Governing Body and Administrator
Sets out what the governing body of the Agency must do itself, what it delegates to the Administrator and the medical director, who acts when the Administrator is absent, how the governing body monitors quality, budget and compliance with the license, and how leadership stays reachable.
About this policy
- Policy number
- GA-HSP-GOV-01
- Version
- 1.0
- Main rule
- Ga. Comp. R. & Regs. 111-8-37-.07
- Library
- Georgia hospice · 60 policies
- Category
- Governance
- Sections
- 19
In short
- The governing body of Sample Agency, LLC is responsible for quality of care, management and the budget.
- Pat Sample runs the Agency day to day. Jo Sample acts for the Administrator whenever the Administrator is away.
- Dr. Morgan Sample, the medical director, approves all patient care policies about medical care.
- If a state surveyor arrives, check their ID, let them in right away and call the Administrator or the Alternate Administrator.
- Never encourage a patient or family to give you or anyone at the Agency money, gifts, loans, or a place in a will or insurance policy.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.07; 42 CFR §418.100(b))
- 5. What the Governing Body Does Itself
- 6. Appointments the Governing Body Makes
- 7. What the Administrator Does
- 8. Leadership Availability
- 8.1 During office hours
- 8.2 When a Department surveyor arrives
- 9. Governing Body Meetings and Reports
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Who is your governing body, and where are the minutes that show it oversees quality of care, management and budget?
- Show me the written authorization of the person who acts for the administrator when the administrator is absent.
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