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 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.3 - Review and Update of the Plan of Care

Current through June 25, 2024
1. The plan of care
					 is reviewed and updated at intervals specified in the POC, when the patient's
					 condition changes and a minimum of every 14 days for home care and every 7 days
					 for general inpatient care, collaboratively with the IDG and the attending
					 physician.
2. Agency shall have
					 policy and procedures for the following:
A.
					 The attending physician's participation in the development, revision, and
					 approval of the POC is documented. This is evidenced by change in patient
					 orders and documented communication between Hospice Staff and the attending
					 physician;
B. Physician orders must
					 be signed and dated in a timely manner but must be received before billing is
					 submitted for each 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 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.4 - Coordination and Continuity of Care

Current through June 25, 2024
The hospice shall adhere to the following additional
						principles and responsibilities:
1. An
					 assessment of the patient/family needs and desire for hospice services and a
					 hospice program's specific admission, transfer, and discharge criteria
					 determine any changes in services;
2. Nursing services, physician services, and
					 drugs and biologicals are routinely available to hospice patients on a 24-hour
					 basis, seven days a week;
3. All
					 other covered services are 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;
4. Case-management is
					 provided and an accurate and complete documented record of services and
					 activities describing care of patient/family is maintained;
5. Collaboration with other providers to
					 ensure coordination of services;
6.
					 Maintenance of professional management responsibility and coordination of the
					 patient/family care regardless of the setting;
7. Maintenance of contracts/agreements for
					 the provision of services not directly provided by the hospice, including but
					 not limited to:
A. Radiation
					 therapy;
B. Infusion
					 therapy;
C. Inpatient
					 care;
D. Consulting
					 physician.
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 15-16-1-1.19.5 - Pharmaceutical Services

Current through June 25, 2024
1. Every home
					 health agency, hospice organization or business/location in this state subject
					 to regulation by the Mississippi Board of Pharmacy where certain prescription
					 drugs as approved by the Board are bought, maintained, administered, or
					 provided directly to consumers, without the services of a pharmacist being
					 required, shall obtain a permit as a home health/hospice from the Mississippi
					 Board of Pharmacy (Refer to Home Health and Hospice Permits MS Board of
					 Pharmacy).
2. Hospices must provide
					 for the pharmaceutical needs of the patient as related to the terminal
					 diagnosis.
3. The agency shall
					 institute procedures which protect the patient from medication
					 errors.
4. The Agency shall provide
					 verbal and written instruction to patient and family regarding the
					 administration of their medications, as indicated.
5. Drugs and treatments are administered by
					 agency staff as ordered by the physician.
6. The hospice must ensure appropriate
					 monitoring and supervision of pharmaceutical services and have written policies
					 and procedures governing prescribing, dispensing, administering, controlling,
					 storing, and disposing of all biologicals and drugs in compliance with
					 applicable laws and regulations.
7.
					 The hospice must ensure timely pharmaceutical services on a 24 hour a day/seven
					 day a week basis that include provision of drugs, biologicals and infusion
					 services which are consistent with patient's individual drug profile.
8. The hospice must provide the IDG and the
					 patient/family with coordinated information and instructions about individual
					 drug profiles.
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 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.6 - Pathology and Laboratory Services

Current through June 25, 2024
The hospice must provide or have access to pathology and
						laboratory services which comply with CLIA guidelines and that meets 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 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.7 - Radiology Services

Current through June 25, 2024
The hospice must provide radiology services in
						accordance with 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 19 - PATIENT CARE SERVICES › Rule 15-16-1-1.19.8 - Discharge/Revocation/Transfer

Current through June 25, 2024
The hospice must provide adequate and appropriate
						patient/family information at discharge, revocation or transfer.
1. Discharge - The patient shall be
					 discharged only in the following circumstances:
a. The patient is determined to no longer be
					 terminally Ill with a life expectancy of six months or less;
b. Patient relocates from the hospice's
					 geographically defined service area;
c. If the safety of the patient or of the
					 hospice staff is compromised. The hospice shall make every effort to resolve
					 these problems satisfactorily before discharge. All efforts by the hospice to
					 resolve the problem must be documented in detail in the patient's clinical
					 record; and
d. If the patient
					 enters a non-contracted nursing home or hospital and all options have been
					 exhausted (a contract is not attainable, the patient chooses not to transfer to
					 a facility with which the hospice has a contract, or to a hospice with which
					 the SNF has a contract), the hospice shall then discharge the patient.
e. The hospice must clearly
					 document reasons for discharge.
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 15-16-1-1.19.9 - Patient Rights and Responsibilities

Current through June 25, 2024
The hospice shall insure that the patient has the right
						to:
1. Be cared for by a team of
					 professionals who provide health quality comprehensive hospice services as
					 needed and appropriate for patient/family;
2. Have a clear understanding of the
					 availability of hospice services and the hospice team 24 hours a day, seven
					 days a week;
3. Receive appropriate
					 and compassionate care, regardless of diagnosis, race, age, gender, creed,
					 disability, sexual orientation, place of residence, or the ability to pay for
					 the services rendered;
4. Be fully
					 informed regarding patient's status in order to participate in the POC. The
					 hospice professional team will assist patient/family in identifying which
					 services and treatments will help attain these goals;
5. Be fully informed regarding the potential
					 benefits and risks of all medical treatments or services suggested, and to
					 accept or refuse those treatments and/or services as appropriate to
					 patient/family personal wishes;
6.
					 Refuse any treatment without severing his/her relationship with the hospice;
7. Choose his/her private
					 physician as long as the attending physician agrees to abide by the policies of
					 the hospice program;
8. Be treated
					 with respect and dignity;
9.
					 Confidentiality with regard to provision of services and all client records,
					 including information concerning patient/family health status, as well as
					 social, and/or financial circumstances. The patient information and/or records
					 may be released only with patient/family's written consent, and/or as required
					 by law;
10. Voice grievances
					 concerning patient care, treatment and/or respect for person or privacy without
					 being subject to discrimination or reprisal, and have any such complaints
					 investigated by the hospice; and
11. Be informed of any fees or charges in
					 advance of services for which patient/family may be liable. Patient/family has
					 the right to access any insurance or entitlement program for which patient may
					 be eligible.
12. The patient has
					 the responsibility to:
a. Participate in
					 developing the POC and update as his or her condition/needs change;
b. Provide hospice with his/her accurate and
					 complete health information;
c.
					 Remain under a physician's care while receiving hospice services; and
d. Assist hospice staff in
					 developing and maintaining a safe environment in which patient care can be
					 provided.
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 15-16-1-1.19.10 - Clinical Records

Current through June 25, 2024
In accordance with accepted principles of practice the
						hospice shall establish and maintain a clinical record for every individual
						receiving care and services. The record shall be complete, promptly, and
						accurately documented, readily accessible, and systematically organized to
						facilitate retrieval. The clinical record shall contain all pertinent past and
						current medical, nursing, social and other therapeutic information, including
						the current POC under which services are being delivered.
1. All clinical records shall be safeguarded
					 against loss, destruction and unauthorized use and shall be maintained at the
					 hospice site issued the 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 20 - ADMINISTRATION › Rule 15-16-1-1.20.1 - Agency Operations

Current through June 25, 2024
1. The hospice must
					 have adequate space and resources for all operational and patient care
					 needs.
2. The hospice shall not
					 share office space with a non-healthcare related entity.
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 20 - ADMINISTRATION › Rule 15-16-1-1.20.2 - Hours of Operation

Current through June 25, 2024
The hospice shall be required to have regular posted (in
						a prominent and easily accessible manner) business hours and be fully
						operational at least eight hours a day, five days a week between 7:00 a.m. and
						6:00 p.m. Hospice services shall be available 24 hours per day, seven days a
						week, which include, at a minimum:
1.
					 Professional registered nurse services;
2. Palliative medications;
3. Other services, equipment or supplies
					 necessary to meet the patient's immediate needs.
4. Hospice provides on-call medical and
					 nursing services to assess and meet changing patient/family needs, provide
					 instruction and support, and conduct additional on-site assessment or
					 treatment, 24 hours a day, seven days per week.
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 20 - ADMINISTRATION › Rule 15-16-1-1.20.3 - Policies and Procedures

Current through June 25, 2024
1. Must be written,
					 current, and reviewed annually by appropriate personnel.
2. Must contain policies and procedures
					 specific to the agency addressing personnel standards and qualifications,
					 agency operations, patient care standards, problem and complaint resolution,
					 purpose and goals of operation, management/operation of the hospice's defined
					 service area and a formal disaster preparedness plan as referenced in
					 Subchapter 47.
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 20 - ADMINISTRATION › Rule 15-16-1-1.20.4 - Contract Services

Current through June 25, 2024
1. When the hospice
					 provides services on a contractual basis to a patient the hospice is
					 responsible for all actions of the contract personnel.
2. The hospice shall not at any time use
					 contract employees as administrator/alternate or for the provision of core
					 services unless the facility provides documentation that a waiver has been
					 granted in accordance with certification requirements.
3. Whenever services are provided by an
					 organization or individual other than the hospice, a written agreement will
					 delineate services available and procedures for accessing those
					 services.
4. Whenever services are
					 provided by an outside agency or individual, a legally binding written
					 agreement must be affected. The legally binding written agreement shall include
					 at least the following items:
A.
					 Identification of the services to be provided;
B. A stipulation that services may be
					 provided only with the express authorization of the hospice;
C. The manner in which the contracted
					 services are coordinated, supervised, and evaluated by the hospice;
D. The delineation of the role(s) of the
					 hospice and the contractor in the admission process, patient/family assessment,
					 and the IDG conferences;
E.
					 Requirements for documenting that services are furnished in accordance with the
					 agreement;
F. The qualifications of
					 the personnel providing the services;
G. Assurance that the personnel contracted
					 complete the clinical record in the same timely manner as required by the staff
					 personnel of the hospice;
H.
					 Payment fees and terms; and
I.
					 Statement that the hospice retains responsibility for appropriate hospice care
					 training of the personnel who provide care under the agreement.
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 20 - ADMINISTRATION › Rule 15-16-1-1.20.5 - Quality Assurance

Current through June 25, 2024
1. The hospice
					 shall conduct an ongoing, comprehensive integrated self-assessment quality
					 improvement process (inclusive of inpatient care, home care and respite care)
					 which evaluates not only the quality of care provided, but also the
					 appropriateness care/services provided and evaluations of such services.
					 Findings shall be documented and used by the hospice to correct identified
					 problems and to revise hospice policies.
2. The hospice shall have written plans,
					 policies and procedures addressing quality assurance.
3. The hospice shall designate, in writing,
					 an individual responsible for the coordination of the quality improvement
					 program.
4. The hospice shall
					 conduct quality improvement meetings quarterly, at a minimum.
5. The Hospice's written plan for continually
					 assessing and improving all aspects of operations must include:
A. Goals and objectives;
B. A system to ensure systematic, objective
					 quarterly reports.
Documentation must be maintained to reflect that such
						reports were reviewed with the IDG, the Medical Director, the Governing Body
						and distributed to appropriate areas;
C. The method for evaluating the quality and
					 the appropriateness of care;
D. A
					 method for resolving identified problems; and
E. Application to improving the quality of
					 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 20 - ADMINISTRATION › Rule 15-16-1-1.20.6 - Branch Offices

Current through June 25, 2024
1. No Branch Office
					 may be opened without written approval from Mississippi State Department of
					 Health.
2. No Branch Office shall be
					 opened unless the parent office has had full licensure for a full twelve (12)
					 months preceding the request and has admitted at least three (3) patients
					 within the last annual renewal cycle.
3. Each Branch must serve the same or part of
					 the geographic service area approved for the parent.
4. Each Branch Office shall be open for
					 business the same hours as required for the parent office, must have a
					 registered nurse immediately available to be on site, or on site in the branch
					 office at all times during operating hours.
5. All hospice patient's clinical records
					 must be maintained at the hospice site issued the provider license (S.O.M.
					 208.1). Duplicate records may be maintained at the Branch Office.
6. Original personnel files are to be kept at
					 the Parent office, but shall be made available, upon request, to federal/state
					 surveyors during any review of the branch.
7. A statement of personnel policies is
					 maintained in each Branch for staff usage.
8. Approval for Branch Offices will be
					 issued, in writing, by Mississippi State Department of Health for one year and
					 will be renewed at time of re-licensure, if the branch office meets the
					 following criteria:
a. Is operational and
					 providing hospice services;
b.
					 Offer exact same services as the parent office; and
c. Parent office meets requirements for full
					 licensure.
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 21 - BASIC HOSPICE CARE: CORE SERVICES › Rule 15-16-1-1.21.1

Current through June 25, 2024
Hospice care shall be provided by a hospice care team.
						Medical, nursing and counseling services are basic to hospice care and shall be
						provided directly (Medical Director only may be contract). Hospice care will be
						available twenty-four (24) hours a day, seven (7) days a week.
1. Medical services shall be under the
					 direction of the Medical Director.
2. Nursing services shall be under the
					 direction of a registered nurse and shall include, but not be limited to:
					 assessment, planning and delivery of nursing care; carrying out physician's
					 orders; documentation; evaluation of nursing care; and direction of patient
					 care provided by non-professionals.
3. Counseling services shall be provided in a
					 manner which best assists the patient and family unit to cope with the stresses
					 related to the patient's condition. These services may be provided by a member
					 of the clergy who is qualified through training and/or experience to provide
					 such services, or by other qualified counselor(s). Such counselors shall be
					 licensed, if applicable.
4. Social
					 services shall be directed by a social worker, and shall consist primarily of
					 assisting the patient and family unit to deal with problems of social
					 functioning affecting the health or well-being of the patient.
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 22 - OTHER SERVICES › Rule 15-16-1-1.22.1

Current through June 25, 2024
Coordination of patient care shall be the responsibility
						of a registered nurse of 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 22 - OTHER SERVICES › Rule 15-16-1-1.22.2

Current through June 25, 2024
Spiritual services shall be available and offered to the
						patient and family unit; however, no value or belief system may be
						imposed.
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 22 - OTHER SERVICES › Rule 15-16-1-1.22.3

Current through June 25, 2024
Volunteer services shall be provided by the hospice.
						These services shall be provided according to written policies and procedures.
						These policies and procedures shall address at a minimum:
1. Recruitment and retention;
2. Screening;
3. Orientation;
4. Scope of function;
5. Supervision;
6. Ongoing training and support;
7. Documentation of volunteer activities.
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 22 - OTHER SERVICES › Rule 15-16-1-1.22.4

Current through June 25, 2024
Bereavement services shall be available for a period of
						at least one year following the patient's death. Such services shall be defined
						by policy. Documentation of such services 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 22 - OTHER SERVICES › Rule 15-16-1-1.22.5

Current through June 25, 2024
Hospice aide services shall be available and adequate to
						meet the needs of the patient. The hospice aide shall meet the federal and
						state training requirements.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.1

Current through June 25, 2024
If a hospice is not based in a licensed facility
						(hospital or nursing home); a contractual arrangement shall be made with one or
						more such facilities for provision of respite-inpatient services. Inpatient
						beds under such contract may be used by the hospice when needed or may remain
						otherwise available to the inpatient unit at other times without a change in
						licensing.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.2

Current through June 25, 2024
Such contract shall be maintained with an inpatient
						provider who contractually agrees to support the policies of
						hospice.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.3

Current through June 25, 2024
The hospice care team shall retain the responsibility for
						coordinating the patient's care during inpatient hospice
						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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.4

Current through June 25, 2024
The aggregate number of inpatient days provided by a
						hospice through all contractual arrangements between the hospice and licensed
						health care facilities providing inpatient hospice care may not exceed twenty
						percent (20%) of the aggregate total number of days of hospice care provided to
						all patients receiving hospice care from the hospice during a twelve (12) month
						period.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.5

Current through June 25, 2024
The designation of a specific room or rooms for inpatient
						hospice care shall not be required if beds are available through contract
						between an existing healthcare facility and a hospice.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.6

Current through June 25, 2024
Licensed beds designated for inpatient hospice care
						through contract between an existing health care facility and a hospice shall
						not be required to be de-licensed from one type of bed in order to enter into a
						contract with a hospice, nor shall the physical plant of any facility be
						required to be altered, except that a homelike atmosphere may be
						required.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.7

Current through June 25, 2024
Staffing standards for inpatient hospice care provided
						through a contract may not exceed the staffing standards required under the
						license held by the contractee.
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 25 - RESPITE - INPATIENT CARE › Rule 15-16-1-1.25.8

Current through June 25, 2024
Under no circumstance may a hospice contract for the use
						of a licensed bed in a health care facility or another hospice that has, or has
						had within the last eighteen (18) months, a suspended, revoked or conditional
						license, accreditation or rating.
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 26 - IN-SERVICE TRAINING › Rule 15-16-1-1.26.1

Current through June 25, 2024
The hospice shall provide ongoing, relevant in-service
						training for all members of the hospice care team. (For hospice aide training,
						refer to section titled Personnel
						Qualification/Responsibility.)
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 26 - IN-SERVICE TRAINING › Rule 15-16-1-1.26.2

Current through June 25, 2024
For each direct-care employee, the hospice shall require
						training of twelve (12) hours inservice education, at a minimum annually.
						Documentation of such training 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 26 - IN-SERVICE TRAINING › Rule 15-16-1-1.26.3

Current through June 25, 2024
The hospice shall provide relevant inservice training on
						a quarterly basis for volunteers. Documentation of the offered in services and
						attendees 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 27 - RECORDS › Rule 15-16-1-1.27.1

Current through June 25, 2024
In accordance with acceptable principles of practice, the
						hospice shall establish and maintain a clinical record for every patient
						admitted for care and services. The records must be complete, promptly and
						accurately documented, readily accessible and systematically organized to
						facilitate retrieval.
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 27 - RECORDS › Rule 15-16-1-1.27.2 - Content

Current through June 25, 2024
Each clinical record shall be comprehensive compilation
						of information. Entries shall be made for all services provided and shall be
						signed and dated within 7 days by the individual providing the services. The
						record shall include all services whether furnished directly or under
						arrangements made by the hospice. Each patient's record shall contain:
1. Identification data;
2. The initial and subsequent assessments;
3. The plan of care;
4. Consent and authorization forms;
5. Pertinent medical and
					 psychosocial history;
6. Complete
					 documentation of all services and events (including evaluations, treatments,
					 progress notes, etc.)
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 27 - RECORDS › Rule 15-16-1-1.27.3 - Protection of Information

Current through June 25, 2024
The hospice shall safeguard the clinical record against
						loss, destruction and unauthorized use.
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 27 - RECORDS › Rule 15-16-1-1.27.4 - Retention of Records

Current through June 25, 2024
Clinical records shall be preserved as original records,
						electronic medical record, or other usable forms and shall be such as to afford
						a basis for complete audit of professional information. Complete clinical
						records shall be retained for a period after discharge of the patient of at
						least five (5) years. In the event the hospice shall cease operation, the
						Department shall be advised of the location of said 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 28 - SUPPLIES AND EQUIPMENT › Rule 15-16-1-1.28.1

Current through June 25, 2024
The hospice shall provide supplies and equipment related
						to the terminal illness.
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 29 - DRUG ADMINISTRATION › Rule 15-16-1-1.29.1

Current through June 25, 2024
The hospice shall have a written policy for procurement,
						administration and destruction of drugs.
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 29 - DRUG ADMINISTRATION › Rule 15-16-1-1.29.2

Current through June 25, 2024
Drug administration shall be in compliance with all
						applicable state and federal laws.
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 29 - DRUG ADMINISTRATION › Rule 15-16-1-1.29.3

Current through June 25, 2024
The hospice shall have a standardized mechanism to record
						scheduled medications written for patients and a standardized program for the
						collection and disposal of all medications upon a patient's
						death.
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 30 - PHYSICAL FACILITIES › Rule 15-16-1-1.30.1

Current through June 25, 2024
Each hospice office shall be commensurate in size for the
						volume of staff, patients, and services provided. Offices shall be
						well-lighted, heated and cooled. Offices shall be accessible to the individuals
						with disabilities.
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 31 - ADMINISTRATIVE OFFICES › Rule 15-16-1-1.31.1

Current through June 25, 2024
Each hospice shall provide adequate office space and
						equipment for all administrative and health care staff. An adequate number of
						desks, chairs, filing cabinets, telephones, tables, etc., shall be
						available.
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 32 - STORAGE FACILITIES › Rule 15-16-1-1.32.1

Current through June 25, 2024
Each Hospice shall provide sufficient areas for storage
						of:
1. Administrative records and
					 supplies
2. Clinical Records
3. Medical equipment and supplies
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 33 - TOILET FACILITIES › Rule 15-16-1-1.33.1

Current through June 25, 2024
Each hospice office shall be equipped with an adequate
						number of toilet rooms. Each toilet room shall include: lavatories, soap,
						towels, and water closets.
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 34 - COMMUNICATION FACILITIES › Rule 15-16-1-1.34.1

Current through June 25, 2024
Each Hospice Agency shall have an adequate number of
						telephones and extensions, located so as to be quickly accessible from all
						parts of the building. The telephone shall be listed under the official
						licensed name 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 35 - INPATIENT FACILITY › Rule 15-16-1-1.35.1 - Inpatient hospice staffing

Current through June 25, 2024
An inpatient hospice must maintain the coverage of a
						registered nurse twenty-four (24) hours a day. Other medical/nursing personnel
						must be available to meet the needs of the 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 35 - INPATIENT FACILITY › Rule 15-16-1-1.35.2 - Medical Director-Inpatient Services

Current through June 25, 2024
The hospice inpatient facility shall have a Medical
						Director who is a doctor of medicine or osteopathy and is currently licensed to
						practice medicine in Mississippi. The Medical Director must ensure and assume
						the overall responsibility for the medical component of the hospice's inpatient
						care 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 35 - INPATIENT FACILITY › Rule 15-16-1-1.35.3 - Nursing Services-Inpatient Services

Current through June 25, 2024
The inpatient hospice facility shall provide an
						organized 24-hour nursing service.
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 35 - INPATIENT FACILITY › Rule 15-16-1-1.35.4

Current through June 25, 2024
The nursing service shall be under the direction of a
						Director of Nursing Services who is a registered nurse licensed to practice in
						Mississippi. The Director of Nurses is prohibited from simultaneous employment
						with more than one agency. Each facility shall provide a similarly qualified
						registered nurse available to act in the absence of the Director of Nursing
						Services. A registered nurse shall be responsible to assure the accurate
						assessment, development of a plan of care, implementation and evaluation of
						each patient's plan of care. Nursing care is administered and delegated in
						accordance with acceptable standards of nursing practice and the Mississippi
						Nurse Practice Act. Nursing staff must be available on the premises twenty-four
						hours a day, seven days a week. There shall be a registered nurse on duty at
						all times when there are patients in the facility. When there are no patients
						in the facility, the hospice shall have a registered nurse on call to be
						immediately available. The facility shall provide sufficient nursing personnel
						to meet each patient's needs in accordance with 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 35 - INPATIENT FACILITY › Rule 15-16-1-1.35.5 - Pharmaceutical Services of Inpatient Hospice

Current through June 25, 2024
The hospice shall provide pharmaceutical services in
						accordance with acceptable professional standards of nursing and pharmaceutical
						practice and State law. The hospice shall have policies and procedures that
						address receipt, storage, dispensing, labeling, medication administration, all
						aspects of controlled substance storage, usage, and disposal of controlled
						substances, the handling of medication errors and components for incorporating
						pharmacy practices into the facility's overall quality improvement plan. Each
						inpatient pharmacy shall maintain a current pharmacy permit or registration, as
						applicable to the services offered.
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 36 - FOOD SERVICE IN INPATIENT HOSPICE › Rule 15-16-1-1.36.1 - Direction and Supervision

Current through June 25, 2024
The inpatient hospice facility shall provide
						well-planned, attractive, and satisfying meals which will meet their
						nutritional, social, emotional, and therapeutic needs. The dietary department
						of a hospice shall be directed by a registered dietitian, certified dietary
						manager, or a qualified dietary manager. If a food service supervisor is the
						director, she must receive regularly scheduled consultation, at a minimum
						monthly, from a registered dietitian.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.1 - Clean Rooms

Current through June 25, 2024
Floors, walls, and ceilings of rooms in food service
						area shall be free of an accumulation of rubbish, dust, grease and
						dirt.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.2 - Clean Equipment

Current through June 25, 2024
Equipment within the food service area shall be clean
						and free of dust, grease, and dirt.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.3 - Tables and Counters

Current through June 25, 2024
Tables and counters which are used for food service
						shall be kept clean.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.4 - Clean Utensils

Current through June 25, 2024
Service utensils shall be cleaned after each use.
						Utensils used for food storage shall be kept clean.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.5 - Dish and Utensil Washing

Current through June 25, 2024
Dishes and utensils used for eating, drinking, and in
						preparation or serving food and drink shall be cleaned after each use in
						accordance with the regulations of the Mississippi State Department of Health
						governing food handling establishments.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.6 - Ice

Current through June 25, 2024
Ice to be served shall be of sanitary quality. Ice shall
						be handled, crushed, and stored in clean equipment and shall not be served by
						direct contact of fingers or hands but only with spoons, scoops, or the
						like.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.7 - Protection from Contamination

Current through June 25, 2024
All foods and food ingredients shall be so stored,
						handled, and served so as to be protected from dust, flies, roaches, rats,
						unsanitary handling, droplet infection, overhead leakage, sewage backflow and
						any other contamination. Sugar, syrup and condiment receptacles shall be
						provided with lids and shall be kept covered when not in use.
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 37 - FOOD HANDLING PROCEDURES › Rule 15-16-1-1.37.8 - Storage and Service of Milk and Ice Cream

Current through June 25, 2024
1. All
					 milk and fluid milk products shall be stored and served in accordance with
					 regulations of the Department of Health governing the production and sale of
					 milk and milk products.
2. All ice
					 cream and other frozen desserts shall be from an approved source. Ice cream
					 shall be stored in covered containers. No contaminating substance shall be
					 stored with ice cream.
Miss. Code Ann.
						§
												41-85-7