Organizational Structure, Lines of Authority, Delegation and Multiple Locations
Describes the Agency's organizational structure and lines of authority, how the administrator, medical staff leader and director of nursing roles are delegated in writing when needed, how any additional location is approved and supervised, and why a hospice residence or other inpatient facility needs its own Michigan license.
About this policy
- Policy number
- MI-HSP-GOV-02
- Version
- 1.0
- Main rule
- 42 CFR §418.100(f)
- Library
- Michigan hospice · 59 policies
- Category
- Governance
- Sections
- 17
In short
- Know who your supervisor is. The organizational chart is posted at the office.
- Hospice aides are supervised by a registered nurse. Volunteers report to Quinn Sample.
- When a leader is away, a named person covers in writing: Jo Sample for the Administrator, Casey Sample, RN for the director of nursing.
- Never tell anyone the Agency runs a hospice residence unless it has a separate Michigan license for it.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.100(f); Mich. Admin. Code R 325.45171(4))
- 5. Organizational Structure
- 6. Written Delegation of Leadership Roles
- 7. Additional Locations
- 8. Hospice Residence and Inpatient Facilities
- 9. Service Area
- 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
- Show me your organizational chart. Who does the hospice aide report to?
- Who is in charge when the director of nursing is on vacation, and where is that written?
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