{"ref":"PA-HSP-MD-01","title":"Medical Director and Physician Services","category":"Governance","summary":"Sets out how the Agency designates its medical director and the physician designee who covers when the medical director is unavailable, what the medical director is responsible for, how hospice physicians work with each patient's attending physician, how physician services are available around the clock, and when a physician must be reported to a Pennsylvania licensing board.","inShort":["Dr. Morgan Sample is the medical director. Dr. Riley Sample covers when the medical director is not available.","A hospice physician is on call 24 hours a day. If the patient's own doctor cannot be reached, call the on-call hospice physician.","Admission is recommended, and terminal illness certified, by the medical director, the physician designee or a physician on the interdisciplinary group.","No patient is discharged without a written discharge order from a hospice physician.","If you cannot reach any hospice physician, keep trying the numbers on the on-call sheet and tell the Administrator the next business day."],"primaryCitation":"42 CFR §418.102","citations":["35 P.S. §448.806a","55 Pa. Code §1130.22","55 Pa. Code §1130.72"],"federalCitations":["42 CFR §418.102","42 CFR §418.64(a)","42 CFR §418.3","42 CFR §418.25","42 CFR §418.26(b)","42 CFR §418.56(a)(1)(i)","42 CFR §418.114(b)(1)","42 CFR §418.205"],"surveyorAsks":["Show me the written designation of your medical director and of the physician designee.","If the medical director is under contract, does the contract name the physician?"],"forms":[{"ref":"PA-HSP-MD-01-A","title":"Medical Director and Physician Designee Designation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.102)","5. Qualifications and Verification","6. Responsibilities of the Medical Director","7. Physician Services for Each Patient","8. Availability Around the Clock","9. Working With Attending Physicians","10. Reporting Physician Misconduct to a Licensing Board","11. Responsibilities","12. Records and Compliance Monitoring","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"pa-hospice","state":"Pennsylvania","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}}