{"ref":"OH-HSP-MD-01","title":"Medical Director and Physician Services","category":"Governance","summary":"Sets out how the Agency arranges for a medical director and a physician designee, their qualifications, the duties OAC 3701-19-10 and 42 CFR §418.102 give them, round-the-clock physician coverage, the role of attending physicians, physician assistants and advanced practice registered nurses, and who may sign medical orders and certify terminal illness.","inShort":["Dr. Morgan Sample is the medical director and directs the medical side of hospice care.","When the medical director is not available, Dr. Riley Sample has the same authority.","A hospice physician can be reached by the on-call nurse 24 hours a day. Check the on-call schedule.","Orders must be signed by a physician, a physician assistant or an advanced practice registered nurse acting within their scope.","The patient chooses the attending physician. Send each attending physician a copy of the plan of care and record the date you sent it."],"primaryCitation":"OAC 3701-19-10","citations":["OAC 3701-19-06(C)(2)","OAC 3701-19-10","OAC 3701-19-17","OAC 3701-19-20(G)","OAC 3701-19-11(E)","OAC 3701-19-01","OAC 3701-13-01(F)(5)","ORC 3712.01(A)(6), (F)-(G)","ORC 3712.06(A)","OAC 5160-56-01(C), (H)","OAC 5160-56-06(E)"],"federalCitations":["42 CFR §418.102","42 CFR §418.64(a)","42 CFR §418.3","42 CFR §418.25","42 CFR §418.26(b)"],"surveyorAsks":["Who is your medical director, and is the arrangement in a written contract or employment agreement that names the physician?","Who acts when the medical director is not available, and where is that designation in writing?"],"forms":[{"ref":"OH-HSP-MD-01-A","title":"Medical Director and Physician Designee Designation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 3701-19-06(C)(2); OAC 3701-19-10; 42 CFR §418.102)","5. Arrangement, Qualifications and Checks","6. Duties of the Medical Director","7. Physician Coverage at All Hours","8. Attending Physicians and Medical Services","9. Orders and Certification","10. Physician Billing","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":"oh-hospice","state":"Ohio","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}}