{"ref":"NC-HSP-IDG-01","title":"Interdisciplinary Team, Patient and Family Care Coordinator and Team Meetings","category":"Hospice care","summary":"Sets the membership of the Agency's interdisciplinary team under North Carolina law (physician licensed in North Carolina, nurse, social worker, clergy member and trained hospice volunteer) and the federal interdisciplinary group, the Patient and Family Care Coordinator for each patient, and IDT meetings at least every 15 days for care plan review and staff support, with minutes and record entries.","inShort":["Our team always includes a physician, a nurse, a social worker, a clergy member and a trained volunteer.","Every patient has a Patient and Family Care Coordinator, a registered nurse who makes sure the plan is carried out.","The team meets at least every 15 days to review plans and support staff.","Minutes show the date, who attended and which patients were discussed.","Write an entry in each reviewed patient's record after the meeting.","Tell the care coordinator the same day if care is not happening as planned."],"primaryCitation":"10A NCAC 13K .0701(b)","citations":["G.S. 131E-201(6)","10A NCAC 13K .0102(3), (4), (13), (15), (20)","10A NCAC 13K .0701","10A NCAC 13K .0501(3)(c)"],"federalCitations":["42 CFR §418.56(a), (e)(1)","42 CFR §418.64","42 CFR §418.78"],"surveyorAsks":["Who are the members of your interdisciplinary team? Show me that a clergy member and a trained volunteer take part.","Show me the minutes of your last three IDT meetings. Were they no more than 15 days apart?"],"forms":[{"ref":"NC-HSP-IDG-01-A","title":"Interdisciplinary Team Meeting Minutes"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0701(b))","5. Membership","5.1 One team or several","6. Patient and Family Care Coordinator","7. IDT Meetings","8. Minutes and Record Entries","9. How the IDT Supervises Care","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. 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}}