351(1)-(2)","Mich. Admin. Code R 325.45215(7)","Mich. Admin. Code R 325.45191(2)(g)-(j)","MCL 333.21415(2)","Michigan Medicaid Provider Manual, Hospice, Sections 3.4.C, 4.3, 6.5, 6.7, 6.9 and 6.10"],"federalCitations":["42 CFR §418.56(e)","42 CFR §418.104","42 CFR §418.106(b)","42 CFR §418.108(c)","42 CFR §418.64(a)"],"surveyorAsks":["Who at your agency may take a verbal or telephone order? Show me one recorded, read back and signed.","How long do practitioners have to sign verbal orders, and how do you track unsigned orders?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45199)","5. System of Communication and Integration","6. Who May Order Treatment","7. Written and Standing Orders","7.1 Receiving Verbal and Telephone Orders","8. Transitions Between Settings and Hospital Stays","9. Medicaid Monthly Service Log","10. Coordination With Other Medicaid Programs and Facilities","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","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}}