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Acceptance of Patients, Referral and Admission

Sets the Agency's written acceptance policy under 10A NCAC 13K .0601: IDT involvement in acceptance and the designation of a primary caregiver, an initial assessment before acceptance, the attending physician's determination and agreement, signed informed consent, written service and on-call information and the 48-hour notice before termination; and adds the federal admission rules (physician recommendation under 42 CFR §418.25) and NC Medicaid coordination before admission.

Preview: full text with a package
About this policy
Policy number
NC-HSP-ADM-01
Version
1.0
Main rule
10A NCAC 13K .0601
Library
North Carolina hospice · 60 policies
Category
Hospice care
Sections
21

In short

  • Record every referral on Form NC-HSP-ADM-01-A the day it arrives, including where it came from.
  • Contact the family and the referral source the same business day.
  • A registered nurse assesses the patient before acceptance to check we can meet the needs.
  • Get the attending physician's agreement to stay on as attending physician, and the hospice physician's recommendation.
  • Involve the team in the decision and designate the primary caregiver on Form NC-HSP-ADM-01-B.
  • Never refuse a patient because of inability to pay, an advance directive, or living alone.

What's inside

21 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 (10A NCAC 13K .0601)
  • 5. Who the Agency Accepts
  • 6. Referral Intake
  • 7. Assessment Before Acceptance
  • 7.1 Resources and the full scope of services
  • 8. Physician Determinations
  • 9. IDT Involvement and the Primary Caregiver
  • 10. The Admission Visit
  • 10.1 After the admission visit
  • 11. When the Agency Does Not Accept a Referral
  • 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

  • Walk me through what happens from the moment you receive a referral to the first visit.
  • How is the interdisciplinary team involved in deciding to accept a patient and in designating the primary caregiver?

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