{"ref":"NC-HSP-BRV-01","title":"Bereavement Program","category":"Hospice care","summary":"Sets up the Agency's organized bereavement program under its Bereavement Coordinator: survivor risk assessment during admission and during the illness, a written bereavement care plan within six weeks after the death that says who receives services and what services, review of that plan at least quarterly, bereavement counseling offered for 12 months after the death, and justified and documented discharge before 12 months.","inShort":["Bereavement support is offered to the family for 12 months after the patient dies, at no charge.","We look at how the family may cope with the death from admission on, and update it during the illness.","Tell the Bereavement Coordinator, Drew Sample, about every death by the next business day.","A written bereavement plan is made within six weeks after the death and reviewed at least every three months.","If a grieving person speaks of suicide, get help the same day. In danger, call 911."],"primaryCitation":"10A NCAC 13K .0501(8)","citations":["10A NCAC 13K .0501(8)(a)-(e)","10A NCAC 13K .0901(b)(8), (17)","10A NCAC 13K .0402(b)(10)","10A NCAC 13K .0701(b)","G.S. 131E-201(3), (5b)"],"federalCitations":["42 CFR §418.64(d)(1)","42 CFR §418.3 (bereavement counseling)","42 CFR §418.54(c)(7)","42 CFR §418.112(c)(9)","42 CFR §418.204(c)"],"surveyorAsks":["Who supervises your bereavement program, and what is that person's grief or loss training?","Show me the survivor risk assessment for this family and when it was updated."],"forms":[{"ref":"NC-HSP-BRV-01-A","title":"Bereavement Care Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0501(8); 42 CFR §418.64(d)(1))","5. The Bereavement Coordinator","6. Before the Death: Survivor Risk Assessment","7. At the Death","8. The Bereavement Care Plan","9. Services Offered","10. Facility Residents and Facility Staff","11. Risk of Harm","12. Closing Bereavement Services","13. Support for Staff","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","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}}