Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 142 - HOSPICE SERVICES › Section 410-142-0020 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Accredited/Accreditation: A designation by an accrediting organization that a
			 hospice program has met standards that have been developed to indicate a
			 quality program.
(2) Ancillary
			 staff: Staff that provides additional services to support or supplement hospice
			 care.
(3) Assessment: Procedures
			 by which strengths, weaknesses, problems, and needs are identified and
			 addressed.
(4) Attending
			 physician: A physician who is a doctor of medicine or osteopathy and is
			 identified by the client, at the time he or she elects to receive hospice care,
			 as having the most significant role in the determination and delivery of the
			 client's medical care.
(5)
			 Bereavement counseling: Counseling services provided to the client's family
			 before and after the client's death. Bereavement counseling is required to be
			 offered per the Conditions of Participation and is a non-reimbursable hospice
			 service.
(6) Bundled Rate: the
			 Nursing Facility (NF) rate as defined in 411-070-0085.
(7) Client-family unit includes a client who
			 has a life threatening disease with a limited prognosis and all others sharing
			 housing, common ancestry or a common personal commitment with the client.
(8) Conditions of Participation
			 (CoPs): The applicable federal regulations that hospice programs are required
			 to comply with in order to participate in the federal Medicare and Medicaid
			 programs.
(9) Coordinated: When
			 used in conjunction with the phrase "hospice program," means the integration of
			 the interdisciplinary services provided by client-family care staff, other
			 providers and volunteers directed toward meeting the hospice needs of the
			 client.
(10) Coordination of Care
			 (COC): The federal regulations for coordination of client care between the
			 hospice and the nursing facility that hospice programs are required to comply
			 with in order to serve hospice clients in a nursing facility and participate in
			 the federal Medicare and Medicaid programs.
(11) Coordinator: A registered nurse
			 designated to coordinate and implement the care plan for each hospice client.
(12) Counseling: A relationship in
			 which a person endeavors to help another understand and cope with problems as a
			 part of the hospice plan of care.
(13) Curative: Medical intervention used to
			 ameliorate the disease.
(14)
			 Dying: The progressive failure of the body systems to retain normal
			 functioning, thereby limiting the remaining life span.
(15) Family: The relatives and/or other
			 significantly important persons who provide psychological, emotional, and
			 spiritual support of the client. The "family" need not be blood relatives to be
			 an integral part of the hospice care plan.
(16) Hospice: A public agency or private
			 organization or subdivision of either that is primarily engaged in providing
			 care to terminally ill clients, and is certified by the federal Centers for
			 Medicare and Medicaid Services as a program of hospice services meeting current
			 standards for Medicare and Medicaid reimbursement and Medicare Conditions of
			 Participation; and currently licensed by the Oregon Health Authority
			 (Authority), Public Health Division.
(17) Hospice continuity of care: Services
			 that are organized, coordinated and provided in a way that is responsive at all
			 times to client/family needs, and which are structured to assure that the
			 hospice is accountable for its care and services in all settings according to
			 the hospice plan of care.
(18)
			 Hospice routine home care: Formally organized services designed to provide and
			 coordinate hospice interdisciplinary team services to client/family in the
			 place of residence. The hospice will deliver at least 80 percent of the care in
			 the place of residence.
(19)
			 Hospice philosophy: Hospice recognizes dying as part of the normal process of
			 living and focuses on maintaining the quality of life. Hospice exists in the
			 hope and belief that through appropriate care and the promotion of a caring
			 community sensitive to their needs, clients and their families may be free to
			 attain a degree of mental and spiritual preparation for death that is
			 satisfactory to them.
(20) Hospice
			 Program: A coordinated program of home and inpatient care, available 24 hours a
			 day, that uses an interdisciplinary team of personnel trained to provide
			 palliative and supportive services to a client-family unit experiencing a life
			 threatening disease with a limited prognosis. A hospice program is an
			 institution for purposes of ORS
(21) Hospice Program registry: A registry of
			 all licensed hospice programs maintained by the Authority, Public Health
			 Division.
(22) Hospice services:
			 Items and services provided to a client/family unit by a hospice program or by
			 other clients or community agencies under a consulting or contractual
			 arrangement with a hospice program. Hospice services include home care,
			 inpatient care for acute pain and symptom management or respite, and
			 bereavement services provided to meet the physical, psychosocial, emotional,
			 spiritual and other special needs of the client/family unit during the final
			 stages of illness, dying and the bereavement period.
(23) Illness: The condition of being sick,
			 diseased or with injury.
(24)
			 Interdisciplinary team: A group of individuals working together in a
			 coordinated manner to provide hospice care. An interdisciplinary team includes,
			 but is not limited to, the client-family unit, the client's attending physician
			 or clinician and one or more of the following hospice program personnel:
			 Physician, nurse practitioner, nurse, hospice aide (nurse's aide), occupational
			 therapist, physical therapist, trained lay volunteer, clergy or spiritual
			 counselor, and credentialed mental health professional such as psychiatrist,
			 psychologist, psychiatric nurse or social worker.
(25) Medical director: The medical director
			 must be a hospice employee who is a doctor of medicine or osteopathy who
			 assumes overall responsibility for the medical component of the hospice's
			 client care program.
(26) Medicare
			 certification: Licensed and certified by the Authority, Public Health Division
			 as a program of services eligible for reimbursement.
(27) Nursing facility: A facility licensed
			 and certified by the Department of Human Services (Department) as a nursing
			 facility and defined in OAR 411-070.
(28) Nursing facility services: The bundled
			 rate of services which incorporates all services, including room and board, for
			 which the nursing facility is paid per OAR 411-070.
(29) Pain and Symptom Management: For the
			 hospice program, the focus of intervention is to maximize the quality of the
			 remaining life through the provision of palliative services that control pain
			 and symptoms. Hospice programs recognize that when a client/family is faced
			 with terminal illness, stress and concerns may arise in many aspects of their
			 lives. Symptom management includes assessing and responding to the physical,
			 emotional, social and spiritual needs of the client/family.
(30) Palliative services: Comfort services of
			 intervention that focus primarily on reduction or abatement of the physical,
			 psychosocial and spiritual symptoms of terminal illness. Palliative therapy:
(a) Active: Is treatment to prolong survival,
			 arrest the growth or progression of disease. The person is willing to accept
			 moderate side-effects and psychologically is fighting the disease. This person
			 is not likely to be a client for hospice;
(b) Symptomatic: Is treatment for comfort,
			 symptom control of the disease and improves the quality of life. The person is
			 willing to accept minor side-effects and psychologically wants to live with the
			 disease in comfort. This person would have requested and been admitted to a
			 hospice.