1. A. An administrator shall ensure that a care plan is developed for each patient:

   1. 1. Based on the:

      1. a. Assessment of the:

         1. i. Patient; and
         2. ii. Patient’s family, if applicable;
      2. b. Hospice service agency’s or inpatient hospice facility’s scope of service;

   2. 2. With participation from a:

      1. a. Physician,
      2. b. Registered nurse, and
      3. c. Another personnel member as designated in R9-10-612(A)(4); and

   3. 3. That includes:

      1. a. The patient’s diagnosis;
      2. b. The patient’s health care directives;
      3. c. The patient’s cognitive awareness of self, location, and time;
      4. d. The patient’s functional abilities and limitations;
      5. e. Goals for pain control and symptom management;
      6. f. The type, duration, and frequency of services to be provided to the patient and, if applicable, the patient’s family;
      7. g. Treatments the patient is receiving from a health care institution or health care professional other than the hospice, if applicable;
      8. h. Medications ordered for the patient;
      9. i. Any known allergies;
      10. j. Nutritional requirements and preferences; and
      11. k. Specific measures to improve the patient’s safety and protect the patient against injury.

2. B. An administrator shall ensure that:

   1. 1. A request for participation in a patient’s care plan is made to the patient or patient’s representative;
   2. 2. An opportunity for participation in the patient’s care plan is provided to the patient, patient’s representative, or patient’s family; and
   3. 3. The request in subsection (B)(1) and the opportunity in subsection (B)(2) are documented in the patient’s medical record.

3. C. An administrator shall ensure that:

   1. 1. Hospice services are provided to a patient and, if applicable, the patient’s family according to the patient’s care plan;

   2. 2. A patient’s care plan is reviewed and updated:

      1. a. Whenever there is a change in the patient’s condition that indicates a need for a change in the type, duration, or frequency of the services being provided;
      2. b. If the patient’s physician orders a change in the care plan; and
      3. c. At least every 30 calendar days; and
   3. 3. A patient’s physician authenticates the care plan with a signature within 14 calendar days after the care plan is initially developed and whenever the care plan is reviewed or updated.

Historical Note

New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). R9-10-608 renumbered to R9-10-609; new Section R9-10-608 renumbered from R9-10-611 and amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2).