reglab/statecodes huggingface dataset:
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.06 - Definitions

Current through Rules and Regulations filed through June 27, 2024
Unless a different meaning is required or given in the
				  context, the following terms as used in these rules and regulations shall have
				  the meaning respectively ascribed to them:
(a) "Administrator" means the full-time
				person by whatever title used, to whom the governing body has delegated the
				responsibility for day-to-day administration of the home health agency,
				including the implementation of the rules and policies adopted by the governing
				body, and who:
1. is a licensed physician;
				or
2. is a registered nurse;
				or
3. has training and experience
				in health service administration and at least one (1) year of supervisory or
				administrative experience in home health care or related health
				programs.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.07 - Administrative Standards

Current through Rules and Regulations filed through June 27, 2024
(1) Organizations, Services, Administration.
				Organizations, services provided, administrative control, and lines of
				authority for the delegation of responsibility down to the patient care level
				shall be clearly set forth in written policies and procedures. Administrative
				and supervisory functions shall not be delegated to another agency or
				organization. Services not provided directly shall be monitored and controlled
				by the primary agency, including services provided through subunits of the
				parent agency. If an agency has subunits, appropriate administrative records
				shall be maintained for each subunit.
(2) Governing Body. There shall be a
				governing body which assumes full legal authority and responsibility for the
				operation of each home health agency. The governing body shall appoint a
				qualified administrator, arrange for professional advice, adopt and
				periodically review written bylaws and oversee the management and fiscal
				affairs of the agency. The name and address of each officer, directors, and
				owner shall be disclosed to the Department. If the agency is a corporation, all
				ownership interests of five (5) percent or more (direct or indirect) shall also
				be disclosed.
(3) Group of
				Professional Personnel.
(a) A group of
				professional personnel, which shall include at least one physician and one
				registered nurse, with appropriate representation from other professional
				disciplines, shall establish and annually review the policies of each home
				health agency governing scope of services offered, admission and discharge
				policies, medical supervision and plans of treatment, emergency care, clinical
				records, personnel qualifications, and program evaluation. There must be at
				least one member of the group who is neither an owner nor an employee of the
				agency.
(b) The group of
				professional personnel shall meet at least once per quarter unless
				circumstances require more often to advise the agency on professional issues,
				to participate in the evaluation of the agency's program, and to assist the
				agency in maintaining liaison with other health care providers in the community
				and in its community information program. The minutes shall be documented by
				dated minutes.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.08 - Scope of Services

Current through Rules and Regulations filed through June 27, 2024
A home health agency shall provide part-time or intermittent
				  skilled nursing services and at least one other therapeutic service, e.g.,
				  physical, speech, or occupational therapy; medical social services; or home
				  health aide services. Services shall be made available on a visiting basis, in
				  a place of residence, as a patient's home.
(a) Nursing Services. A home health agency
				shall provide skilled nursing service by or under the supervision of a
				registered nurse and in accordance with the plan of treatment.
1. Duties of the Registered Nurse (RN). A
				registered nurse shall make the initial evaluation visit, regularly reevaluate
				the patient's nursing needs, initiate the plan of treatment and necessary
				revisions, provide those services requiring substantial specialized nursing
				skill, initiate appropriate preventive and rehabilitative nursing procedures,
				prepare clinical and progress notes, coordinate services inform the physician
				and other personnel of changes in the patient's condition and needs, counsel
				the patient and family in meeting nursing and related needs, participate in
				inservice programs, and supervise and teach other personnel.
2. Duties of the Licensed Practical Nurse
				(LPN). The licensed practical nurse shall provide services in accordance with
				agency policies, prepare clinical and progress notes, assist the physician
				and/or registered nurse in performing specialized procedures, prepare equipment
				and materials for treatments observing aseptic technique as required and assist
				the patient in learning appropriate self-care techniques.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.10 - Penalties

Current through Rules and Regulations filed through June 27, 2024
Any person who operates a home health agency without first
				  obtaining a license pursuant to the provisions of the Georgia Home Health
				  Agency Act shall be deemed guilty of a misdemeanor, and upon conviction shall
				  be fined not to exceed $500.00 or imprisoned for a period not to exceed six
				  months or both.
O.C.G.A. §
										31-7-158.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.11 - Fees

Current through Rules and Regulations filed through June 27, 2024
Each application for initial and annual renewal licenses
				  shall be accompanied by a fee as prescribed by the
				  Department.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-150
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.12 - Enforcement

Current through Rules and Regulations filed through June 27, 2024
The administration and enforcement of these rules and
				  regulations shall be as prescribed in the "Georgia Administrative Procedure
				  Act," O.C.G.A. §
									50-13-1
et
				  seq.
O.C.G.A. §§
										31-2-4
et seq.
and
				  50-13-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.13 - Applicability of Regulations

Current through Rules and Regulations filed through June 27, 2024
These regulations are applicable only to home health agencies
				  as defined herein and the services they provide, and do not modify or revoke
				  any of the provisions of other published rules of the
				  Department.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-150
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-31 - HOME HEALTH AGENCIES › Rule 111-8-31-.14 - Severability

Current through Rules and Regulations filed through June 27, 2024
In the event that any rule, sentence, clause or phrase of any
				  of these rules and regulations may be construed by any court of competent
				  jurisdiction to be invalid, illegal, unconstitutional, or otherwise
				  unenforceable, such determination or adjudication shall in no manner affect the
				  remaining rules or portions thereof and such remaining rules or portions
				  thereof shall remain of full force and effect, as if such rule or portions
				  thereof so determined, declared or adjudged invalid or unconstitutional were
				  not originally a part hereof. It is the intent of the Board of Community Health
				  to establish rules and regulations that are constitutional and enforceable so
				  as to safeguard the health and well being of the people of the
				  State.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-150
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.01 - Title and Purpose

Current through Rules and Regulations filed through June 27, 2024
These rules shall be known as the Rules and Regulations for
				  Hospices. The purpose of these rules is to provide for the inspection and
				  issuance of licenses for hospices and to establish minimum requirements for
				  facilities operating under hospice licenses.
O.C.G.A. §
										31-7-170
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.02 - Authority

Current through Rules and Regulations filed through June 27, 2024
The legal authority for this Chapter is O.C.G.A §
									31-7-170
et seq.
,
				  the "Georgia Hospice Law" and O.C.G.A. §
									31-2-4
et
				  seq.
O.CG.A. §§
										31-2-4 and
				  31-7-170
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.04 - Licensure Procedures

Current through Rules and Regulations filed through June 27, 2024
(1) Operating, establishing or maintaining a
				hospice in the State of Georgia without first obtaining a valid license from
				the Department is prohibited.
(2)
				Use of the term "hospice" to imply or indicate that a person or entity is
				providing hospice services to patients and their families unless the person or
				entity holds a valid license to provide hospice care is prohibited.
(3) A governing body desiring to operate a
				hospice must file with the Department an initial application on forms
				prescribed and made available by the Department. The application must be
				complete, accurate, and signed by the hospice administrator or the executive
				officer of the hospice's governing body and must include:
(a) The applicant's name, address, phone
				number, and business e-mail address for receiving inspection reports and
				communications concerning the license from the Department.
(b)
Proof of ownership.
In the
				case of corporations, partnerships, and other entities authorized by law, the
				applicant must provide a copy of its certificate of incorporation or other
				acceptable proof of its legal existence and authority to transact business
				within the state;
(c) A list of
				counties proposed to be served by the hospice; and
(d) A list of the locations of any additional
				hospice care facilities operated by the hospice on separate premises, as
				applicable, and the number of beds at such facilities.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.05 - Inspections and Investigations

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice staff, any facilities where
				hospice care is being delivered, and the hospice patients must be accessible
				during all hours of operation to properly identified representatives of the
				Department for inspections and investigations relating to the hospice's
				license.
(2) The Department will
				periodically inspect each hospice to ensure that the licensee is providing
				quality care to its patients; provided, however, that a hospice is exempt from
				routine periodicon-site licensure inspection if it is certified as a hospice in
				accordance with federal regulations. Where the Department receives or becomes
				aware of a complaint alleging that the hospice is not acting in compliance with
				the requirements of these rules, the Department may conduct an inspection at
				any time to determine whether the licensed hospice is in compliance with these
				rules.
(3) For the purposes of any
				inspection, investigation, or survey conducted by the Department, the hospice
				must provide to properly identified representatives of the Department
				meaningful access to all books, records, papers, or other information related
				to the initial or continued licensing of the hospice.
(4) The hospice must submit to the
				Department, in a format acceptable to the Department, a written plan of
				correction in response to any inspection report of violations identified by the
				Department. The plan of correction must specify what the hospice will do by a
				date certain to correct each of the violations identified. The plan of
				correction must be submitted within 10 days of the hospice's receipt of the
				inspection report of violations. A plan of correction must be determined to be
				acceptable by the Department. Hospices may be allowed an additional 48 hours to
				revise any plan of correction deemed unacceptable by the Department. Failure to
				submit an acceptable plan of correction may result in the Department commencing
				enforcement procedures. The hospice must correct all violations
				cited.
O.C.G.A. §§
										31-7-170
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.06 - Reports to the Department

Current through Rules and Regulations filed through June 27, 2024
(1)
Patient Incidents Requiring
				Report.
The hospice must report to the Department, on forms made
				available by the Department, within 24 hours or the next business day, whenever
				any of the following incidents involving patients occurs or the hospice has
				reasonable cause to believe that an incident involving a patient has occurred:
(a) Any death of a hospice patient not
				related to the natural course of the patient's terminal illness or advanced and
				progressive disease, or any identified underlying condition;
(b) Any rape, assault, or any abuse, neglect
				or exploitation of a patient; and
(c) Any time a patient, who is admitted to a
				residential or inpatient hospice facility cannot be located, where there are
				circumstances that place the health, safety, or welfare of the patient or
				others at risk and the patient has been missing for more than eight
				hours.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.07 - Governing Body

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice must have an established and
				functioning governing body that is responsible for the conduct of the hospice
				and that provides for effective hospice governance, management, and budget
				planning.
(2) The governing body
				must appoint an administrator and delegate to the administrator the authority
				to operate the hospice in accordance with these rules and management policies
				established and approved by the governing body.
(3) The governing body must appoint a medical
				director and delegate to the medical director the authority to establish and
				approve, in accordance with current accepted standards of care, all patient
				care policies related to medical care.
(4) The governing body must ensure that no
				member of the governing body, administration, staff associated or affiliated
				with the hospice, or family member of staff causes, encourages or coerces any
				patient or family member of a patient to:
(a)
				name any person associated or affiliated with the hospice as a beneficiary
				under a will, trust, or life insurance policy;
(b) take out or otherwise secures a life
				insurance policy on any patient; or
(c) give or loan anything of value to a
				member of the governing body, administration, staff associated or affiliated
				with the hospice or family member of staff.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.08 - Administrator

Current through Rules and Regulations filed through June 27, 2024
(1) Each hospice
				must have a qualified administrator, designated by the governing body, who must
				be responsible for the ongoing and day-to-day operation of the
				hospice.
(2) The hospice
				administrator must be either a Georgia-licensed health care professional, who
				has at least one year of supervisory or management experience in a hospice
				setting or an individual with education, training and experience in health
				services administration and at least two years of supervisory or management
				experience in a hospice setting. The term, licensed health care professional,
				includes the following who hold Georgia licenses: physicians, nurse
				practitioners, physicians' assistants, registered professional nurses, clinical
				social workers, physical therapists and psychologists, but does not include
				practical nurses.
(3) The hospice
				administrator must ensure that the hospice:
(a) Implements policies and procedures for
				the provision of hospice care and palliative care to persons with advanced and
				progressive diseases, if it offers such services, which have been developed
				with interdisciplinary participation from the hospice care team;
(b) Employs qualified staff, including
				physicians, practitioners, nurses, social workers, clergy, volunteers, or other
				persons providing services at the hospice;
(c) Has implemented policies and procedures
				related to the management, operation, and evaluation of the overall performance
				of the hospice;
(d) Has a qualified
				director of nursing services along with sufficient qualified staff to meet the
				needs of patients admitted for hospice care and palliative care, if offered to
				persons with advanced and progressive diseases but who have not been determined
				to be terminally ill, and as outlined in the patients' plans of care;
(e) Provides an orientation, training, and
				supervision program for every employee and volunteer that addresses hospice
				care and palliative care for persons with advanced and progressive diseases,
				when offered, and the performance of the specific job to which the employee or
				volunteer is assigned;
(f) Ensures
				that the staff members complete their annual training and education program;
				and
(g) Ensures that there are
				effective mechanisms to facilitate communication among the hospice staff,
				hospice care team, and patients, their family units, and their legal guardians,
				if any.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.09 - Quality Management

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice must appoint an
				interdisciplinary quality management committee that reflects the hospice's
				scope of services. The committee must develop and implement a comprehensive,
				effective and ongoing quality management, utilization, and peer review program
				that evaluates, maintains and improves the quality of patient care provided,
				including the appropriateness of the level of service received by patients, and
				submits required patient incident reports to the Department.
(2) The quality management, utilization, and
				peer review program must establish and use written criteria as the basis to
				evaluate the provision of patient care. The written criteria must be based on
				accepted standards of care and must include, at a minimum, systematic reviews
				of:
(a) Appropriateness of admissions,
				continued stay, and discharge;
(b)
				Appropriateness of professional services and level of care provided;
(c) Effectiveness of pain control and symptom
				relief;
(d) Patient injuries, such
				as those related to falls, accidents, and restraint use;
(e) Errors in medication administration,
				procedures, or practices that compromise patient safety;
(f) Infection control practices and
				surveillance data;
(g) Patient and
				family complaints and on-call logs;
(h) Inpatient hospitalizations;
(i) Staff adherence to the patients' plans of
				care; and
(j) Appropriateness of
				treatment.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.11 - Disaster Preparedness

Current through Rules and Regulations filed through June 27, 2024
(1) Every hospice must have a current
				disaster preparedness plan that addresses potential situations where services
				to patients may be disrupted and outlines appropriate courses of action in the
				event a local or widespread disaster occurs including communications with
				patients and their families and emergency management agencies.
(2) The disaster preparedness plan must
				include at a minimum plan for the following emergency situations:
(a) Local and widespread severe weather
				emergencies or natural disasters, such as floods, ice or snowstorms, tornados,
				hurricanes, and earthquakes;
(b)
				Interruption of service of utilities, including water, gas, or electricity,
				either within the facility or patients' homes or within a local or widespread
				area; and
(c) Coordination of
				continued care in the event of an emergency evacuation of the
				area.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.12 - Infection Control

Current through Rules and Regulations filed through June 27, 2024
The hospice must have an effective infection control program
				  designed to reduce the transmission of infections in patients, health care
				  workers, caregivers, families, visitors and volunteers.
(a) The hospice must develop an infection
				control surveillance plan that is tailored to meet the needs of the hospice and
				the hospice patients and includes both outcome and process
				surveillance.
(b) The hospice must
				develop and implement effective policies and procedures that address infection
				control issues in all components of the hospice. These policies and procedures
				shall be based on accepted standards of infection control, approved by the
				administrator and the medical director, and shall address at least the
				following:
1.Hand hygiene;
2.Wound care;
3.Urinary tract care;
4.Respiratory therapy;
5.Enteral therapy;
6.Infusion therapy;
7.Cleaning, disinfecting, and sterilizing
				patient care equipment;
8.Isolation
				precautions;
9.Handling, transport,
				and disposal of medical waste and laboratory specimens;
10.Requirements for initial and annual health
				screenings for staff, including tuberculosis surveillance and required
				immunizations;
11.Use of personal
				protective equipment and exposure reporting/follow-up;
12.Work restrictions for staff with
				potentially infectious diseases;
13.Evaluation of the patient and the home
				environment related to infection control risks;
14.Outbreak investigation
				procedures;
15.Dietary practices in
				hospice care facilities; and
16.Reporting of communicable diseases, as
				required by law.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.13 - Human Resources

Current through Rules and Regulations filed through June 27, 2024
(1) All persons providing services for a
				hospice must be qualified by education, training, and experience to carry out
				all duties and responsibilities assigned to them.
(2) All persons providing services for a
				hospice must receive an orientation to the hospice to include, but not be
				limited to:
(a) Hospice concepts and
				philosophy;
(b) Patient rights
				including abuse reporting requirements; and
(c) Hospice policies and procedures,
				including, but not limited to, disaster preparedness, fire safety and emergency
				evacuations, and reporting abuse and neglect.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.14 - Admissions, Discharges, and Transfers

Current through Rules and Regulations filed through June 27, 2024
(1)
Admissions.
The hospice must
				not admit any patients unless the hospice believes that it is capable of
				meeting the care needs of the patients. The hospice must have written criteria
				that address the eligibility for admission into home hospice care, residential,
				or inpatient hospice care and palliative care for persons with advanced and
				progressive diseases, if such palliative care is offered.
(2)
Terminally Ill Patient Admissions
				for Home Care
. The hospice program offered to terminally ill patients in
				their homes must admit only patients that meet the following minimum criteria:
(a) The patient has a referral from a
				physician who has personally evaluated the patient and diagnosed the patient as
				terminally ill, where the medical prognosis is less than six months of life if
				the terminal illness takes its normal course, and in need of hospice
				care;
(b) The patient has received
				from the hospice an initial assessment, performed by an appropriate
				representative of the hospice care team, that reflects a reasonable expectation
				that the patient's medical, nursing, and psychological needs can be met
				adequately by the hospice and further reflects that the patient has a need for
				and can benefit from hospice care;
(c) The patient has been given a description
				of the scope of services and has personally or through an authorized patient
				representative given informed consent in writing to receive hospice
				care;
(d) The patient has been
				certified in writing by the hospice to have an anticipated life expectancy of
				six months or less if the terminal illness takes its normal course;
(e) The patient lives within the hospices
				service area; and
(f) The patient
				has identified a primary caregiver. In the absence of a primary caregiver, the
				hospice must develop a detailed plan for meeting the daily care and safety
				needs of the patient.
(g) The
				hospice must ensure the development of an initial plan of care, within 24 hours
				of admission to the hospice, based on the initial assessment and with
				appropriate input from a physician or registered nurse to meet the immediate
				needs of the patient.
(h) The
				hospice must ensure that no terminally ill patient is excluded from
				participation in or denied benefits of any hospice care because of an inability
				to pay for such hospice care.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.15 - Assessment and Plan of Care

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice must designate a hospice care
				team for each patient admitted by the hospice. The hospice care team must be
				composed of individuals who provide or supervise the care and services offered
				by the hospice.
(2) The hospice
				care team must include at least the following individuals:
(a) A physician;
(b) A registered nurse;
(c) A social worker;
(d) A member of the clergy or other
				counselors; and
(e)
				Volunteers.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.18 - Nursing Services

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice shall have a system to make
				available nursing services 24-hours a day, seven days a week to meet the needs
				of the patients.
(a) A registered nurse must
				be available at all times to provide or supervise the provision of nursing
				care.
(b) On-site nursing services
				must be made available within one hour of notification where the terminally ill
				patient and the patient with an advanced and progressive disease who has
				contracted for nursing services experiences a symptom-management crisis
				situation.
(c) The hospice must
				maintain an on-call log for all calls received after normal business hours, the
				records of which shall be kept for a period of two years.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.20 - Volunteer Services

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice must establish a program that
				utilizes volunteers to provide services to terminally ill patients and family
				units in accordance with patients' plans of care and/or to provide
				administrative support services for the hospice.
(2) The hospice must designate a coordinator
				of volunteer services who assists the administrator in developing, documenting,
				and implementing a volunteer services program.
(3) The hospice volunteer coordinator must
				establish and implement effective written policies and procedures relating to
				volunteer services. These policies and procedures must address at a minimum:
(a) Recruitment and retention;
(b) Screening;
(c) Orientation;
(d) Scope of function;
(e) Supervision;
(f) Basic infection control;
(g) Ongoing training and support;
				and
(h) Documentation of volunteer
				activities; and
(i) Patient rights
				and reporting abuse and other serious incidents.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.21 - Pharmaceutical Services

Current through Rules and Regulations filed through June 27, 2024
(1) The hospice must provide for the
				procurement, storage, administration, and destruction of drugs and biologicals
				utilized for hospice care in accordance with accepted professional principles
				and in compliance with all applicable state and federal laws.
(2) The hospice must:
(a) Ensure medication and pharmacy procedures
				are approved by a licensed pharmacist who is either employed directly or has a
				formal arrangement with the hospice;
(b) Ensure the availability of a licensed
				pharmacist on a 24-hour per day basis to advise the hospice staff regarding
				medication issues and to dispense medications;
(c) Ensure that any emergency drug kit placed
				in the hospice is in accordance with all applicable laws and rules and
				regulations:
(d) Ensure that drugs
				and biologicals are labeled in accordance with current accepted standards of
				practice;
(e) Ensure effective
				procedures for control and accountability of all drugs and biologicals
				throughout the hospice, including records of receipt, disposition, destruction,
				and reconciliation of all controlled substances and dangerous drugs;
				and
(f) Ensure that only licensed
				nurses or physicians, acting within the scope of their licenses, administer
				medications on behalf of the hospice, except for liquid morphine administered
				in accordance with O.C.G.A. §
										31-7-12.2(g)(7)(G).
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.22 - Medical Supplies

Current through Rules and Regulations filed through June 27, 2024
The hospice must make available sufficient medical supplies
				  and equipment for the palliative care and management of the illness or
				  conditions directly attributable to the terminal diagnosis of terminally ill
				  patients.
(a) If the hospice directly
				provides medical supplies and equipment, the hospice must:
1.Develop and implement effective policies
				and procedures to maintain the supplies and equipment in good working order per
				the manufacturers' recommendations;
2.Ensure the safe handling and storage of
				supplies and equipment to ensure function and cleanliness;
3.Instruct the caregiver on the use and
				maintenance of the equipment; and
4.Replace supplies and equipment as essential
				for the care of terminally ill patients.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.23 - Medical Records

Current through Rules and Regulations filed through June 27, 2024
(1) In accordance with accepted standards of
				practice, the hospice must establish and maintain a medical record for every
				patient admitted for care and services. The medical record must be complete,
				promptly and accurately documented, readily accessible, and systematically
				organized to facilitate retrieval and to support the provision of patient
				care.
(2) Entries must be made for
				all services provided and must be signed and dated on the day of delivery by
				the individual providing the services for inclusion in the patient's medical
				record within seven days. The record must include all services whether
				furnished directly or under arrangements made by the hospice.
(3) Each patient's medical record must
				contain:
(a) Identification data;
(b) The initial and subsequent
				assessments;
(c) Pertinent medical
				and psychosocial history;
(d)
				Consent and authorization forms;
(e) The interdisciplinary plan of
				care;
(f) The name of the patient's
				attending physician; and
(g)
				Complete documentation of all services and events, including evaluations,
				treatments, progress notes, transfers, discharges, etc.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.24 - Hospice Care Facilities

Current through Rules and Regulations filed through June 27, 2024
(1) Hospices providing home care services may
				establish, as optional services, small home-like residential facilities or
				units, in order to provide 24-hour non-acute palliative hospice care, and/or
				inpatient units, in order to provide short-term, 24-hour acute hospice care to
				terminally ill hospice patients. Residential hospices built, or undergoing
				major renovations after the effective date of these rules must meet the
				Facility Guidelines Institute, Guidelines for Design and Construction of
				Residential Health, Care, and Support Facilities, including the provisions
				specifically applicable to hospices.
(2) The environment of the hospice care
				facility must be designed, equipped, and maintained in accordance with
				applicable life safety code requirements to provide for the comfort, privacy,
				and safety of no more than 25 patients and family members in any one
				self-contained, home-like unit. A hospice may operate multiple self-contained,
				home-like units of no more than 25 beds each, either at the same location or
				separate locations, provided that each unit is fully staffed to meet the needs
				of the hospice patients in that unit, the locations are within 35 miles of the
				principal location and the governing body does not have a history of poor
				compliance with licensure requirements. Hospice care facilities, whether
				residential, inpatient, or residential and inpatient facilities, must provide:
(a) An emergency power source capable of
				providing electrical service for communication systems, alarm systems, egress
				lighting, and patient care areas;
(b) Décor and room configuration that
				is home-like in design and function;
(c) Space accommodations, other than patient
				rooms, for private patient/family visiting and grieving;
(d) Accommodations for at least one family
				member to remain with the patient throughout the night;
(e) Separate restrooms for staff and public
				use;
(f) A program to inspect,
				monitor and maintain biomedical, electrical equipment in proper and safe
				working order;
(g) Procedures that
				prevent infestations of insects, rodents, or other vermin or vectors;
(h) Security procedures sufficient for the
				protection of patients;
(i)
				Procedures for the safe management of medical gases;
(j) Procedures for infection control,
				including isolation of patients, in accordance with accepted
				standards;
(k) An environment that
				is clean, in good repair, and designed and equipped to minimize the spread of
				infection;
(l) Adequate lighting,
				ventilation, and control of temperature and air humidity; and
(m) An alternative power source to support
				the needs of the patients.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.25 - Waivers and Variances

Current through Rules and Regulations filed through June 27, 2024
(1) A hospice may request a waiver or
				variance of a specific rule by application on forms provided by the
				Department.
(2) The Department may
				grant or deny the request for waiver or variance at its discretion. If the
				waiver or variance is granted, the Department may establish conditions that
				must be met by the hospice in order to operate under the waiver or variance.
				Waivers or variances may be granted with consideration of the following:
(a)
Variance.
A variance may be
				granted by the Department, at its discretion, upon a showing by the applicant
				that the particular rule or regulation that is the subject of the variance
				request should not be applied as written because strict application would cause
				undue hardship. The applicant must also show that adequate standards exist for
				affording protection for the health, safety, and care of patients, and these
				existing standards would be met in lieu of the exact requirements of the rule
				or regulation.
(b)
Waiver.
The Department may, at its discretion, dispense altogether with the
				enforcement of a rule or regulation by granting a waiver upon a showing by the
				applicant that the purpose of the rule or regulation is met through equivalent
				standards affording equivalent protection for the health, safety, and care of
				the patients.
(c)
Experimental Waiver or Variance.
The Department may grant a waiver
				or variance, at its discretion, to allow experimentation and demonstration of
				new and innovative approaches to delivery of services upon a showing by the
				applicant that the intended protections afforded by the rule or regulation in
				question are met and that the innovative approach has the potential to improve
				service delivery.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.26 - Enforcement

Current through Rules and Regulations filed through June 27, 2024
A hospice that fails to comply with licensing requirements as
				  contained in the Rules and Regulations for Hospices, Chapter 111-8-37 and the
				  Rules and Regulations for General Licensing and Enforcement Requirements,
				  Chapter 111-8-25, is subject to civil and administrative actions brought by the
				  Department to enforce licensing requirements as provided by applicable laws and
				  rules. Such actions will be initiated in compliance with the Georgia
				  Administrative Procedures Act, O.C.G.A. §§
									50-13-1
et seq.
,
				  31-2-8 and the Rules and
				  Regulations for General Licensing and Enforcement Requirements, Chapter
				  111-8-25.
However, the Department may suspend any requirements of these
				  rules and the enforcement of any rules when the Governor of the State of
				  Georgia has declared a public health emergency.
O.C.G.A. §§
										31-2-8,
				  31-7-170
et seq.
and 50-13-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-37 - RULE AND REGULATIONS FOR HOSPICES › Rule 111-8-37-.27 - Severability

Current through Rules and Regulations filed through June 27, 2024
In the event that any rule, sentence, clause, or phrase of
				  any of these rules and regulations may be construed by any court of competent
				  jurisdiction to be invalid, illegal, unconstitutional, or otherwise
				  unenforceable, such determination or adjudication shall in no manner affect the
				  remaining rules or portion thereof. The remaining rules or portions of rules
				  shall remain in full force and effect, as if such rule or portions thereof so
				  determined, declared, or adjudged invalid or unconstitutional were not
				  originally a part of these rules.
O.C.G.A. §§
										31-2-4 and
				  31-7-170
et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.01 - Title and Purpose

Current through Rules and Regulations filed through June 27, 2024
These rules shall be known as the Rules and Regulations for
				  Hospitals. The purpose of these rules is to provide for the inspection and
				  issuance of permits for hospitals and to establish minimum requirements for
				  facilities operating under a hospital permit.
O.C.G.A. §§
										31-2-4,
				  31-2-5,
				  31-7-2.1 and
				  31-7-3.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.02 - Definitions

Current through Rules and Regulations filed through June 27, 2024
Unless a context otherwise requires, these identified terms
				  mean the following when used in these rules:
(a)
Board certified
means
				current certification of a licensed physician by a specialty board recognized
				by the American Board of Medical Specialties (ABMS) or American Osteopathic
				Association (AOA) or other nationally recognized specialty's certifying
				board.
(b)
Board eligible
means a licensed physician who meets the criteria for examination for
				the designated specialty as published by that nationally recognized specialty's
				certifying board.
(c)
Bylaws
means a set of laws or rules formally adopted
				internally by the facility, organization, or specified group of persons to
				govern internal functions or practices within that group, facility, or
				organization.
(d)
Department
means the Department of Community Health of the
				State of Georgia.
(e)
Governing body
means the hospital authority, board of
				trustees or directors, partnership, corporation, entity, person, or group of
				persons who maintain and control the hospital.
(f)
Hospital
means any
				building, facility, or place in which are provided two (2) or more beads and
				other facilities and services that are used for persons received for
				examination, diagnosis, treatment, surgery, or maternity care for periods
				continuing for twenty-four (24) hours or longer and which is classified by the
				department as a hospital.
(g)
Inpatient
means a person admitted to a hospital for an
				intended length of stay of twenty-four (24) hours or longer.
(h)
Rural Free Standing Emergency
				Department
means any hospital that downgrades its existing scope of
				services to meet all of the following conditions:
(i) is currently licensed by the Department
				as a hospital or was previously licensed by the Department as a hospital and
				such license expired within the previous 12 months;
(ii) is located in a rural county as defined
				by O.C.G.A. §
										31-6-2(32);
(iii) is located no more than 35 miles from a
				licensed general hospital;
(iv) is
				open 7 days a week, 24 hours a day;
(v) provides non-elective emergency treatment
				and procedures for periods continuing less than 24 hours;
(vi) may provide elective, out-patient
				surgical treatment and procedures for periods continuing less than 24
				hours;
(vii) may provide basic
				obstetrics and gynecology treatment and procedures for periods continuing less
				than 24 hours; and
(viii) is
				classified by the department, as provided for in this chapter, as a Rural Free
				Standing Emergency Department.
Rural Free Standing Emergency Departments may provide
				  elective endoscopy or other elective treatment and procedures which are not
				  performed in an operating room environment.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.03 - Hospital Permit Requirement

Current through Rules and Regulations filed through June 27, 2024
No person, corporation, association, or other entity shall
				  establish, operate, or maintain a hospital in Georgia without a permit or
				  provisional permit.
(a) A permit is
				required for each hospital. Multi-building hospitals may request a single
				permit to include all buildings provided that the hospital buildings are in
				close proximity to each other, the facilities serve patients in the same
				geographical area, and the facilities are operated under the same ownership,
				control, and bylaws.
1. Services offered in
				separate buildings or on separate premises, which do not by themselves meet the
				definition of a hospital, including, but not limited to, satellite urgent care
				centers, outpatient or mammography clinics, or hospital-owned physicians'
				offices, shall be considered organized services of the hospital for the
				purposes of these rules.
2. Only
				those services operated by the hospital under the permit as approved by the
				Department shall be presented to the public as a service of the
				hospital.