Connecticut Administrative Code › Title 19a - Public Health and Well-being › 495 - Licensure of Private Freestanding Mental Health Day Treatment Facilities, Intermediate Treatment Facilities and Psychiatric Outpatient Clinics for Adults › Short-term Hospitals, Special, Hospice and Hospice Inpatient Facilities › Section 19a-495-6a - Hospice inpatient facilities

Current through July 10, 2024
Definitions. As used in Sections 19a-495-6 a through
				  19a-495-6 m, inclusive, of the Regulations of Connecticut State
				  Agencies:
(1) "Adverse event" means a
				discrete, auditable and clearly defined occurrence with a negative consequence
				of care that results in unanticipated injury, illness, or death which may or
				may not have been preventable;
(2)
				"Attending practitioner" means a physician, or an advance practice registered
				nurse, licensed in Connecticut (who may or may not be an employee of the
				hospice inpatient facility) identified by the terminally ill patient or family
				as having a significant role in the determination and delivery of the patient's
				medical care;
(3) "Bereavement"
				means the extended period of grief, which is usually thirteen months, preceding
				the death and following the death of a loved one, during which individuals
				experience, respond and adjust emotionally, physically, socially and
				spiritually to the loss of a loved one;
(4) "Bereavement counseling" means emotional,
				psychosocial, and spiritual support and services provided before and after the
				death of the patient to assist with issues related to grief, loss, and
				adjustment;
(5) "Clinical
				experience" means employment in providing patient services in a health care
				setting;
(6) "Commissioner" means
				the Commissioner of Public Health, or the commissioner's designee;
(7) "Complementary therapies" means
				non-traditional therapies that are used in combination with standard medical
				treatments, including, but not limited to, massage, yoga, art or music
				therapy;
(8) "Comprehensive
				assessment" means a thorough evaluation of the patient's physical,
				psychosocial, emotional and spiritual status and needs related to the terminal
				illness and related conditions. This includes an evaluation of the caregiver's
				and family's willingness and capability to care for the patient;
(9) "Contracted services" means services
				provided by the hospice inpatient facility which are subject to a written
				agreement with an individual, another agency or another facility;
(10) "Contractor" means any organization,
				individual or facility that is hired or paid to provide services to hospice
				patients under a written agreement with the hospice inpatient
				facility;
(11) "Department" means
				the Department of Public Health;
(12) "Dietary counseling" means education and
				interventions provided to the patient and family regarding appropriate
				nutritional intake as the patient's condition progresses. Dietary counseling is
				provided by qualified individuals, which may include an advanced practice
				registered nurse, registered nurse, registered dietician or nutritionist, when
				identified in the patient centered plan of care;
(13) "Direct service staff" means individuals
				employed or under written agreement with the hospice inpatient facility whose
				primary responsibility is delivery of care to patients;
(14) "Family" means an individual or a group
				of individuals whom the patient identifies as such regardless of blood relation
				or legal status;
(15) "Full-time"
				means employed and on duty not less than thirty-five hours per work week on a
				regular basis;
(16) "Twenty-four
				hour basis" means services provided twenty-four hours per day, seven days per
				week;
(17) "Hospice care" means a
				comprehensive set of services identified and coordinated by an
				interdisciplinary team to provide for the physical, psychosocial, spiritual,
				and emotional needs of a terminally ill patient and the patient's family
				members, which shall be delineated in the individualized patient centered plan
				of care across all care settings;
(18) "Hospice inpatient facility" means a
				facility or hospice residence that provides palliative care for hospice
				patients requiring short-term, general inpatient care for pain and symptom
				management, end of life care or respite care and provides the services required
				pursuant to 19a-122b of the Connecticut General Statutes;
(19) "Initial assessment" means an evaluation
				of the patient's physical, psychosocial and emotional status at the time of
				admission related to the terminal illness and related conditions to determine
				the patient's immediate care and support needs;
(20) "Inpatient respite care" means
				short-term inpatient care provided to terminally ill patients to provide relief
				to family members or others caring for the patient;
(21) "Interdisciplinary team" means a group
				of individuals who work together to meet the physical, medical, psychosocial,
				emotional and spiritual needs of the hospice patients and families facing
				terminal illness and bereavement. The team shall include: a physician,
				registered nurse, social worker, spiritual counselor and other persons as may
				be deemed appropriate;
(22)
				"Licensed independent practitioner" means an individual licensed in Connecticut
				as a physician, or an advanced practice registered nurse;
(23) "Licensee" means a person, group of
				persons, association, organization, institution, or agency, public or private
				that is licensed in accordance with section 19a-495-6b of the Regulations of
				Connecticut State Agencies;
(24)
				"Medical director" means a physician with experience and training in hospice
				care licensed to practice medicine in Connecticut in accordance with Chapter
				370 of the Connecticut General Statutes;
(25) "Nurse" means a person licensed under
				chapter 378 of the Connecticut General Statutes to practice nursing as an
				advanced practice registered nurse, registered nurse, or licensed practical
				nurse;
(26) "Nursing assistant"
				means the hospice aide, home health aide, or a nurse's aide who is registered
				and in good standing on the nurse's aide registry maintained by the department
				in accordance with section
				20-102bb
				of the Connecticut General Statutes;
(27) "Occupational therapy" shall have the
				same meaning as provided in section
				20-74a of
				the Connecticut General Statutes and shall be performed in accordance with
				accepted standards of practice and applicable law by an occupational therapist
				or occupational therapy assistant licensed under Chapter 376a of the
				Connecticut General Statutes;
(28)
				"Palliative care" means patient and family-centered care that optimizes quality
				of life by anticipating, preventing, and treating suffering. Palliative care
				throughout the continuum of illness involves addressing physical, intellectual,
				emotional, social, and spiritual needs and the facilitation of patient
				autonomy, access to information, and choice;
(29) "Patient" means a person that is
				terminally ill and has a medical prognosis with a life expectancy of 6 months
				or less if the illness runs its usual course;
(30) "Patient centered plan of care" means a
				comprehensive individualized written plan of care established by the
				interdisciplinary team in collaboration with a licensed independent
				practitioner, and the patient or family that addresses the physical,
				intellectual, emotional, social, and spiritual needs of the patient;
(31) "Pharmacist" shall have the same meaning
				as provided in section
				20-571
				of the Connecticut General Statutes;
(32) "Physical Therapy" shall have the same
				meaning as provided in section
				20-66 of
				the Connecticut General Statutes and shall be performed by a physical therapist
				or physical therapist assistant who is licensed under Chapter 376 of the
				Connecticut General Statutes;
(33)
				"Physician" shall have the same meaning as provided in section
				20-13a of
				the Connecticut General Statutes;
(34) "Physician assistant" shall have the
				same meaning as provided in section
				20-12a
				of the Connecticut General Statutes;
(35) "Quality care" means that the patient
				receives clinically competent care that meets current professional standards,
				is supported and directed in a planned pattern toward mutually defined
				outcomes, achieves maximum symptom management and comfort consistent with
				individual potential life style and goals, receives coordinated service through
				each level of care and is taught self-management and preventive health
				measures;
(36) "Representative"
				means a designated member of the patient's family or person legally authorized
				to act for the patient in the exercise of the patient's rights in accordance
				with applicable law;
(37)
				"Restraint" means:
(A) Any manual method,
				physical or mechanical device, material, or equipment that immobilizes or
				reduces the ability of a patient to move the arms, legs, body, or head freely,
				not including devices, such as orthopedically prescribed devices, surgical
				dressings or bandages, protective helmets, methods that involve the physical
				holding of a patient for the purpose of escorting the patient or conducting a
				routine physical examination or test, methods or devices intended to protect
				the patient from falling out of bed or allowing the patient to participate in
				an activity without the risk of physical harm; or
(B) A drug or medication when it is used as a
				restriction to manage the patient's behavior or restrict the patient's freedom
				of movement and is not a standard treatment or dosage for the patient's
				condition;