Interdisciplinary Team, Patient and Family Care Coordinator and Team Meetings
Sets the membership of the Agency's interdisciplinary team under North Carolina law (physician licensed in North Carolina, nurse, social worker, clergy member and trained hospice volunteer) and the federal interdisciplinary group, the Patient and Family Care Coordinator for each patient, and IDT meetings at least every 15 days for care plan review and staff support, with minutes and record entries.
About this policy
- Policy number
- NC-HSP-IDG-01
- Version
- 1.0
- Main rule
- 10A NCAC 13K .0701(b)
- Library
- North Carolina hospice · 60 policies
- Category
- Hospice care
- Sections
- 18
In short
- Our team always includes a physician, a nurse, a social worker, a clergy member and a trained volunteer.
- Every patient has a Patient and Family Care Coordinator, a registered nurse who makes sure the plan is carried out.
- The team meets at least every 15 days to review plans and support staff.
- Minutes show the date, who attended and which patients were discussed.
- Write an entry in each reviewed patient's record after the meeting.
- Tell the care coordinator the same day if care is not happening as planned.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (10A NCAC 13K .0701(b))
- 5. Membership
- 5.1 One team or several
- 6. Patient and Family Care Coordinator
- 7. IDT Meetings
- 8. Minutes and Record Entries
- 9. How the IDT Supervises Care
- 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
- Who are the members of your interdisciplinary team? Show me that a clergy member and a trained volunteer take part.
- Show me the minutes of your last three IDT meetings. Were they no more than 15 days apart?
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