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Organizational Structure, Branch Offices and Alternate Delivery Sites

Requires a current written description of the Agency’s organization, from the governing body down to the patient care level, and sets out how any alternate delivery site is supervised by the parent office so that every location is run as one hospice with one line of authority.

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About this policy
Policy number
TX-HSP-GOV-02
Version
1.0
Main rule
26 TAC §558.242
Library
Texas hospice · 59 policies
Category
Governance
Sections
17

In short

  • The organizational chart shows who you report to. Check it at orientation and whenever your role changes.
  • Take direction only from the people shown above you on the chart, except in an emergency to protect a patient.
  • Every location of Sample Hospice, LLC follows the same policies as the main office.
  • A leader from the main office visits each other location at least once a month and writes down what was discussed.
  • If you do not know who to go to, call the office at (512) 555-0100.

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 (26 TAC §558.242)
  • 5. Preparing and Maintaining the Organizational Description
  • 6. Supervision of Alternate Delivery Sites (26 TAC §558.243(d); §558.322)
  • 6.1 Monthly on-site supervisory visit
  • 6.2 Policies and records at the site
  • 6.3 What the parent monitors
  • 7. Responsibilities
  • 8. Records and Compliance Monitoring
  • 9. Staff Training
  • 10. References
  • 11. Related Policies and Forms
  • 12. Approval
  • 13. Revision History

An inspector may ask

  • Show me your current organizational chart. Does it show every service, the IDT, and lines of authority down to the patient care level?
  • Do you operate any alternate delivery site? Show me the monthly supervisory visit records for the last three months.

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