{"ref":"TX-HH-DEL-01","title":"Physician Delegation","category":"Clinical tasks","summary":"Records the governing body’s decision that the Agency does not honor physician delegation, tells staff what to do when a physician tries to delegate a medical act to an Agency staff member, and sets out the six items and the Texas Occupations Code conditions that would apply if the Agency ever decided to honor physician delegation.","inShort":["Our Agency does not accept tasks that a doctor delegates directly to a staff member.","If a doctor’s office or family asks you to do such a task, politely say no and tell them the case manager will call.","Call the office before your visit ends and write the request in your visit note.","If you are given a written delegation, do not act on it. Give it to your case manager.","If the patient is in danger, call 911 first."],"primaryCitation":"26 TAC §558.296","citations":["26 TAC §558.296","26 TAC §558.2","26 TAC §558.281","26 TAC §558.298","26 TAC §558.245","26 TAC §558.301","Tex. Occ. Code ch. 157","Tex. Occ. Code §157.001","Tex. Occ. Code §157.005","Tex. Occ. Code §157.007"],"federalCitations":["42 CFR §484.80(g)(2)"],"surveyorAsks":["Does your agency honor physician delegation? Show me the written policy.","What would your aide do if a physician’s office told her to perform a task for a patient?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.296)","5. Telling Physician Delegation Apart From Other Routes","6. What Staff Do When Asked to Perform a Physician-Delegated Task","7. Requirements If the Agency Honors Physician Delegation","7.1 What the physician must provide","7.2 Conditions of acceptance","7.3 Training, performance, and ending a delegation","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"tx-lhhs","state":"Texas","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}