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Governing Body, Organization Chart, and Lines of Authority

Sets out how the governing body of the Agency holds full legal authority and responsibility for its operation, designates the person responsible for day-to-day management, completes the annual documented review that LAC 48:I §9102.B.1 requires, keeps signed minutes, receives the written notifications and QAPI results the rule lists, and maintains an organizational chart that shows lines of authority down to the patient care level.

Preview: full text with a package
About this policy
Policy number
LA-HH-GOV-01
Version
1.0
Main rule
LAC 48:I §9102
Library
Louisiana home health · 57 policies
Category
Governance
Sections
19

In short

  • The governing body is legally in charge of the Agency and approves every policy.
  • Our organizational chart shows who you report to, right down to the patient's home.
  • The governing body reviews our policies, budget, complaints, statistics and emergency plan at least once a year.
  • Governing body minutes are signed by everyone who attends.
  • Tell the Administrator at once about anything that could affect how the Agency operates.

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 (LAC 48:I §9102)
  • 5. Duties of the Governing Body
  • 6. Meetings and Minutes
  • 7. Written Notifications to the Governing Body
  • 8. Organizational Chart and Lines of Authority
  • 9. Annual Documented Review
  • 10. Administrative Control, Contracted Services, and Branch Offices
  • 11. Conflicts of Interest and Related Entities
  • 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 is your governing body, and where are the minutes of its meetings with the attendees' signatures?
  • Show me the governing body's last annual documented review. Did it cover the policies, budget, program evaluation, statistics, complaint resolutions, projected changes and emergency preparedness?

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