reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-09 - Personnel requirements for training and competency evaluation programs

Current through all regulations passed and filed through July 1, 2024
(A)
								Each approved TCEP shall be administered by a program
			 coordinator who is responsible for the overall administration and
			 accountability of the program, which includes assuring the program's compliance
			 with the applicable provisions of this chapter. The program shall enter into a
			 written agreement with the program coordinator providing for his or her service
			 in that capacity, unless the program coordinator is the individual who
			 submitted the program application, or it is a facility-based TCEP and the
			 program coordinator is an employee of the facility operating the program. If a
			 program coordinator leaves the program, the program:
(1)
									Shall notify the
			 director immediately;
(2)
									May complete the program currently in progress;
			 and
(3)
									Shall not begin a new program until the program
			 contracts with a replacement or substitute and that individual begins
			 functioning as the program coordinator.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-10 - Physical facilities requirements for training and competency evaluation programs

Current through all regulations passed and filed through July 1, 2024
The physical facilities that an approved TCEP uses for the
				classroom instruction, including laboratory simulation, and the clinical
				experience portions of the program shall meet the following
				requirements:
(A) Provide adequate
			 space to accommodate all trainees.
(B) Be clean and safe and shall meet
			 applicable state and local building and fire code requirements.
(C) Have adequate lighting and comfortable
			 temperatures.
(D) Be equipped
			 adequately with audio-visual equipment and other teaching aids appropriate for
			 a TCEP.
(E) Have, in good working
			 order, equipment for simulating resident care as listed in the appendix to this
			 rule.
Click to
				view Appendix
Click to
				view Appendix
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-11 - Recordkeeping requirements for training and competency evaluation programs

Current through all regulations passed and filed through July 1, 2024
(A) Each approved
			 TCEP shall maintain program records for at least two years at the program's
			 business address. The records shall be kept in an area that is readily
			 accessible and able to be locked.
(1) The
			 records required by paragraphs (B)(1) and (B)(2) of this rule shall be kept in
			 a confidential manner and shall not be released, without consent, to any person
			 other than the trainee or staff member to whom the records relate, or to the
			 director or the director's designee.
(2) When a program coordinator leaves the
			 program, he or she shall transfer all records to the new program coordinator or
			 leave the records within the program offices.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-13 - Evaluation requirements for training and competency evaluation programs

Current through all regulations passed and filed through July 1, 2024
(A) Each approved
			 TCEP shall include a competency evaluation component which measures the skills
			 of trainees through skills testing.
(1) Skills
			 testing performed in a long-term care facility may be counted as part of the
			 clinical experience portion of the minimum seventy-five hours of instruction.
			 Skills testing performed through laboratory simulation shall not be counted as
			 part of the clinical experience portion, unless the
			 TCEP has a variance issued under paragraph (H) of rule
			 3701-18-08
			 of the Administrative Code.
(2) The competency evaluation component of a
			 TCEP does not substitute for completion of the test conducted by the director
			 or the director's designee under division (C) of section
			 3721.31
			 of the Revised Code and rule
			 3701-18-22
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-15 - Application requirements for reapproval of train-the-trainer program

Current through all regulations passed and filed through July 1, 2024
(A)
								A long-term care facility, employee organization,
			 person, or government entity seeking reapproval of a train-the-trainer program
			 shall, on a electronic system approved by the director, submit a completed
			 application to the director or the director's designee for reapproval of the
			 program.
(B)
								A completed application for reapproval of a TTT
			 program:
(1)
									Includes:
(a)
										The name and address of the program;
(b)
										The program's
			 approval number;
(c)
										The enrollment for the twenty-four months preceding
			 submission of the renewal application;
(d)
										The number of
			 completed programs held during the twenty-four months preceding submission of
			 the renewal application;
(e)
										A list of current faculty and program administrator and
			 the dates each faculty member and program administrator taught;
			 and
(f)
										A statement, signed by the program administrator,
			 certifying that the program currently is in compliance with sections
			 3721.30
			 and
			 3721.31
			 of the Revised Code and this chapter
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-17 - Special requirements for train-the-trainer programs

Current through all regulations passed and filed through July 1, 2024
(A) Each approved
			 train-the-trainer program shall require that the absence of any participant be
			 made up within twenty-eight calendar days. The program administrator or a
			 member of the faculty of a TTT program shall document that arrangements were
			 made for coverage of missed material and that the missed material was made up
			 satisfactorily.
(B) An approved TTT
			 program shall not allow any participant to cheat or behave in a manner that is
			 disruptive to the operation of the program.
(C) Before accepting any money from
			 individuals seeking to enroll in the program, each TTT program shall explain to
			 all prospective enrollees the circumstances under which money paid by the
			 prospective enrollee will be refunded.
(D) Each TTT program shall establish and
			 implement a method by which the participant may evaluate the program;
(E) An approved TTT program shall not enroll
			 any individual as a participant who does not possess the applicable
			 qualifications of a 
			 primary instructor prescribed by paragraph 
								(D) of rule
			 3701-18-09
			 of the Administrative Code, with the exception of the prescribed qualifications
			 relating to completion of instruction from an approved TTT program and the
			 long-term care experience. The program shall maintain documentation verifying
			 the identity and credentials of the prospective participants.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-18 - Personnel requirements for train-the-trainer programs

Current through all regulations passed and filed through July 1, 2024
(A) Each approved
			 TTT program shall be administered by a program administrator who is a faculty
			 member and possesses the qualifications specified by either paragraph (C)(1) or
			 (C)(2) of this rule. If a program administrator leaves the program, the
			 program:
(1) Shall notify the director
			 immediately;
(2) May complete the
			 program currently in progress; and
(3) Shall not begin a new program until the
			 program arranges for a qualified replacement or substitute and that individual
			 begins functioning as the program administrator.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-19 - Physical facilities requirements for train-the-trainer programs

Current through all regulations passed and filed through July 1, 2024
The physical facilities that an approved train-the-trainer
				program uses for the classroom instruction and training skills practice shall
				meet the following requirements:
(A)
			 The facilities shall provide adequate space to accommodate all
			 participants.
(B) The facilities
			 shall be clean and safe and shall meet applicable state and local building and
			 fire code requirements.
(C) The
			 facilities shall have adequate lighting and comfortable temperatures.
(D) The facilities shall be equipped
			 adequately with audio-visual equipment, computers or
			 similar technology, and other teaching aids appropriate for a TTT
			 program.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-20 - Recordkeeping requirements for train-the-trainer programs

Current through all regulations passed and filed through July 1, 2024
(A) Each approved
			 train-the-trainer program shall maintain program records for at least two years
			 at the program's business address or at the office of the program
			 administrator. The records shall be kept in an area that is readily accessible
			 and able to be locked to protect the records against loss, theft, destruction,
			 and unauthorized use.
(1) The records
			 required by paragraphs (B)(1) and (B)(2) of this rule shall be kept in a
			 confidential manner and shall not be released, without consent, to any person
			 other than the participant, the staff member to whom the records relate, or to
			 the director or the director's designee.
(2) When a program administrator leaves the
			 program, he or she shall transfer all records to the new program administrator
			 or leave the records within the program offices.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-21 - Train-the-trainer program curriculum criteria and evaluation requirements

Current through all regulations passed and filed through July 1, 2024
(A) Each approved
			 train-the-trainer program shall provide a combined total of at least
			 twenty-eight hours of instruction, including classroom instruction and training
			 skills practice. The instruction shall address the topic areas listed in this
			 paragraph for at least the specified amount of time, including the required
			 amount of training skills practice, and the TTT program curriculum standards
			 set forth in the appendix to this rule. The instruction under each standard
			 shall be comparable to the material set forth in the appendix. The amount of
			 time required for coverage of each topic area may be allocated among the
			 standards within the topic area in whatever fashion best suits the needs of the
			 program's participants. The TTT program shall provide at least four hours of
			 instruction in addition to the minimum hours required for the topic areas
			 listed in this paragraph. These four hours may be used by the program in
			 whatever fashion best suits the needs of the program's participants. The TTT
			 program shall include instruction on all of the following:
(1) Program overview - one-half
			 hour;
(2) The foundation of the
			 training and competency evaluation program - two hours;
(3) The framework for training - three and
			 one-half hours;
(4) The training
			 environment - one and one-half hours;
(5) The course material design and
			 development process - four and one-half hours, two and one-half of which shall
			 be devoted to training skills practice;
(6) Implementation and evaluation - two and
			 one-half hours, one and one-half of which shall be devoted to training skills
			 practice;
(7) Presentation practice
			 - seven and one-half hours, four and one-half of which shall be devoted to
			 training skills practice; and
(8)
			 Review of the Ohio Administrative Code rules - two hours.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-23 - Eligibility for the state-administered competency evaluation program

Current through all regulations passed and filed through July 1, 2024
(A) Except as
			 provided in paragraph (B) of this rule, the following individuals are eligible
			 to register to take the state-administered test:
(1) An individual enrolled in a prelicensure
			 program of nursing education approved by the board of nursing, or by an agency
			 of another state that regulates nursing education, who has provided the
			 director or the director's designee with a certificate from the program
			 indicating that the individual has successfully completed the courses that
			 teach basic nursing skills including infection control, safety and emergency
			 procedures, and personal care;
(2)
			 An individual who has the equivalent of twelve months or more of full-time
			 employment in the preceding five years as a hospital aide or orderly, and who
			 has provided the director or the director's designee written verification of
			 such employment on a form provided by the director and signed by the authorized
			 representative or representatives of the hospital or hospitals where the
			 individual worked. As used in this paragraph, "the equivalent of twelve months
			 or more of full-time experience" means at least one thousand six hundred
			 continuous hours in a twelve month period; and
(3) An individual who does not
			 meet the requirements of division (B)(1), (B)(2), (B)(3), (B)(4), (B)(5),
			 (B)(6), or (B)(7) of section
			 3721.28 of the Revised Code or
			 paragraph (A)(1) or (A)(2) of this rule but who has, within the preceding
			 twenty-four months, successfully completed a TCEP approved by the director or
			 the director's designee pursuant to division (A) of section
			 3721.31 of the Revised Code and
			 paragraph (A) of rule
			 3701-18-06
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-24 - Registration for the state-administered test

Current through all regulations passed and filed through July 1, 2024
(A) Except as otherwise provided in this
			 rule, an eligible individual seeking to register for the state-administered
			 test shall submit, in accordance with paragraph (C) of this rule, one or more
			 completed registration forms provided by the director or the director's
			 designee that include the individual's name, date of birth, social security
			 number, home mailing address, signature, and daytime telephone number. The
			 individual also shall furnish any additional information required by the
			 applicable provisions of paragraphs (B) to (I) of this rule. The applicable
			 registration fee or fees shall be paid in accordance with rule
			 3701-18-25
			 of the Administrative Code.
(B) An
			 individual may register to take either the examination component or the
			 performance demonstration component or both components of the test at a test
			 center or in the long-term care facility where he or she is or will be employed
			 as a nurse aide, if the facility meets the requirements of paragraph (E) of
			 rule
			 3701-18-22
			 of the Administrative Code. The components may be taken in any order, but both
			 components shall be successfully completed while the individual is eligible to
			 register under paragraph (A) of rule
			 3701-18-23
			 of the Administrative Code.
(C) To
			 register to take either or both of the state-administered components of the
			 test:
(1) The registrant shall submit to the
			 director or the director's designee a completed registration form and the
			 applicable fee or fees required by rule
			 3701-18-25
			 of the Administrative Code so that they are received by the director or
			 designee no less than thirty days before the date on which the individual
			 wishes to take the examination. The director or designee may waive the
			 submission deadline if the registration form can be processed and there is
			 adequate space at a test center.
(2) In a long-term care facility, the
			 registrant shall submit to the director or the director's designee one
			 completed registration form and the applicable fee or fees required by rule
			 3701-18-25
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-25 - Fees for the state-administered test

Current through all regulations passed and filed through July 1, 2024
(A)
								A registration
			 fee or fees shall accompany the registration form submitted under rule
			 3701-18-24
			 of the Administrative Code for one or both components of the state-administered
			 test. The fee shall be paid in a form other than cash or a personal check, made
			 payable to the director's designee in the applicable amount or amounts
			 published to the department of health's website,
https://odh.ohio.gov/know-our-programs/nurse-aide-training-and-competency-evaluation-program-NATCEP/natcep
.
(B)
								Neither the director nor the director's designee shall
			 impose on a nurse aide any charge for participating in the test. The fee for
			 registering to take a component of the test shall be paid by the long-term care
			 facility or other person or government entity employing the registrant as a
			 nurse aide. If a registrant is not a nurse aide as defined in rule
			 3701-18-01 of the
			 Administrative Code, the director or the director's designee may charge the
			 registration fee to the registrant.
(C)
								A registrant may
			 reschedule to take the test one time without charge provided he or she notifies
			 the director's designee at least five work days before he or she is scheduled
			 to take the test.
Replaces: 3701-18-25
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-26 - Scheduling and administration of the state-administered competency evaluation program

Current through all regulations passed and filed through July 1, 2024
(A) After the director or the director's
			 designee receives all items required by the applicable provisions of rule
			 3701-18-24
			 of the Administrative Code for registration to take a component or components
			 of the state-administered competency evaluation program at a test center, the
			 director or designee shall notify the registrant of the time and place for the
			 registrant to take the component or components and shall provide the registrant
			 with a notification letter or a copy of an e-mail of the time and location of
			 the test.
(B) To take the
			 examination or performance demonstration component of the state-administered
			 competency evaluation program, the registrant shall present the following
			 items, as applicable, at the testing site for that component:
(1) A valid social security card and
			 government issued picture identification card such as a driver's license or
			 state identification card. If a registrant's religious beliefs prohibit the
			 taking of his or her photograph, the registrant shall present
			 two of the following items:
(a)
										Social security card;
(b)
										Birth
			 certificate; or
(c)
										Visa issued by the United States citizenship and
			 immigration services agency.
Supporting documentation is necessary
				if the names on the social security card, driver's license or birth certificate
				do not match.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-27 - Completion of the state-administered competency evaluation program; reporting of results

Current through all regulations passed and filed through July 1, 2024
(A) To complete the state-administered test
			 successfully, a registrant shall do both of the following:
(1) Answer correctly at least
			 
									seventy per cent of questions on the examination
			 component of the program ; and
(2)
			 Perform each of the skills evaluation tasks included in the performance
			 demonstration component of the program satisfactorily.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-02 - Applicability of licensure requirements

Current through all regulations passed and filed through July 1, 2024
(A) Every person or public agency that
			 proposes to provide a hospice care program shall apply to the director for a
			 license in accordance with rule 3701-19-02 of the Administrative
			 Code.
(B) A hospital, nursing home,
			 home for the aged, county medical care facility, or other health facility or
			 agency that provides a hospice care program shall be licensed to provide a
			 hospice care program under Chapter 3712. of the Revised Code and this
			 chapter.
(C) A nursing home
			 licensed under Chapter 3721. of the Revised Code that does not hold itself out
			 to be a hospice, does not hold itself out as providing a hospice care program,
			 does not use the term "hospice" to describe or refer to its activities or
			 facilities, and that does not provide all of the services enumerated in
			 division (A) of section
			 3712.01 of the Revised Code and
			 paragraph (J) of rule
			 3701-19-01 of the
			 Administrative Code is not subject to the licensing provisions of Chapter 3712.
			 of the Revised Code and this chapter.
(D) No person or public agency, other than a
			 person or public agency licensed under section
			 3712.04 of the Revised Code and
			 this chapter, shall hold itself out as providing a hospice care program, or
			 provide a hospice care program, or use the term "hospice" or any term
			 containing "hospice" to describe or refer to a health program, facility, or
			 agency.
(1) A hospital, a home providing
			 nursing care, or a home health agency that provides services under contract
			 with a person or public agency providing a hospice care program that is
			 licensed under section
			 3712.04 of the Revised Code and
			 this chapter shall not be considered as providing a hospice care program in
			 violation of paragraph (D) of this rule.
(2) Paragraph (D) of this rule does not apply
			 to the activities of regional, state, or national nonprofit organizations of
			 which providers of hospice care programs, individuals interested in hospice
			 care programs, or both are members and that do not provide or represent that
			 they provide hospice care programs.
(3) As used in paragraph (D) of this rule,
			 "person" does not include a member of an interdisciplinary team, as defined in
			 paragraph (P) of rule
			 3701-19-01 of the
			 Administrative Code, or any individual who is employed by a person or public
			 agency licensed under section
			 3712.04 of the Revised Code and
			 this chapter.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-03 - Initial license application process; renewal of license; and change of ownership license

Current through all regulations passed and filed through July 1, 2024
(A) Application for a hospice care program
			 license shall:
(1)
									Be made on forms
			 prescribed by the director;
(2)
									Include such
			 information as the director requires, including the information prescribed in
			 paragraph (C) of this rule; and
(3)
									Be accompanied by
			 a non-refundable license fee of six hundred dollars in the form of a cashier's
			 check or a postal money order payable to the "Treasurer, State of
			 Ohio."
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-04 - Issuance, denial, transfer, suspension, and revocation of licenses

Current through all regulations passed and filed through July 1, 2024
(A) The director
			 shall grant a license for provision of a hospice care program to an applicant
			 that complies with Chapter 3712. of the Revised Code and this chapter.
(B) The director shall mail written notice to the
			 applicant either granting or proposing to deny a license within thirty days
			 after receiving all information necessary to determine compliance with Chapter
			 3712. of the Revised Code and this chapter, including the reports of the
			 inspection conducted pursuant to paragraph (A) of rule
			 3701-19-05 of the
			 Administrative Code. This thirty-day period shall be extended if the director
			 has received a complaint concerning an applicant. In such a case, the director
			 shall conduct a complaint investigation within thirty days after receipt of the
			 complaint and shall mail written notice of the determination regarding the
			 license application within thirty days after completion of the complaint
			 investigation.
(C) If the applicant meets the requirements for
			 licensure prescribed in paragraph (A) of this rule, the director shall issue a
			 license to the applicant which shall:
(1)
			 Indicate the name and address of the hospice care program location to which the
			 applicant requested the license be issued. The names and addresses of
			 additional locations operating under the same license shall be maintained on
			 file;
(2) Be valid for three years
			 only for the hospice care program at the address and additional locations
			 indicated in the application except as provided for in paragraph (F) of this
			 rule; and
(3) Be posted in a
			 conspicuous place in the hospice care program location issued the
			 license.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-05 - Inspections

Current through all regulations passed and filed through July 1, 2024
(A) Prior to
			 issuing an initial license for a hospice care program, the director shall
			 conduct an announced inspection of the applicant's facilities and
			 services.
(B) The director shall
			 conduct an unannounced inspection of each licensed hospice care program at a
			 minimum frequency of once every three years. The director may conduct
			 additional inspections of any licensed hospice care program at any other time
			 the director considers necessary including, but not limited to,
			 
								investigation of complaints.
(C) The fees for inspections conducted by the
			 director pursuant to section
			 3712.03 of the Revised Code and
			 paragraphs (A) and (B) of this rule shall be as follows:
(1) Licensure inspection fee of one thousand
			 six hundred twenty five dollars;
(2) Complaint inspection fee of eight hundred
			 fifty dollars;
(3) Follow-up
			 inspection fee of three hundred fifty dollars; and
(4) Desk audit or compliance review
			 inspection fee of two hundred fifty dollars.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-06 - Governing body; quality assessment and performance improvement

Current through all regulations passed and filed through July 1, 2024
(A) The overall
			 conduct and operation of the hospice care program, including the quality of
			 care and the provision of services, shall be the full legal responsibility of a
			 clearly defined, organized governing body.
(B) The governing body of a licensed hospice
			 care program may also provide governance for a pediatric respite care program
			 if the programs are dually-licensed and meet all requirements set forth in this
			 rule and chapter.
(C) The governing
			 body shall:
(1) Establish and review policies
			 for the management, operation, and evaluation of the hospice care program,
			 including, but not limited to:
(a)
			 Qualifications of employees and independent contractors; and
(b) Policies and procedures to receive and
			 respond to patient grievances regarding medical treatment, quality of care, the
			 lack of respect for person or property, mistreatment, neglect,
			 exploitation, verbal, mental, sexual, and
			 physical abuse, including injuries of unknown source, and misappropriation of
			 patient property by any individual furnishing services on behalf of the hospice
			 care program. The policies and procedures developed by the governing body
			 shall, at a minimum, include:
(i) Notification
			 procedures for hospice patients, employees and contracted staff to report
			 alleged violations to the hospice program administration;
(ii) Documentation requirements for reported
			 alleged violations, including time frames for response;
(iii) Reporting procedures for verified
			 violations to the appropriate state licensing authority, local authorities, or
			 both where appropriate; and
(iv)
			 Requirements for timely corrective actions for all verified
			 violations.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-07 - General requirements for hospice care programs after licensure

Current through all regulations passed and filed through July 1, 2024
(A) Any person or
			 public agency licensed under section
			 3712.04 of the Revised Code and
			 this chapter to provide a hospice care program shall:
(1) Provide a planned and continuous hospice
			 care program, the medical components of which shall be under the direction of a
			 physician;
(2) Ensure that care is
			 available twenty-four hours a day and seven days a week;
(3) Establish an interdisciplinary plan of
			 care for each hospice patient and the patient's family that:
(a) Is coordinated by one designated
			 individual who shall ensure that all components of the plan of care are
			 addressed and implemented;
(b)
			 Addresses maintenance of patient-family participation in decision
			 making;
(c) Is periodically
			 reviewed by the patient's attending physician and by the patient's
			 interdisciplinary team; and
(d)
			 Provides a list of services that will be provided by or arranged for by the
			 hospice care program.
(4) Have an interdisciplinary team or teams
			 that provide or supervise the provision of care and establish the policies
			 governing the provision of the care;
(5) Provide bereavement counseling for
			 hospice patients' families;
(6) Not discontinue care because of a hospice
			 patient's inability to pay for the care;
(7) Maintain central clinical records on all
			 hospice patients under its care; and
(8)
			 Provide care in individual's homes, on an outpatient basis, and on a short-term
			 inpatient basis.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-08 - Standards for inpatient hospice facilities

Current through all regulations passed and filed through July 1, 2024
(A) Each new inpatient hospice facility shall
			 be inspected by the director to determine compliance with provisions of rules
			 3701-19-01 to
			 3701-19-24 of
			 the Administrative Code. The new inpatient hospice facility shall not admit
			 patients until the director has determined that the facility is in compliance
			 with the requirements of this chapter of the Administrative Code.
(B) The inpatient hospice facility shall meet
			 all applicable provisions of the Ohio fire code, adopted pursuant to section
			 3737.82 of the Revised
			 Code.
(C) The building or buildings
			 in which an inpatient hospice facility is located shall comply with the
			 applicable provisions of the Ohio building code adopted by the board of
			 building standards pursuant to Chapters 3781., 3783., and 3791. of the Revised
			 Code, and have a certificate of use and occupancy issued by the appropriate
			 building authority.
(D) Each new
			 inpatient hospice facility shall be connected to one of the following dependent
			 upon the location and size of the facility:
(1) A public sewer system permitted under
			 Chapter 6111. of the Revised Code;
(2) A small flow on site sewage treatment
			 system permitted by a local health district under Chapter 3718. of the Revised
			 Code; or
(3) A household sewage
			 treatment system permitted by a local health district under Chapter 3718. of
			 the Revised Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-09 - General requirements for hospice care program personnel

Current through all regulations passed and filed through July 1, 2024
(A) Each hospice
			 care program shall utilize personnel that have appropriate training and
			 qualifications for the services that they provide. Any staff member, including
			 a volunteer, who functions in a professional capacity shall meet the standards
			 applicable to that profession, including but not limited to, possessing current Ohio licensure, registration, or
			 certification, if required by law, and practicing within the applicable scope
			 of practice.
(B) The hospice care
			 program shall provide each staff member, including volunteer and contracted
			 staff members, with a written job description delineating his or her
			 responsibilities. The program shall assure that the services provided by staff
			 members, including volunteers and contracted staff, are provided:
(1) In accordance with the patients' plans of
			 care;
(2) In accordance with the
			 policies and procedures developed by the interdisciplinary team;
(3) In accordance with current and accepted
			 standards of practice;
(4) By staff
			 members who comply with the program's employee health policies;
(a) The hospice care program shall have
			 written employee health policies which include the following requirements for
			 any staff, including volunteers, temporary agency employees, or paid
			 consultants used by the hospice program who has direct patient
			 contact;
(b) The hospice care
			 program shall have a written plan to ensure the health and safety of hospice
			 patients that includes policies and procedures regarding screening of staff,
			 including volunteers, for communicable diseases;
(c) The hospice care program shall have
			 written policies and procedures regarding measures taken to prevent staff,
			 including volunteers, with direct hospice patient contact who have been
			 diagnosed with a communicable disease from transmitting this disease to
			 patients, care givers or other staff. The policies shall indicate when infected
			 or ill staff must not render direct patient care; and
(d) The hospice care program shall document,
			 as applicable, compliance with United States department of labor's occupational
			 safety and health administration, United States centers for disease control and prevention, and applicable Ohio department of health standards
			 concerning health requirements for staff provision of services in health care
			 settings, including requirements for maintaining tuberculosis
			 control.
(5) Documented
			 in the patient's central clinical record.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-10 - Medical director

Current through all regulations passed and filed through July 1, 2024
(A) The medical director of a hospice care
			 program shall be a physician and have overall responsibility for the medical
			 components of the program. The medical director shall be either a paid or
			 contractual staff member or a volunteer.
(B) The duties of the medical director shall
			 include:
(1) Participating as a member of the
			 interdisciplinary team or teams in the development of individual plans of care
			 or assuring that one or more other qualified physicians participate on the team
			 or teams;
(2) Reviewing patient
			 medical eligibility for hospice care services;
(3)
									Maintaining
			 responsibility and authority over all other physicians employed by the hospice
			 care program;
(4) Consulting with attending physicians, when
			 appropriate, regarding pain and symptom management;
(5) Assuring overall
			 continuity of the hospice care program's medical services, including
			 availability of physician services for both routine and emergency
			 situations;
(6) Acting as liaison between patients' attending
			 physicians and the interdisciplinary team or teams;
(7) Establishing
			 health policies for employees of the hospice care program; and
(8)
			 Serving as liaison with community physicians, medical schools, healthcare
			 facilities, and hospitals.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-11 - Interdisciplinary team and interdisciplinary plan of care

Current through all regulations passed and filed through July 1, 2024
(A) Each hospice
			 care program shall have an interdisciplinary team or teams that provides or
			 supervises the provision of hospice care and services. The registered nurse
			 designated to coordinate each interdisciplinary team shall ensure all of the
			 following for that team:
(1) There is ongoing
			 assessment of the hospice patient's and family's needs;
(2) That all components of the plan of care
			 are addressed by the interdisciplinary team; and
(3) The plan of care is implemented in
			 accordance with its terms.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-12 - Contracted services

Current through all regulations passed and filed through July 1, 2024
(A) A provider of a hospice care program may
			 arrange for another person or public agency to furnish a component or
			 components of the hospice care program pursuant to a written contract in
			 compliance with
			 42 C.F.R.
			 418.64
								(2008).
(B) Any contract executed under paragraph (A)
			 of this rule, including a contract to which paragraph (C) of this rule applies,
			 shall be legally binding on both parties and shall do all of the following:
(1) Identify the services that may be
			 provided;
(2) Stipulate that
			 services may be provided only with the express authorization of the hospice
			 care program;
(3) Describe the
			 manner in which the contracted services are coordinated, supervised, and
			 evaluated by the hospice care program;
(4) Delineate the role or roles of the
			 hospice care program and the contractor in the admission process, patient and
			 family assessment, and the interdisciplinary team reviews;
(5) Stipulate the requirements for
			 documenting that services are furnished in accordance with the contract and the
			 requirements of Chapter 3712. of the Revised Code, Chapter 3701-13 and this
			 chapter of the Administrative Code;
(6) Set forth the qualifications of the
			 personnel providing the services; and
(7) Stipulate that the hospice care program
			 shall provide hospice care orientation and training, in accordance with
			 paragraph (E) of rule
			 3701-19-09
			 of the Administrative Code, to the contractor's personnel who provide the care
			 under the contract.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-13 - Volunteer services

Current through all regulations passed and filed through July 1, 2024
(A) Each hospice care program shall use
			 trained volunteers to assist with the provision of administrative or direct
			 patient care services and shall have trained volunteers available to
			 provide services to hospice patients and
			 
								the
			 patients' families as needed. Volunteers shall provide services under the
			 supervision of a designated qualified and experienced hospice staff
			 member.
(B) Each hospice care
			 program shall provide orientation and training to the volunteers it uses that
			 is consistent with acceptable standards of hospice practice. The orientation
			 and training shall include:
(1) The hospice
			 care program's goals and services;
(2) Confidentiality and the protection of
			 patient and the patient's
									
									family's rights;
(3) The volunteer's specific duties and
			 responsibilities and the person or persons to contact if the volunteer needs
			 assistance or instructions regarding the performance of the designated duties
			 and responsibilities;
(4)
			 Procedures for responding to medical emergencies or deaths;
(5) The physiological and psychological
			 aspects of terminal illness;
(6)
			 Family dynamics, coping mechanisms, and psychosocial issues surrounding
			 terminal illness, death, and bereavement;
(7) Safety policies and procedures;
			 and
(8) General communication
			 skills.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-14 - Nursing services

Current through all regulations passed and filed through July 1, 2024
(A)
								 Each hospice
			 care program shall provide nursing care and services by or under the
			 supervision of a registered nurse. The program shall direct and staff nursing
			 services to meet the nursing needs of all of the hospice care program's
			 patients. The program shall specify the patient care responsibilities of
			 nursing personnel.
(B)
								 A registered nurse shall be responsible for the
			 supervision and oversight of all nursing services.
(C)
								 As used in this
			 rule, "supervision" means monitoring and directing the provision of nursing
			 care and services by record review, written or verbal instructions, review of
			 interdisciplinary care plans, or direct observation.
(D)
								 The hospice care
			 program shall ensure that nursing care is available twenty-four hours a day and
			 seven days a week:
(1)
									 To provide services to hospice care program patient's;
			 and
(2)
									 In each inpatient facility used to provide inpatient
			 care to its patients.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-15 - Medical social services

Current through all regulations passed and filed through July 1, 2024
(A) Each hospice care program shall make
			 medical social services available to each patient and
			 the
			 patient's family as needed. Medical social services shall be provided by
			 a social worker under the direction of a physician. For the purposes of this
			 rule, a physician's approval of a patient's interdisciplinary plan of care
			 shall constitute direction.
(B) The
			 medical social service needs of each hospice patient and
			 the
			 patient's family shall be considered in conjunction with other services
			 when the interdisciplinary team reviews the patient's and family's
			 status.
(C) Medical social services
			 shall be provided in a timely manner in accordance with hospice care program's
			 policy.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-16 - Home care services

Current through all regulations passed and filed through July 1, 2024
(A) Each hospice care program shall provide
			 or make available home care services in the scope and frequency required to
			 meet the needs of the hospice care program's patients and their families. Home
			 care services include assistance with activities of daily living, personal
			 care, ambulation and passive exercise, household
			 services essential to health care at home, assistance with self-administration
			 of medications, and preparation of meals.
(B)
								The patient and
			 family shall be informed of any limitations on home care services as required
			 by paragraph (E) of rule
			 3701-19-20
			 of the Administrative Code.
(C) Home care services
			 shall be provided by home health aides or hospice aides who have been selected
			 on the basis of such factors as a sympathetic attitude toward patients and
			 their families, ability to read, write, 
			 carry out instructions, maturity, and ability to cope with the demands of the
			 job.
(D) The hospice care program shall ensure that home
			 health aides or hospice aides providing home care services have been trained in
			 the following:
(1)
									Methods of assisting patients to achieve maximum
			 self-reliance;
(2)
									Principles of nutrition and meal
			 preparation;
(3)
									The aging process and emotional problems of
			 illness;
(4)
									Procedures for maintaining a clean, healthful, and
			 pleasant environment;
(5)
									Changes in a patient's condition that should be
			 reported;
(6)
									The philosophy of hospice care and of the hospice care
			 program;
(7)
									Ethics;
(8)
									Confidentiality;
			 and
(9)
									Record keeping.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-19 - Hospice Care Programs › Section 3701-19-17 - Medical services

Current through all regulations passed and filed through July 1, 2024
(A) A hospice care patient may identify their
			 own attending physician or may designate the hospice care program medical
			 director or another hospice care program
			 physician to be their attending physician.
(B) Each hospice care program shall provide:
(1) Effective palliation and management of
			 terminal illness and related conditions; and
(2) Medical services which meet the medical
			 needs of the patient that are not otherwise met by the patient's:
(a) Attending physician;
(b) A physician assistant, who is acting
			 within their scope of practice under the supervision,
			 control, and direction of a physician; or
(c) An advanced practice
			 registered nurse, who is acting within
			 their scope of practice and who is working in
			 collaboration with a physician.