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Governing Body, Administrator and Order of Authority

Sets out what the governing body does itself, the written appointments it makes, the Administrator's written authority and duties, the order of authority when the Administrator is absent, the five-working-day notice to the Division when the Administrator position falls vacant, and the reports the governing body receives.

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About this policy
Policy number
NC-HSP-GOV-01
Version
1.0
Main rule
10A NCAC 13K .0301
Library
North Carolina hospice · 60 policies
Category
Governance
Sections
20

In short

  • The governing body of Sample Agency, LLC oversees the whole hospice program and approves our policies and budget.
  • Pat Sample runs the Agency day to day. When the Administrator is away, Jo Sample is in charge, then the Director of Nursing.
  • If the Administrator job falls vacant, the Division of Health Service Regulation must get written notice within five working days.
  • If a state surveyor arrives, check their ID, let them in right away and call the Administrator or the person in charge.
  • Tell the Administrator at once about anything that could put patients, the license or the Agency at risk.

What's inside

20 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 .0301)
  • 5. What the Governing Body Does Itself
  • 6. Written Appointments
  • 7. Authority and Responsibilities of the Administrator
  • 8. Order of Authority When the Administrator Is Absent
  • 8.1 Planned absences
  • 9. When the Administrator Position Falls Vacant
  • 10. Governing Body Meetings and Reports
  • 11. When a Division Surveyor Arrives
  • 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 or decision records that show it oversees the hospice program?
  • Show me the written authority and responsibilities of your director, and the order of authority when the director is absent.

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