Governing Body, Administrator and Key Designations
Sets out what the governing body of the Agency must do itself under OAC 3701-19-06, what it delegates to the Administrator and the medical director, who acts when either is absent, which written designations must always be in place, and how the governing body oversees quality, grievances, drug diversion investigations and the budget.
About this policy
- Policy number
- OH-HSP-GOV-01
- Version
- 1.0
- Main rule
- OAC 3701-19-06
- Library
- Ohio hospice · 60 policies
- Category
- Governance
- Sections
- 19
In short
- The governing body of Sample Agency, LLC is fully responsible for how the Agency runs and for the quality of care.
- Pat Sample runs the Agency day to day. Jo Sample acts for the Administrator whenever the Administrator is away.
- Dr. Morgan Sample is the medical director. Dr. Riley Sample covers when the medical director is not available.
- Report any suspected theft or misuse of a patient's opioids to the Administrator or the Administrator's designee at once. The Agency must investigate within 24 hours.
- If an Ohio Department of Health surveyor arrives, check their ID, let them in right away and call the Administrator.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (OAC 3701-19-06; 42 CFR §418.100(b))
- 5. Make-Up of the Governing Body
- 6. What the Governing Body Does Itself
- 7. Written Designations
- 8. What the Administrator Does
- 9. Absences of the Administrator and the Medical Director
- 10. When an ODH Surveyor Arrives
- 11. Governing Body Meetings and Reports
- 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 that show it established and reviews your policies and oversees quality of care?
- Show me the written designation of the individual who acts for the Administrator, and of the physician who acts for the medical director, when they are absent.
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