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Administrator and Key Designations

Sets the Administrator’s job description, qualifications, approval by the governing body, background screening before appointment and the 21-day report to AHCA when the Administrator changes, and records every other person the Florida hospice rules, the Medicare Conditions of Participation and HIPAA require the Agency to designate, with how each designation is made and kept current.

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About this policy
Policy number
FL-HSP-GOV-02
Version
1.0
Main rule
Rule 59A-38.004(2), F.A.C.
Library
Florida hospice · 60 policies
Category
Governance
Sections
18

In short

  • Pat Sample runs the hospice day to day. Jo Sample acts when the Administrator is away.
  • Our key people (medical director, supervising nurse, volunteer coordinator, disaster coordinator and others) are listed on the designation form in the office.
  • State surveyors arrive without notice. Check their ID, let them in right away and call the Administrator.
  • Give surveyors the records they ask for. Never hide, change or delay records.

What's inside

18 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 (Rule 59A-38.004(2)-(3), F.A.C.; s. 400.610(1)(d), F.S.; 42 CFR §418.100(b))
  • 5. Administrator Qualifications
  • 6. Appointment and Background Screening
  • 7. What the Administrator Does
  • 8. Key Designations
  • 9. Availability and Absence
  • 10. When an AHCA Surveyor Arrives
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Show me the Administrator’s job description with qualifications and the governing body’s approval.
  • When did the Administrator start, when was Level 2 screening cleared, and when did you report the change to AHCA?

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