{"ref":"TX-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 practitioner, and how physician services are made available around the clock.","inShort":["Dr. Morgan Sample is our medical director. Dr. Riley Sample covers when the medical director is not available.","A hospice physician is always on call. If the patient’s own doctor cannot be reached, call the on-call hospice physician.","Only a physician or an advanced practice nurse may order drugs. Take phone orders only if you are licensed to, and write them down right away.","The medical director or the physician designee signs certifications and discharge orders.","If you cannot reach any hospice physician, tell the Administrator the next business day."],"primaryCitation":"42 CFR §418.102","citations":["26 TAC §558.858","26 TAC §558.831","26 TAC §558.820(b)(1)","26 TAC §558.830(b)","26 TAC §558.850(d)(2)","26 TAC §558.859(f)","26 TAC §558.861(c)"],"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 §418.114(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":"TX-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; 26 TAC §558.858)","5. Qualifications and Verification","6. Responsibilities of the Medical Director","7. Physician Services for Each Patient (26 TAC §558.831)","8. Availability Around the Clock","9. Working With Attending Practitioners","10. Responsibilities and Records","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"tx-hospice","state":"Texas","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 Hospice","legalName":"Sample Hospice, LLC","logo":null}}