Referral, Admission Criteria and Palliative Treatment Policy

Sets out the Agency's written admission criteria and its policy on palliative treatments such as chemotherapy and radiation, as 19 CSR 30-35.010(1)(B) requires; how referrals are received and answered; the medical director's review of patient appropriateness; the federal rule that a hospice admits a patient only on the recommendation of the medical director, physician designee or IDG physician; the admission visit; concurrent care for MO HealthNet participants under 21; and what happens when the Agency does not admit.

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About this policy

Policy number: MO-HSP-ADM-01
Version: 1.0
Main rule: 19 CSR 30-35.010(1)(B)
Library: Missouri hospice · 59 policies
Category: Hospice care
Sections: 22

In short

Call every new referral back the same day, and offer a same-day visit to anyone who is actively dying or in distress.
A patient is admitted only after the medical director, physician designee or IDG physician recommends it, with input from the patient's own doctor.
Treatments like radiation or chemotherapy can be hospice care when their purpose is comfort. Write down each treatment and its purpose and ask the medical director.
Never refuse a patient because they have no DNR order or no live-in caregiver.
If we cannot admit someone, explain why the same day and give other resources.

What's inside

22 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 (19 CSR 30-35.010(1)(B))
5. Admission Criteria
6. Palliative Treatment Policy
6.1 How the decision is made
6.2 Common treatments
6.3 Children under 21
7. Receiving a Referral
8. Physician Review and Recommendation
9. The Admission Visit
10. Special Admissions
11. When the Agency Does Not Admit
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

Show me your written admission criteria. Where do they address palliative chemotherapy and radiation?
Who decided this patient was appropriate for hospice, and where is that documented?

Missouri hospice

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Rules it follows

19 CSR 30-35.010(1)(B)19 CSR 30-35.010(1)(A)1819 CSR 30-35.010(2)(G)2.B19 CSR 30-35.010(1)(C)19 CSR 30-35.010(1)(E)219 CSR 30-35.010(2)(L)413 CSR 70-50.010(2)13 CSR 70-50.010(4)42 CFR §418.2042 CFR §418.2542 CFR §418.2242 CFR §418.100(d)42 CFR §418.20242 CFR §418.10645 CFR Part 92

Forms included

MO-HSP-ADM-01-A Referral Intake and Admission Checklist

Read a sample in full

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