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Informed Consent, Election Counseling and Disclosure of Services and Charges

Explains how the Agency obtains informed consent to hospice care: who may counsel on hospice and complete the consent (only a registered nurse, licensed vocational nurse, medical social worker, chaplain or counselor employed by the Agency), what the patient is told about services, limits and charges, how capacity and representatives are handled, and how consent forms are provided in the patient's primary language.

Preview: full text with a package
About this policy
Policy number
CA-HSP-PR-02
Version
1.0
Main rule
22 CCR §74860(b)
Library
California hospice · 60 policies
Category
Client rights
Sections
19

In short

  • Only a registered nurse, LVN, medical social worker, chaplain or counselor employed by the Agency may explain hospice and get consent and election signatures.
  • If you are paid in any way for referrals or admissions, do not talk with patients or families about hospice services, election or consent.
  • Before signing, explain what hospice covers, what it does not cover, and what the patient may have to pay.
  • Use consent forms in the patient's or representative's primary language.
  • If the patient cannot decide, only a person with legal authority may sign. Ask the social worker to confirm who that is.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (22 CCR §74860(b); Health & Safety Code §1746.50)
  • 5. Who May Counsel and Obtain Consent
  • 6. What the Patient Is Told Before Signing
  • 7. Disclosure of Charges and Cost-Sharing
  • 8. Capacity and Decisions by a Representative
  • 9. Information Sharing
  • 10. Primary Language and the Signing Visit
  • 11. Withdrawal of Consent
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Who in your agency may explain hospice and obtain the patient's signature on consent and election forms? Are any of them paid for referrals or admissions?
  • Show me a signed consent. What language was it in, and how do you handle a patient whose primary language is not English?

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