{"ref":"MO-HSP-BRV-01","title":"Bereavement Program","category":"Hospice care","summary":"Sets out the Agency's organized bereavement program under Missouri's hospice rule: supervision by Drew Sample, a qualified professional with training or experience related to death, dying and bereavement; the bereavement assessment that begins before the death; an encounter (other than funeral attendance or visitation) within two months after the death to assess the risk of each bereaved person; a bereavement plan of care that extends for one year following the death appropriate to the level of risk; at least one additional encounter within six months after the death; services by risk level; facility residents and staff; and records.","inShort":["Bereavement support lasts one year after the death and is led by Drew Sample.","Within two months after the death, someone must actually talk with each bereaved person to assess risk. A funeral visit does not count.","Each person gets a bereavement plan for one year based on their risk: low, moderate or high.","At least one more contact must happen within six months after the death.","If a grieving person talks about suicide, stay with them, call 911 if they are in danger or connect them to 988, and tell the coordinator the same day."],"primaryCitation":"19 CSR 30-35.010(2)(G)5","citations":["19 CSR 30-35.010(2)(G)5","19 CSR 30-35.010(1)(E)2.C","19 CSR 30-35.010(2)(J)5.G","19 CSR 30-35.010(2)(M)1.B(X)"],"federalCitations":["42 CFR §418.64(d)(1)","42 CFR §418.54(c)(7)","42 CFR §418.204(c)"],"surveyorAsks":["Who supervises your bereavement program, and what is that person's training or experience?","For this family, show me the encounter within two months of the death that assessed risk. Was it more than a funeral visit?"],"forms":[{"ref":"MO-HSP-BRV-01-A","title":"Bereavement Risk Assessment and Plan of Care"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(G)5; 42 CFR §418.64(d)(1))","5. The Bereavement Coordinator","6. Before the Death","7. After the Death: Risk Encounter and Bereavement Plan of Care","8. Services by Risk Level","9. Facility Residents and Staff","10. Risk of Harm","11. Staff and Volunteers","12. Closing Bereavement 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":"mo-hospice","state":"Missouri","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}}