PURPOSE: This rule specifies the requirements for home care services provided by a hospital.
- (1) Home-care services, if provided, shall be under the medical direction of a qualified physician member of the medical staff and appointed by the governing body. This physician shall be responsible for implementing rules of the medical staff governing the quality and scope of home-care services.
- (2) The objectives and description of homecare services shall be related to identifiable needs and shall include those services the hospital provides or those provided through participating community agencies.
- (3) There shall be written policies and procedures delineating administrative control, scope of services offered and the manner in which they are provided. These policies and procedures shall be reviewed annually and revised as necessary.
- (4) A medical record shall be maintained on every patient receiving home-care services. These records shall contain the overall care plan, physician’s orders, services provided, progress notes and disposition of the patient. Records shall be filed under supervision of the medical records department.
- (5) There shall be a mechanism for the review and evaluation on a regular basis of the quality and scope of home-care services provided.
AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 197.154, RSMo Supp. 2007.* This rule previously filed as 19 CSR 30-20.021(4)(C). Original rule filed June 27, 2007, effective Feb. 29, 2008.
*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo 2004.