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Medical Director and Physician Services

Sets out how the Agency designates its medical director and the physician designee who covers when the medical director is unavailable, what the medical director is responsible for, how hospice physicians work with each patient's attending physician, how physician services are available around the clock, and when a physician must be reported to a Pennsylvania licensing board.

Preview: full text with a package
About this policy
Policy number
PA-HSP-MD-01
Version
1.0
Main rule
42 CFR §418.102
Library
Pennsylvania hospice · 60 policies
Category
Governance
Sections
17

In short

  • Dr. Morgan Sample is the medical director. Dr. Riley Sample covers when the medical director is not available.
  • A hospice physician is on call 24 hours a day. If the patient's own doctor cannot be reached, call the on-call hospice physician.
  • Admission is recommended, and terminal illness certified, by the medical director, the physician designee or a physician on the interdisciplinary group.
  • No patient is discharged without a written discharge order from a hospice physician.
  • If you cannot reach any hospice physician, keep trying the numbers on the on-call sheet and tell the Administrator the next business day.

What's inside

17 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 (42 CFR §418.102)
  • 5. Qualifications and Verification
  • 6. Responsibilities of the Medical Director
  • 7. Physician Services for Each Patient
  • 8. Availability Around the Clock
  • 9. Working With Attending Physicians
  • 10. Reporting Physician Misconduct to a Licensing Board
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Show me the written designation of your medical director and of the physician designee.
  • If the medical director is under contract, does the contract name the physician?

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