Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Definitions. A
			 list of selected terms often used in connection with these rules:
(a) "Aide" means an individual who provides
			 personal care services for hospice patients and their families as set forth
			 under 420-5-17-.13.
(b) "Applicant" means a person or public
			 agency legally responsible for operation of the hospice.
(c) "Attending Physician" means the physician
			 identified by the hospice patient or the hospice patient's family as having
			 primary responsibility for the hospice patient's medical care.
(d) "Biological" means a drug with a
			 component containing a virus, therapeutic serum, toxin, antitoxin, or analogous
			 product applicable to the prevention, treatment, or cure of diseases or injury
			 in man.
(e) "Qualified Dietitian"
			 means a person who graduated from an approved school and is licensed in the
			 State of Alabama in accordance with Title 34, Chapter 34A
Code of
			 Ala. 1975
.
(f)
			 "Dietary Manager" is a person who 1) is a qualified dietitian, or 2) is a
			 graduate of a dietetic technician program approved by the American Dietetic
			 Association, or 3) is a graduate of a dietary managers training program,
			 approved by the Dietary Managers Association.
(g) "Governing Body" means the entity that
			 has ultimate responsibility and authority for the overall operation of a
			 Hospice Care Program, as set forth under
			 420-5-17-.05.
(h) "Hospice Care Program" or "program" means
			 a coordinated program of home, outpatient, and inpatient care and services
			 including the coordination of the services listed below to hospice patients and
			 families, through a medically directed interdisciplinary team, under
			 interdisciplinary plans of care established pursuant to Section
			 22-21-20 of the
Code
			 of Ala.
1975
, in order to meet the
			 physical, psychological, social, spiritual, and other special needs that are
			 experienced during the final stages of illness, dying, and bereavement:
1. Nursing care by or under the supervision
			 of a registered nurse.
2. Medical
			 social services by a social worker under the direction of a
			 physician.
3. Services of an
			 aide.
4. Medical supplies,
			 including drugs and biologicals, and the use of medical appliances.
5. Physician's services.
6. Short-term inpatient care, including both
			 palliative and respite care and procedures.
7. Counseling for hospice patients and
			 hospice patients' families.
8.
			 Services of volunteers under the direction of the provider of the hospice care
			 program.
9. Bereavement services
			 for hospice patients' families.
(i) "Hospice Patient" or "Patient" means a
			 patient who has been diagnosed as terminally ill, has a limited life
			 expectancy, and has voluntarily requested and is receiving palliative care from
			 a person or agency licensed to provide a hospice care program under Chapter
			 17.
(j) "Hospice Patient's Family"
			 or "Family" means a hospice patient's immediate family members, including a
			 spouse, brother, sister, child, or parent, and any other relative or individual
			 who has significant personal ties to the patient and who is designated as a
			 member of the patient's family by mutual agreement of the patient, the relative
			 or individual, and the hospice program's interdisciplinary team.
(k) "Inhome Hospice" means a facility that
			 provides hospice care services in a patient's home.
(l) "Inpatient Hospice" means a facility that
			 either is operated by or under contract with a hospice care program for the
			 purpose of providing inpatient care to the program's patients.
(m) "Interdisciplinary Plan of Care" or "Plan
			 of Care" means the interdisciplinary plan for care of a hospice patient and his
			 or her family.
(n)
			 "Interdisciplinary Team" means a working unit composed of professional and lay
			 persons that includes at least a physician, a registered nurse, a social
			 worker, a chaplain, member of the clergy or a counselor, and a volunteer
			 coordinator.
(o) "Legend Drug"
			 means a prescription drug.
(p)
			 "Licensed Practical Nurse" means a person licensed in accordance with
Code of Ala. 1975
, Section
			 34-21-22.
(q) "Manager" means a person delegated the
			 responsibility for the interpretation, implementation, and proper application
			 of policies and programs established by the governing authority. This
			 responsibility shall be accompanied by corresponding authority.
(r) "May" indicates permission.
(s) "Nurse" means registered nurse or
			 licensed practical nurse.
(t) "OTC
			 Drug" means a non-prescription drug.
(u) "Palliative Care" means treatment
			 directed at controlling pain, relieving other symptoms, and focusing on the
			 special needs of a hospice patient and the hospice patient's family as they
			 experience the stress of the dying process, rather than treatment aimed at
			 investigation and intervention for the purpose of cure or prolongation of
			 life.
(v) "Person" means an
			 individual, corporation, business trust, estate, trust, public agency,
			 partnership, and/or association.
(w) "Pharmacist" means a person graduated
			 from an approved school of pharmacy currently licensed to practice pharmacy in
			 Alabama under the provisions of Title 34, Chapter 23 of
Code of
			 Ala. 1975
.
(x)
			 "Physician" means a person currently licensed to practice medicine in
			 accordance with Title 34, Chapter 24, Article 8 of
Code of Ala.
			 1975
.
(y) "Respite
			 Care" means hospice care program services provided by the program to give
			 temporary relief to a hospice patient's family or other caregivers.
(z) "Registered Nurse" means a person
			 licensed in accordance with
Code of Ala. 1975
, Section
			 34-21-21.
(aa) "Shall" indicates mandatory
			 requirements.
(bb) "Social Worker"
			 means a person who holds at least a bachelors degree in social work from an
			 accredited school of social work, and is currently licensed by the State of
			 Alabama or supervised in accordance with Title 34, Chapter 30 of
Code of
Ala. 1975
.
(cc) "Volunteer" means a lay or professional
			 person who offers and provides his or her services to a hospice care program
			 without compensation.
(dd)
			 "Volunteer Coordinator" means a lay or professional person who is responsible
			 for assigning volunteers to patients, families, and other duties, including
			 recruiting, training, retaining volunteers and evaluating the volunteer
			 program.
Author:
Jimmy D. Prince