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Patient Service Agreement, Informed Consent and Disclosures

Explains the written service agreement the Agency gives every patient, what it must contain, how informed consent is obtained and recorded, what the patient is told about payment before care starts, and the other written disclosures Texas requires at or after admission.

Preview: full text with a package
About this policy
Policy number
TX-HSP-PR-02
Version
1.0
Main rule
26 TAC §558.292
Library
Texas hospice · 59 policies
Category
Patient rights
Sections
18

In short

  • Every patient gets a written service agreement before care starts. It lists the services, who supervises them, any charges and how to complain.
  • The patient or representative signs or marks the consent. If they make a mark, a second adult signs as witness.
  • Tell the patient before care starts what they may have to pay, if anything, and who else pays.
  • Give the drug testing policy to anyone applying for services.
  • When controlled drugs are first ordered for the home, give and explain the Agency’s policy on them and write it in the record.
  • If services, payer or charges change, explain it and get a signed update.

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 §558.292; §558.282(f))
  • 5. When the Agreement Is Completed
  • 6. What the Agreement Contains
  • 7. Informed Consent
  • 8. Payment Information Before Care Starts
  • 9. Other Disclosures Given at Admission or Later
  • 10. Changes to the Agreement
  • 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

  • Show me the signed service agreement for this patient. Where does it list the services, the supervision, the charges and the complaint procedure?
  • Where is the written informed consent, and who signed or marked it?

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