- A. Patient Care Plan. A health care team, consisting of at least the physician, nurse practitioner, or physician assistant responsible for the patient's end-stage renal disease care, a nurse responsible for nursing services, a social worker, and a dietitian, shall develop an individualized care plan for each patient.
- B. The patient or health care decision maker shall be involved in developing the care plan.
C. The health care team shall review the patient care plan:
- (1) At least monthly for a patient whose condition has not stabilized, as determined by a physician's assessment of the patient's laboratory values and physical condition; or
- (2) Annually for a patient whose condition has stabilized.
- D. The health care team shall revise the patient care plan as necessary to ensure that it meets the patient's ongoing needs.
Authority: Health-General Article, §19-3B-01 et seq., Annotated Code of Maryland
Effective date: February 7, 2000 (27:2 Md. R. 144)
Chapter revised effective November 17, 2008 (35:23 Md. R. 2013)
Regulation .01B amended effective February 18, 2013 (40:3 Md. R. 217)
Regulation .06C amended effective February 18, 2013 (40:3 Md. R. 217)
Regulation .08 amended effective February 18, 2013 (40:3 Md. R. 217)
Regulation .09A, C amended effective February 18, 2013 (40:3 Md. R. 217)
Regulation .13 adopted effective February 18, 2013 (40:3 Md. R. 217)
Regulation .14 adopted effective February 18, 2013 (40:3 Md. R. 217)