reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 10 - DENIAL, SUSPENSION, OR REVOCATION OF LICENSE › Rule 15-16-1-1.10.1 - Denial or Revocation of Licensee: Hearing and Review

Current through June 25, 2024
The licensing agency is authorized to deny, suspend, or
						revoke a license. Any of the following actions shall be grounds for action by
						the department against a hospice program:
1. A violation of the provisions of the
					 Mississippi Hospice Law of 1995 or any standard or rule of these regulations,
					 including but not limited to, in any case the Department finds that there has
					 been substantial failure to comply with the requirements established under the
					 law and these regulations. These are inclusive of the following:
a. Fraud on the part of the licensee in
					 applying for license.
b. Willful or
					 repeated violations by the licensee of any of the provisions of the Mississippi
					 Law of 1995, as amended, and /or of the rules, regulations, and minimum
					 standards established by the Department of Health.
c. Addiction to narcotic drug(s) by the
					 licensee or the management staff of the hospice.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 11 - PROVISION OF HEARING AND APPEAL FOLLOWING DENIAL OR REVOCATION OF LICENSE; PENALTIES › Rule 15-16-1-1.11.1 - Administrative Decision

Current through June 25, 2024
The Mississippi State Department of Health will provide
						an opportunity for a fair hearing to every applicant or licensee who is
						dissatisfied with administrative decisions made in the suspension, denial or
						revocation of license.
1. The
					 licensing agency shall notify the applicant or licensee by registered mail or
					 personal service the particular reasons for the suspension, denial or
					 revocation of license. Upon written request of applicant or licensee within ten
					 (10) days of the date of notification the licensing agency shall fix a date not
					 less than thirty (30) days from the date of such service at which time the
					 applicant or licensee shall be given an opportunity for a prompt and fair
					 hearing.
2. On the basis of such
					 hearing or upon default of the applicant or licensee, the licensing agency
					 shall make a determination specifying its findings of fact and conclusions of
					 law. A copy of such determination shall be sent by registered mail to the last
					 known address of the applicant or licensee or served personally upon the
					 applicant or licensee.
3. The
					 decision revoking, suspending, or denying the application or license shall
					 become final thirty (30) days after it is so mailed or served unless the
					 applicant or licensee, within such thirty (30) day period, appeals the decision
					 to the State court having jurisdiction and such court issues a conditional
					 permit for the duration of the judicial proceedings. An additional period of
					 time may be granted at the discretion of the licensing agency including a
					 conditional license.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 11 - PROVISION OF HEARING AND APPEAL FOLLOWING DENIAL OR REVOCATION OF LICENSE; PENALTIES › Rule 15-16-1-1.11.2 - Penalties

Current through June 25, 2024
Any person establishing, conducting, managing, or
						operating a hospice without a license shall be declared in violations of these
						regulations and State law. Penalties shall be assessed in accordance with
						§
											41-85-25
						of the Mississippi Code of 1972.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 12 - TERMINATION OF OPERATION › Rule 15-16-1-1.12.1 - General

Current through June 25, 2024
In the event that a Hospice ceases operation,
						voluntarily or otherwise, the agency shall:
1. Inform the attending physician, patient,
					 and persons responsible for the patient's care in ample time to provide for
					 alternate methods of care;
2.
					 Provide the receiving facility or agency with a complete copy of the clinical
					 record;
3. Inform the community
					 through public announcement of the termination;
4. Ensure the safekeeping, confidentiality,
					 and storage of all clinical records for a period of six (6) years, following
					 discharge, and notify Mississippi State Department of Health, in writing, the
					 location of all records;
5. Return
					 the license to the licensing agency.
Miss. Code
						Ann. §
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 13 - ADMINISTRATION › Rule 15-16-1-1.13.1 - Governing Body

Current through June 25, 2024
1. A hospice shall
					 have a governing body (See Definition) that assumes full legal responsibility
					 for compliance with these regulations and for setting policy, appointing
					 persons to carry out such policies, and monitoring the hospice's total
					 operation.
2. Written minutes and
					 attendance of governing body minutes shall be maintained.
Miss. Code
						Ann. §
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 13 - ADMINISTRATION › Rule 15-16-1-1.13.2 - Medical Director

Current through June 25, 2024
1. Each hospice
					 shall have a Medical Director, who, on the basis of training, experience and
					 interest, shall be knowledgeable about the psychosocial and medical aspects of
					 hospice care. Must be a physician licensed to practice in the state. The
					 hospice may have multiple hospice physicians but only one Medical
					 Director.
2. The Medical Director
					 shall be appointed by the governing body or its designee.
3. The Medical Director is expected to play
					 an integral role in providing medical supervision to the hospice
					 interdisciplinary group and in providing overall coordination of the patient's
					 plan of care. The Medical Director's expertise in managing pain and symptoms
					 associated with the patient's terminal disease is necessary, regardless of the
					 setting in which the patient is receiving services to assure that the hospice
					 patient has access quality hospice care.
4. The duties of the Medical Director shall
					 include, but not be limited to:
A.
					 Determination of patient medical eligibility for hospice services in accordance
					 with hospice program policy;
B.
					 Collaboration with the individual's attending physician to assure all aspects
					 of medical care are taken into consideration in devising a palliative plan of
					 care;
C. Review, revise and
					 document the plan at intervals specified in the plan, but no less than every 14
					 calendar days;
D. Acting as a
					 medical resource to the hospice care team and as a medical liaison with
					 physicians in the community; and
E.
					 Coordination of efforts with each attending physician to provide care in the
					 event that the attending physician is unable to retain responsibility for
					 patient care.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 13 - ADMINISTRATION › Rule 15-16-1-1.13.3 - Administrator

Current through June 25, 2024
A person shall be designated by the governing body or
						its designee to be responsible for the management of the hospice program in
						matters of overall operation. This person may be a member of the hospice care
						team.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 13 - ADMINISTRATION › Rule 15-16-1-1.13.4 - Advertising

Current through June 25, 2024
If a hospice advertises its services, such advertisement
						shall be factual and not contain any element which might be considered coercive
						or misleading. Any written advertising describing services offered by the
						hospice shall contain notification that services are available regardless of
						ability to pay.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 13 - ADMINISTRATION › Rule 15-16-1-1.13.5 - Annual Budget

Current through June 25, 2024
1. The annual
					 budget shall include income plus expenses related to overall cost of the
					 program.
2. The overall plan and
					 budget shall be reviewed and updated at least annually by the governing body.
3. The annual budget should
					 reflect a comparative analysis of the cost savings of the volunteers.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 14 - POLICIES AND PROCEDURES › Rule 15-16-1-1.14.1

Current through June 25, 2024
The hospice shall maintain operational policies and
						procedures, which shall be kept current.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 14 - POLICIES AND PROCEDURES › Rule 15-16-1-1.14.2

Current through June 25, 2024
Such policies and procedures shall accurately reflect a
						description of the hospice's goals, methods by which these goals are sought,
						and mechanisms by which the basic hospice care services are delivered. The
						facility must follow all written policies developed by the licensed
						facility.
Miss. Code
						Ann. §
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 14 - POLICIES AND PROCEDURES › Rule 15-16-1-1.14.3

Current through June 25, 2024
Policies and procedures shall be available to hospice
						team members, patients and their families/primary care person, potential
						applicants for hospice care, and the Department.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 15 - PERSONNEL POLICIES › Rule 15-16-1-1.15.1 - Personnel Policies

Current through June 25, 2024
Each licensed hospice agency shall adopt and enforce
						personnel policies applicable and available to all full and part time
						employees. These policies shall include but not be limited to the following:
1. Fringe benefits, hours of work and
					 leave time;
2. Requirements for
					 initial and periodic health examinations;
3. Orientation to the hospice and appropriate
					 continuing education;
4. Job
					 descriptions for all positions utilized by the agency;
5. Annual performance evaluations for all
					 employees;
6. Compliance with all
					 applicable requirements of the Civil Rights Act of 1964;
7. Provision for confidentiality of personnel
					 records.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 15 - PERSONNEL POLICIES › Rule 15-16-1-1.15.2 - Personnel Records

Current through June 25, 2024
Each licensed hospice shall maintain complete personnel
						records for all employees on file at each licensed site. Personnel records for
						all employees shall include and application for employment including name and
						address of the employee, social security number, date of birth, name and
						address of next of kin, evidence of qualifications, (including reference
						checks), current licensure and/or registration (if applicable), performance
						evaluation, evidence of health screening, evidence of orientation, and a
						contract (if applicable), date of employment and separation from the hospice
						and the reason for separation. A Hospice that provides other services under
						arrangement through a contractual purchase of services shall ensure that these
						services are provided by qualified personnel; currently licensed and/or
						registered if applicable, and are under the supervision of the
						agency.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 15 - PERSONNEL POLICIES › Rule 15-16-1-1.15.3 - Criminal History Record Checks

Current through June 25, 2024
1. Employee
-
For the purpose of fingerprinting and criminal background
					 history checks, employee shall mean any individual employed by a covered
					 entity. The term "employee" also includes any individual who by contract with a
					 covered entity provides patient care in a patient's, resident's, or client's
					 room or in treatment rooms.
2. The
					 term employee does not include healthcare professional/technical students, as
					 defined in Section
					 37-29-232, performing clinical
					 training in a licensed entity under contracts between their schools and the
					 licensed entity, and does not include students at high schools who observe the
					 treatment and care of patients in a licensed entity as part of the requirements
					 of an allied health course taught in the school if:
A. The student is under the supervision of a
					 licensed healthcare provider; and
B. The student has signed the affidavit that
					 is on file at the student's school stating that he or she has not been
					 convicted of or plead guilty or nolo contendere to a felony of possession or
					 sale of drugs, murder, manslaughter, armed robbery, rape, sexual battery, any
					 sex offenses listed in section
					 45-33-23(g),
					 child abuse, arson, grand larceny, burglary, gratification of lust, aggravated
					 assault, or felonious abuse and/or battery of a vulnerable adult, or that any
					 such conviction or plea was reversed on appeal or a pardon was granted for the
					 conviction or plea.
C. Further,
					 applicants and employees of the University of Mississippi Medical Center for
					 whom criminal history record checks and fingerprinting are obtained in
					 accordance with Section
					 37-115-41 are exempt from
					 application of the term employee under Section
					 43-11-13.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 15 - PERSONNEL POLICIES › Rule 15-16-1-1.15.4 - Employee Health Screening

Current through June 25, 2024
Every employee of a hospice who comes in contact with
						patients shall receive a health screening by a licensed physician, nurse
						practitioner/physician assistant or employee health nurse who conduct exams
						prior to employment and annually thereafter. The employee health screening
						shall include, but not be limited to, tuberculosis screening.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 15 - PERSONNEL POLICIES › Rule 15-16-1-1.15.5 - Staffing Schedule

Current through June 25, 2024
Each hospice and alternate site shall maintain on site
						current staffing patterns for all health care personnel including full-time,
						part-time, contract staff and staff under arrangement. The staffing pattern
						shall be developed at least one week in advance, updated daily as needed, and
						kept on file for a period of one year. The staffing pattern shall indicate the
						following for each working day:
1.
					 Name and position of each staff member.
2. Patients to be visited.
3. Scheduled on call after office hours.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 16 - CONTRACT SERVICES › Rule 15-16-1-1.16.1 - Contract Services

Current through June 25, 2024
Contract services may be provided when necessary to
						supplement hospice employees in order to meet the needs of patients during peak
						patient loads or under extraordinary circumstances. If contracting is used, the
						hospice must maintain professional, financial and administrative responsibility
						for the services. The hospice must assure that the personnel contracted are
						legally and professionally qualified to perform the services.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 16 - CONTRACT SERVICES › Rule 15-16-1-1.16.2

Current through June 25, 2024
The hospice must assure that contracted staff are
						providing care that is consistent with the Hospice philosophy and the patient's
						plan of care.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 17 - ORGANIZATION AND STAFFING PERSONNEL QUALIFICATIONS/RESPONSIBILITIES › Rule 15-16-1-1.17.1 - Administrator

Current through June 25, 2024
A person who is designated, in writing, by the Governing
						Body as administratively responsible for all aspects of hospice operations.
						When the administrator serves more than one licensed agency, he/she shall
						designate, in writing, an alternate to serve as administrator for each site
						where he/she is not physically housed continuously. The alternate shall be a
						full-time, on-site employee of the hospice and shall meet the same
						qualifications as the administrator. The administrator and the Director of
						Nurses/Alternates may be the same individual if that individual is dually
						qualified.
1. Qualifications -
					 Licensed physician, a licensed registered nurse, a social worker with a
					 bachelor's degree, or a college graduate with a bachelor's degree and two (2)
					 years of health care management experience or an individual with one (1) year
					 of healthcare management experience and three (3) years of healthcare service
					 delivery experience that would be relevant to managing the day-to-day
					 operations of a hospice. EXEMPTION: Any person who is employed by a licensed
					 Mississippi hospice as the administrator, as of the effective date of these
					 regulations, shall be exempt from these requirements as long as he/she remains
					 employed by that hospice as the administrator. If the hospice is sold to,
					 acquired by, or merged into another legal entity, such transaction shall have
					 no effect on the exemption provided in the preceding sentence.
2. Responsibilities - The administrator shall
					 be responsible for compliance with all regulations, laws, policies, and
					 procedures applicable to hospice specifically and to Medicare/Medicaid issues
					 when applicable:
A. Ensure the hospice employs
					 qualified individuals;
B. Be
					 on-site during business hours or immediately available by e communications when
					 working within the geographic service area;
C. Be responsible for and direct the
					 day-to-day operations of the hospice;
D. Act as liaison among staff, patients, and
					 governing board;
E. Designate, in
					 writing, an individual who meets the administrator qualifications to assume the
					 authority and the control of the hospice if the administrator is unavailable;
					 and
F. Designate in advance the IDG
					 he/she chooses to establish policies governing the day-to-day provisions of
					 hospice care.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 17 - ORGANIZATION AND STAFFING PERSONNEL QUALIFICATIONS/RESPONSIBILITIES › Rule 15-16-1-1.17.2 - Counselor - Bereavement

Current through June 25, 2024
1. Qualifications -
					 Documented evidence of appropriate training and experience in the care of the
					 bereaved received under the supervision of a qualified professional.
2. Responsibilities - Under the supervision
					 of a qualified professional, and as part of an organized program for the
					 provision of bereavement services, the counselor shall implement bereavement
					 counseling in a manner consistent with standards of practice. Services include,
					 but are not limited to the following:
A.
					 Assess grief counseling needs;
B.
					 Provide bereavement information and referral services to the bereaved, as
					 needed, in accordance with the POC;
C. Provide bereavement support to hospice
					 staff as needed;
D. Attend hospice
					 IDG meetings as needed;
E. Document
					 bereavement services provided and progress of bereaved on a clinical progress
					 note to be incorporated in the clinical record; and
F. This shall be available for at least one
					 year after the death of the patient.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 17 - ORGANIZATION AND STAFFING PERSONNEL QUALIFICATIONS/RESPONSIBILITIES › Rule 15-16-1-1.17.3 - Counselor - Dietary

Current through June 25, 2024
1. Qualifications -
					 A registered dietician licensed in the State of Mississippi who meets the
					 qualification standards of the Commission on Dietetic Registration of the
					 American Dietetic Association.
2.
					 Responsibilities - The dietitian shall implement dietary services based on
					 initial and ongoing assessment of dietary needs in a manner consistent with
					 standards of practice including, but not limited to, the following:
A. Evaluate outcomes of interventions and
					 document findings on a clinical progress note which is to be incorporated into
					 the clinical record within one week of the visit;
B. Collaborate with the patient/family,
					 physician, registered nurse, and/or the IDG in providing dietary counseling to
					 the patient/family;
C. Instruct
					 patient/family and/or hospice staff as needed;
D. Evaluate patient socioeconomic factors to
					 develop recommendations concerning food purchasing, preparation and
					 storage;
E. Evaluate food
					 preparation methods to ensure nutritive value is conserved, flavor, texture and
					 temperature principles are adhered to in meeting the individual patient's
					 needs; and
F. Participate in IDG
					 conference as needed.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 17 - ORGANIZATION AND STAFFING PERSONNEL QUALIFICATIONS/RESPONSIBILITIES › Rule 15-16-1-1.17.4 - Counselor - Spiritual

Current through June 25, 2024
1. Qualifications -
					 Documented evidence of appropriate training and skills to provide spiritual
					 counseling, such as Bachelor of Divinity, Master of Divinity or equivalent
					 theological degree or training.
2.
					 Responsibilities - The counselor shall provide spiritual counseling based on
					 the initial and ongoing assessment of spiritual needs of the patient/family, in
					 a manner consistent with standards of practice including, but not limited to,
					 the following:
A. Serve as a liaison and
					 support to community chaplains and/or spiritual counselors;
B. Provide consultation, support, and
					 education to the IDG members on spiritual care;
C. Supervise spiritual care volunteers
					 assigned to family/care givers; and
D. Attend IDG meetings.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 17 - ORGANIZATION AND STAFFING PERSONNEL QUALIFICATIONS/RESPONSIBILITIES › Rule 15-16-1-1.17.5 - Director of Nurses (DON)

Current through June 25, 2024
1. A person
					 designated, in writing, by the Governing Body to supervise all aspects of
					 patient care, all activities of professional staff and allied health personnel,
					 and responsible for compliance with regulatory requirements. The DON or
					 alternate, shall be on site or immediately available to be on site, at all
					 times during operating hours. If the DON is unavailable he/she shall designate
					 a Registered Nurse to be responsible during his/her absence.
2.
NOTE
: The Director of Nurses
					 is prohibited from simultaneous concurrent employment with any entity or any
					 other licensed health care entity, unless such licensed healthcare agency is
					 occupying the same physical office space as the hospice.
3. Qualifications - A registered nurse who is
					 currently licensed to practice in the State of Mississippi.
4. With at least three years experience as a
					 registered nurse. One of these years shall consist of full-time experience in:
a. Providing direct patient care in a
					 hospice, home health, or oncology setting; or
b. The management of patient care staff in an
					 acute care setting, hospice or home health; and
c. Be a full time employee of only the
					 hospice agency.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.1

Current through June 25, 2024
The hospice shall have a governing body that assumes
						full legal responsibility for determining, implementing, and monitoring
						policies governing the hospice's total operation. No contracts/arrangements or
						other agreements may limit or diminish the responsibility of the governing
						body. The governing body shall:
1.
					 Designate an individual who is responsible for the day-to-day management of the
					 hospice program;
2. Ensure that all
					 services provided are consistent with accepted standards of practice;
3. Develop and approve policies and
					 procedures which define and describe the scope of services offered;
4. Review policies and procedures at least
					 annually revise them as necessary;
5. Maintain an organizational chart that
					 delineates lines of authority and responsibility for all hospice
					 personnel;
6. Meet no less
					 frequently than quarterly; and
7.
					 Maintain minutes of meeting and attendance.
Miss. Code
						Ann. §
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.2 - Hospice Aide

Current through June 25, 2024
A qualified person who provides direct patient care
						and/or housekeeping duties in the home or homelike setting under the direct
						supervision of a registered nurse. The facility shall ensure that each hospice
						aide is appropriately trained and competent to meet the needs of the patient
						per the plan of care. Documentation must be maintained on-site of all training
						and competency in accordance with patient plan of care.
1. Responsibilities - The hospice aide shall
					 provide services established and delegated in POC, record and notify the
					 primary registered nurse of deviations according to standard of practice
					 including, but not limited to, the following:
A. Provide assistance with mobility,
					 transferring, walking, grooming, bathing, dressing or undressing, eating,
					 toileting, and/or housekeeping needs.
B. Complete a clinical note for each visit,
					 which must be incorporated into the record at least on a weekly
					 basis.
C. Competency shall be
					 evaluated by a RN prior to hospice aide performing patient care.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.3

Current through June 25, 2024
NOTE: The orientation and training curricula for hospice
						aides shall be detailed in a policies and procedures manual maintained by the
						hospice agency and provision of orientation and training shall be documented in
						the employee personnel record. Training shall include the following areas of
						instruction:
1. Assisting patients to
					 achieve optimal activities of daily living;
2. Principles of nutrition and meal
					 preparation;
3. Record
					 keeping;
4. Procedures for
					 maintaining a clean, healthful environment;
5. Changes in the patients' condition to be
					 reported to the supervisor;
6.
					 In-service Training - The hospice aide must have a minimum of 12 hours of
					 appropriate in-service training annually. In-service training may be prorated
					 for employees working a portion of the year. However, part-time employee who
					 worked throughout the year must attend all twelve (12) hours of in-service
					 training; and
7. Confidentiality
					 and Emergency Preparedness.
Miss. Code
						Ann. §
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.4 - Licensed Practical Nurse (LPN)

Current through June 25, 2024
The LPN must work under the direct supervision of a
						registered nurse and perform skilled services as delegated by the registered
						nurse.
1. Qualifications - A LPN must
					 be currently licensed by the Mississippi State Board of Practical Nurse
					 Examiners with no restrictions:
A. With at
					 least one-year full time experience as an LPN. Two years of fulltime experience
					 is preferred;
B. Be an employee of
					 the hospice agency.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.5 - Medical Director/Physician Designee

Current through June 25, 2024
A physician, currently and legally authorized to
						practice medicine the State, and knowledgeable about the medical and
						psychosocial aspects of hospice care. The Medical Director reviews,
						coordinates, and is responsible for the management of clinical and medical care
						for all patients.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.6 - NOTE

Current through June 25, 2024
The Medical Director or Physician Designee may be an
						employee or a volunteer of the hospice agency. The hospice agency may also
						contract for the services of the Medical Director or Physician Designee.
1. Qualifications - A Doctor of Medicine or
					 Osteopathy licensed to practice in the State of Mississippi.
2. Responsibilities - The Medical Director or
					 Physician designee assumes overall responsibility for the medical component of
					 the hospice's patient care program and shall include, but not be limited to:
a. Serve as a consultant with the attending
					 physician regarding pain and symptom control as needed;
b. Serve as the attending physician if
					 designated by the patient/family unit;
c. Review patient eligibility for hospice
					 services;
d. Participate in the
					 review and update of the POC for each patient at a minimum of every 14 calendar
					 days, unless the plan of care has been reviewed/updated by the attending
					 physician who is not also the Medical Director or Physician Designee. These
					 reviews must be documented.
e.
					 Document the patient's progress toward the outcomes specified in the plan of
					 care.
f. Serve as a medical
					 resource for the hospice interdisciplinary group and as a liaison to physicians
					 in the community;
g. Develop and
					 coordinate procedures for the provision of emergency care;
h. Provide a system to assure continuing
					 education for hospice medical staff as needed.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.7 - Occupational Therapist

Current through June 25, 2024
1. Qualifications -
					 An occupational therapist must be licensed by the State of
					 Mississippi.
2. Responsibilities -
					 The occupational therapist shall assist the physician in evaluating the
					 patient's level of functioning by applying diagnostic and prognostic procedures
					 including, but not limited to, the following:
A. Provide occupational therapy in accordance
					 with a physician's orders and the POC;
B. Guide the patient in his/her use of
					 therapeutic, creative and self-care activities for the purpose of improving
					 function, in a manner consistent with accepted standards of practice;
C. Observe, record, and report to the
					 physician and/or interdisciplinary group the patient's reaction to treatment
					 and any changes in the patient's condition;
D. Instruct and inform other health team
					 personnel, assist in the formation of the POC; including, when appropriate
					 hospice aides and family members in certain phases of occupational therapy in
					 which they may work with the patient;
E. Document each visit made to the patient
					 and incorporate notes into the clinical record within one week of the
					 visit;
F. Participate in IDG
					 conference as needed with hospice staff; and
G. Prepare written discharge summary when
					 applicable, with a copy retained in patient's clinical record.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.8 - Occupational Therapy Assistant (OTA) Qualifications

Current through June 25, 2024
The occupational therapist assistant must be licensed in
						the State of Mississippi to assist in the practice of occupational therapy
						under the supervision of a licensed Registered Occupational Therapist and have
						at least two years experience as a licensed OTA.
Miss. Code Ann.
						§
												41-85-7
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.9 - Physical Therapist (PT)

Current through June 25, 2024
The physical therapist when provided must be available
						to perform in a manner consistent with accepted standards of practice.
1. Qualifications - The physical therapist
					 must be currently licensed in the State of Mississippi.
2. Responsibilities - The physical therapist
					 shall assist the physician in evaluating the patient's functional status and
					 physical therapy needs in a manner consistent with standards of practice to
					 include, but is not limited to, the following:
A. Provide services within the scope of
					 practice as defined by state law governing the practice of physical therapy, in
					 accordance with the POC, and in coordination with the other members of the
					 IDG:
B. Observe, and report to the
					 physician and the IDG, the patient's reaction to treatment and any changes in
					 the patient's condition;
C.
					 Instruct and inform participating member of the IDG, the patient, family/care
					 givers, regarding the POC, functional limitations and progress toward
					 goals;
D. Prepare clinical and
					 progress notes for each visit and incorporate them into the clinical record
					 within one week of the visit;
E.
					 Participate in IDG conference as needed with hospice staff;
F. The physical therapist shall be readily
					 accessible by telecommunications.
G. The physical therapist shall evaluate and
					 establish a written treatment plan on the patient prior to implementation of
					 any treatment program; and
H. The
					 physical therapist shall assess the final treatment rendered to the patient at
					 discharge and write a discharge summary with a copy retained in the clinical
					 record.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.10 - Physical Therapy Assistant (PTA)

Current through June 25, 2024
1. Qualifications -
					 A physical therapy assistant must be licensed by the Physical Therapy Board of
					 Mississippi and supervised by a Physical Therapist.
2. Responsibilities - The physical therapy
					 assistant shall:
A. Provide therapy in
					 accordance with the POC;
B.
					 Document each visit made to the patient and incorporate notes into the clinical
					 record at least weekly; and
C.
					 Participates in IDG conference as needed with hospice staff.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.11 - Registered Nurse (RN)

Current through June 25, 2024
The hospice must designate a registered nurse to
						coordinate the implementation of the POC for each patient.
1. Qualifications - A licensed registered
					 nurse must be currently licensed to practice in the State of Mississippi with
					 no restrictions:
A. Have at least one-year
					 full-time experience as a registered nurse or have been a licensed LPN employed
					 for three years full-time working in a healthcare setting; and
B. Be an employee of the hospice.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.12 - Social Worker

Current through June 25, 2024
1. Qualifications -
					 A minimum of a bachelor's degree from a school of social work accredited by the
					 Council of Social Work Education. This individual must be licensed in the State
					 of Mississippi:
A. A minimum of one year
					 documented clinical experience appropriate to the counseling and casework needs
					 of the terminally ill.
B. Must be
					 an employee of the hospice.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.13 - Speech Pathology Services

Current through June 25, 2024
1. Qualifications -
					 A speech pathologist must:
A. Be licensed by
					 the State of Mississippi; or
B.
					 Have completed the academic requirements and is in the process of accumulating
					 the necessary supervised (as directed by the State Certifying body) work
					 experience required for certification. Evidence of this supervision will be
					 retained in the non-certified speech pathologist's personnel
					 folder.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 18 - GOVERNING BODY › Rule 15-16-1-1.18.14 - Volunteers

Current through June 25, 2024
Volunteers that provide patient care and support
						services according to their experience and training must be in compliance with
						agency policies, and under the supervision of a designated hospice
						employee.
1. Qualifications -
					 Volunteers who are qualified to provide professional services must meet all
					 standards associated with their specialty area.
2. Responsibilities - The volunteer shall:
A. Provide assistance to the hospice program,
					 and/or patient/family in accordance with designated assignments;
B. Provide input into the plan of care and
					 interdisciplinary group meetings, as appropriate;
C. Document services provided as trained and
					 instructed by the hospice agency;
D. Maintain strict patient/family
					 confidentiality; and
E. Communicate
					 any changes or observations to the assigned supervisor.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.1 - Patient Care Standard

Current through June 25, 2024
1. Patient
					 Certification - To be eligible for hospice care, an individual, or his/her
					 representative, must sign an election statement with a licensed hospice; the
					 individual must have a certification of terminal illness and must have a plan
					 of care (POC) which is established before services are provided.
2. Admission criteria - The hospice shall
					 have written policies to be followed in making decisions regarding acceptance
					 of patients for care. Decisions are based upon medical, physical, and
					 psychosocial information provided by the patient's attending physician, the
					 patient/family and the interdisciplinary group. The admission criteria shall
					 include:
a. The ability of the agency to
					 provide core services on a 24-hour basis and provide for or arrange for
					 non-core services 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;
b. Certification of terminal illness signed
					 by the attending physician and the medical director of the agency upon
					 admission and recertification;
c. A
					 documented assessment of the patient/family needs and desires for hospice
					 services;
d. Informed consent
					 signed by patient or representative who is authorized in accordance with state
					 law to elect the hospice care, which will include the purpose and scope of
					 hospice services.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 1 - MINIMUM STANDARDS OF OPERATION FOR HOSPICE › Subchapter 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.2 - Plan of Care (POC)

Current through June 25, 2024
Within 48 hours of the admission, a written plan of care
						must be developed for each patient/family by a minimum of two IDG members and
						approved by the full IDG and the Medical Director at the next meeting. The care
						provided to an individual must be in accordance with the POC.
1. The IDG member who assesses the patient's
					 needs must meet or call at least one other IDG member before writing the IPOC.
					 At least one of the persons involved in developing the IPOC must be a
					 registered nurse or physician.
2.
					 At a minimum the POC will include the following:
An assessment of the individual's needs and
						identification of services, including the management of discomfort and symptom
						relief;
A. In detail, the scope and
					 frequency of services needed to meet the patient's and family's needs. The
					 frequency of services established in the POC will be sufficient to effectively
					 manage the terminal diagnosis of the patient, provide appropriate amounts of
					 counseling to the family, and meet or exceed nationally accepted hospice
					 standards of practice;
B.
					 Identification of problems with realistic and achievable goals and
					 objectives;
C. Medical supplies and
					 appliances including drugs and biologicals needed for the palliation and
					 management of the terminal illness and related conditions;
D. Patient/family understanding, agreement,
					 and involvement with the POC; and
E. Recognition of the patient/family's
					 physiological, social, religious, and cultural variables and values.