{"ref":"MO-HSP-GOV-02","title":"Organizational Structure, Branch Offices and Multiple Locations","category":"Governance","summary":"Sets out how the Agency is organized, how lines of authority run from the governing body to every staff member, how the service area is defined under one Missouri hospice certificate, and what must be in place before a branch office or other location serves patients, including Department approval, the 100-mile limit and the branch IDG.","inShort":["Sample Agency, LLC works under one Missouri hospice certificate, and every office follows the same policies.","A branch office may not serve any patient until it is approved.","Branch offices must be within 100 miles of the parent office, with their own IDG, active patient records on site and a staffed phone during business hours.","Patients served from a branch get the same standard of care as patients served from the main office.","Ask your manager if you are not sure who supervises you; the organizational chart is posted in every office."],"primaryCitation":"19 CSR 30-35.010(1)(K)","citations":["19 CSR 30-35.010(1)(A)3","19 CSR 30-35.010(1)(K)","19 CSR 30-35.030(4)","19 CSR 30-35.030(5)","RSMo §197.250(2), (7)","RSMo §197.254.2, .7","RSMo §197.258.4-.5","19 CSR 30-35.020(1)"],"federalCitations":["42 CFR §418.100(e)-(f)","42 CFR §418.116(a)","42 CFR §424.516(e)"],"surveyorAsks":["Show me your organizational chart and explain who supervises the branch office.","When was this branch approved, and did it serve any patient before approval?"],"forms":[{"ref":"MO-HSP-GOV-02-A","title":"Branch Office Supervision and Readiness Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(1)(K); 19 CSR 30-35.030(4))","5. Organizational Chart and Lines of Authority","6. Service Area and One Certificate","7. Before a Branch Office Serves Patients","8. Supervising Branch Offices","9. Offices Near the State Line","10. Closing or Moving a Branch Office","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":"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}}