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Medical Director, Physician Designee and Physician Services

Sets out the Louisiana qualifications and responsibilities of the medical director and physician designee, the limits on advanced practice registered nurses, physician availability around the clock, the medical director’s role with attending practitioners and the interdisciplinary team, the record of active participation, and the two hours of end-of-life continuing medical education required each year.

Preview: full text with a package
About this policy
Policy number
LA-HSP-MD-01
Version
1.0
Main rule
LAC 48:I §8217.I
Library
Louisiana hospice · 60 policies
Category
Governance
Sections
19

In short

  • Dr. Morgan Sample is the medical director and is responsible for the medical side of all patient care.
  • When the medical director is not available, Dr. Riley Sample takes on the same responsibilities.
  • A physician is always reachable through the on-call nurse, 24 hours a day.
  • A nurse practitioner may care for a patient but may never be the medical director, the referring practitioner, or sign a certification of terminal illness.
  • The medical director completes two hours of end-of-life medical education every year and records the time spent on hospice work.

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 §8217.I)
  • 5. Qualifications and Appointment
  • 6. Responsibilities
  • 7. Physician Designee and Availability
  • 8. Documentation of Active Participation
  • 9. Continuing Medical Education
  • 10. Advanced Practice Registered Nurses
  • 11. Working With Attending Practitioners
  • 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 medical director, and who acts when the medical director is not available?
  • Show me documentation of the medical director’s active participation and time spent.

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