Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2010 - Hospice Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				hospice care team shall be responsible for ensuring that all services are
				provided in accordance with the patient care plan. Services shall be provided
				directly by the hospice or through written contracts with other providers. A
				comprehensive or volunteer hospice shall comply with the following:
1)
The hospice program shall foster
				independence of the patient and his
/her
family by providing
				training, encouragement and support so that the patient and family can care for
				themselves as much as possible.
(Section 8(f) of the Act).
2)
The hospice program must have
				functioning hospice care teams that develop the hospice patient plans of care
				in accordance with the standards for certification under the Medicare program
				set forth in the Conditions of Participation in 42 CFR 418
. (Section
				8(c) of the Act)
3)
A
				hospice patient's plan of care must be established and maintained for each
				individual admitted to a hospice program, and the services provided to an
				individual must be in accordance with the individual's plan of care. The plans
				of care must be established and maintained in accordance with the standards for
				certification under the Medicare program set forth in the Conditions of
				Participation in 42 CFR 418.
(Section 8(c-5) of the Act)
A) Each hospice shall ensure that there is a
				written plan of care for each patient. The hospice care team shall complete an
				assessment of the care needs and evaluate the ability of the patient to be
				cared for in his/her place of residence
.
B) The plan shall be updated based on ongoing
				assessments by the hospice care team.
C) The patient care plan shall provide for
				involvement of the family and others in treatment
.
D) Each hospice providing services to a
				patient in both the home setting and the inpatient setting shall have written
				policies and procedures to share the written plan of care between both settings
				to facilitate continuity of care
.
4)
The hospice program's services
				shall include nursing services, medical social work services, bereavement
				services, and volunteer services. These services shall be coordinated with
				those of the hospice patient's attending physician and shall be substantially
				provided by hospice program employees. The hospice program must provide these
				services in a manner consistent with the standards for certification under the
				Medicare program set forth in the Conditions of Participation in 42 CFR
				418.
(Section 8(a) of the Act)
5)
The hospice program must make
				nursing services, medical social work services, volunteer services and
				bereavement services available on a 24-hour basis to the extent necessary to
				meet the needs of individuals for care that is reasonable and necessary for the
				palliation and management of terminal illness and related conditions. The
				hospice program must provide these services in a manner consistent with the
				standards for certification under the Medicare program set forth in the
				Conditions of Participation in 42 CFR 418.
(Section 8(a) of the
				Act)
6)
Hospice services,
				as defined in Section 3
of the Act
, may be furnished in a home
				or inpatient setting, with the intent of minimizing the length of inpatient
				care. The home care component shall be the primary form of care and shall be
				available on a part-time, intermittent, regularly scheduled basis.
(Section 8(a) of the Act)
7) The
				required hospice services are defined as follows:
A) Nursing Services - Nursing services are
				responsible for developing and implementing the diagnostic, therapeutic, and
				rehabilitative plan as prescribed by the patient's attending physician. The
				nursing staff shall provide care in the patient's place of residence; observe
				symptoms and reactions; and meet the nursing care needs of the terminally ill.
				A registered professional nurse shall perform the initial home care assessment.
				Nursing services shall be provided under the supervision of a registered
				professional nurse.
B) Medical
				Social Work Services - Medical social work services shall be made available to
				the patient/family. An evaluation of the social needs, such as environment,
				religious background, financial needs, psychosocial needs, family, special
				activities, and psychological needs shall be conducted. Social services shall
				be delivered by a social worker.
C)
				Spiritual Counseling Services - The hospice program shall provide, at a
				minimum, one counselor as defined in Section
				280.1000 to provide
				spiritual counseling services. Spiritual counseling services shall be made
				available to the patient and family. The patient's religious beliefs and
				practices shall be accommodated either by the hospice or with an outside
				source.
The hospice program shall not impose the dictates of any value
				or belief system on its patients
. (Section 8(g) of the Act)
D) Bereavement Services - Each hospice shall
				provide bereavement services to the families of hospice patients to the extent
				desired by the family. Bereavement services may be coordinated with the
				family's clergy, if any, as well as with other community resources judged by
				the hospice care team to be useful to the family unless the family declines.
The bereavement services must be provided in accordance with the
				standards for certification under the Medicare program set forth in the
				Conditions of Participation in 42 CFR 418
. (Section 8(e) of the
				Act)
E) Volunteer Services - The
				hospice program shall use volunteers in day-to-day administration and/or direct
				patient care roles.
The hospice program shall utilize the services of
				trained volunteers in accordance with the standards for certification under the
				Medicare program set forth in the Conditions of Participation in 42 CFR
				418
. (Section 8(j) of the Act)
F) Alzheimer's Services - The hospice program
				shall provide Alzheimer's disease and related dementias services in accordance
				with the Alzheimer's Disease and Related Dementias Act and the Alzheimer's
				Disease and Related Dementias Services Code.
8) Nutritional Evaluation - The hospice
				program shall perform a nutritional evaluation of the patient by a qualified
				individual, including, but not limited to, a dietitian or nurse. This
				evaluation shall be reviewed by the hospice care team. Consultation by a
				dietitian shall be available to the patient as determined necessary by the
				hospice care team.