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Governing Body and Administrator

Sets out who holds legal authority for the hospice, what the governing body must do itself, how it appoints and supervises the Administrator and the Alternate Administrator, what the Administrator is responsible for every day, and how leadership stays reachable during operating hours and when the office is closed.

Preview: full text with a package
About this policy
Policy number
TX-HSP-GOV-01
Version
1.0
Main rule
26 TAC §558.852
Library
Texas hospice · 59 policies
Category
Governance
Sections
18

In short

  • The governing body of Sample Hospice, LLC holds legal responsibility for all hospice care, money and quality.
  • Pat Sample runs the Agency day to day. Jo Sample takes over when the Administrator is away.
  • The Administrator or the Alternate Administrator can be reached in person or by phone during office hours: Monday through Friday, 8:00 a.m. to 5:00 p.m. Central.
  • If the office must close during office hours, post a sign on the door and leave a phone message saying how to reach the person in charge.
  • If a state surveyor arrives, let them in right away and call the Administrator or the Alternate Administrator.

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 (26 TAC §558.852)
  • 5. What the Governing Body Does Itself
  • 6. Administrator Responsibilities (26 TAC §558.243(b))
  • 7. Availability of Leadership
  • 7.1 During operating hours
  • 7.2 If the office is closed during operating hours
  • 7.3 Admitting surveyors
  • 8. Governing Body Meetings and Reports
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. References
  • 12. Related Policies and Forms
  • 13. Approval
  • 14. Revision History

An inspector may ask

  • Who is your governing body, and show me where it has taken responsibility for services, finances and quality.
  • Show me the written designation of your Administrator and Alternate Administrator, and evidence that each is a hospice employee and meets the qualifications.

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