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Medical Director and Physician Services

Sets out how the Agency arranges for a medical director and a physician designee, their qualifications, the duties OAC 3701-19-10 and 42 CFR §418.102 give them, round-the-clock physician coverage, the role of attending physicians, physician assistants and advanced practice registered nurses, and who may sign medical orders and certify terminal illness.

Preview: full text with a package
About this policy
Policy number
OH-HSP-MD-01
Version
1.0
Main rule
OAC 3701-19-10
Library
Ohio hospice · 60 policies
Category
Governance
Sections
18

In short

  • Dr. Morgan Sample is the medical director and directs the medical side of hospice care.
  • When the medical director is not available, Dr. Riley Sample has the same authority.
  • A hospice physician can be reached by the on-call nurse 24 hours a day. Check the on-call schedule.
  • Orders must be signed by a physician, a physician assistant or an advanced practice registered nurse acting within their scope.
  • The patient chooses the attending physician. Send each attending physician a copy of the plan of care and record the date you sent it.

What's inside

18 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 (OAC 3701-19-06(C)(2); OAC 3701-19-10; 42 CFR §418.102)
  • 5. Arrangement, Qualifications and Checks
  • 6. Duties of the Medical Director
  • 7. Physician Coverage at All Hours
  • 8. Attending Physicians and Medical Services
  • 9. Orders and Certification
  • 10. Physician Billing
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Who is your medical director, and is the arrangement in a written contract or employment agreement that names the physician?
  • Who acts when the medical director is not available, and where is that designation in writing?

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