Policies and Procedures
Effective Sep 29, 2023Mass. Register #1505MGL c. 111, § 3 MGL c. 111, § 57DDepartment of Public Health
- (A) The hospice shall develop and implement written policies and procedures to coordinate an interdisciplinary program of hospice care services.
- (B) These policies and procedures shall be reviewed and approved by the governing body at least annually.
(C) The policies and procedures shall include but need not be limited to:
- (1) philosophy, objectives and goals of the hospice;
- (2) the services to be provided and record keeping requirements for clinical records;
- (3) criteria for the selection, admission, discharge and transfer of terminally ill patients/ families;
- (4) affiliation or and referral arrangements with community and other health care facilities or agencies to assure continuity of patient/family care;
- (5) the hospice's professional management responsibilities for overseeing services provided under contractual arrangements;
- (6) patient/family consent and involvement in the development of a care plan;
- (7) patient/family education;
- (8) plans and arrangements for the patient's death whether at home or in an institution;
- (9) community education;
- (10) patient and family rights;
- (11) review of the quality and utilization of hospice services;
- (12) resuscitation practices; and
- (13) infection control.