Coordination of Services, Physician Orders and Waiver Coordination
Sets the Agency’s system of communication and integration among its disciplines, contractors and settings, and with other providers who treat unrelated conditions; how drug and treatment orders, including verbal and electronic orders, are received, recorded and signed; and how hospice care is coordinated with DC Medicaid personal care aide services and with EPD and IDD waiver case managers.
About this policy
- Policy number
- DC-HSP-IDG-03
- Version
- 1.0
- Main rule
- 42 CFR §418.56(e)
- Library
- Washington, DC hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- Send a coordination note to the registered nurse coordinator the same day about any change.
- Only a licensed nurse, nurse practitioner, pharmacist or physician takes a verbal order.
- Read the order back, record and sign it right away, and send it for the prescriber’s signature within 14 days.
- Share the addendum and drug list with the patient’s other providers for unrelated care.
- For EPD or IDD waiver patients, finish the coordinated plan with the case manager within 5 days of the first day of hospice care.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.56(e))
- 5. The Agency’s System of Communication
- 6. The Attending Physician
- 7. Sharing Information With Non-Hospice Providers
- 8. Physician and Practitioner Orders
- 8.1 Verbal and Electronic Orders
- 9. DC Medicaid Personal Care Aide Services
- 10. HCBS Waiver Participants
- 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
- How do the nurse, aide, social worker and chaplain share information about a patient between IDG meetings?
- Show me a verbal order. Who took it, when was it recorded, and when did the physician sign it?
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