Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-551 - Alternatives to hospital services › Subchapter I - HOSPICE SERVICES › Hospice-General › Section 182-551-1010 - Hospice program - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions and abbreviations and those
						found in WAC
						182-500-0005, Medical
						definitions, apply to this subchapter.
"Authorized representative" -
An individual
						who has been authorized to terminate medical care or to elect or revoke the
						election of hospice care on behalf of a terminally ill individual who is
						mentally or physically incapacitated. See
						RCW
						7.70.065.
"Biologicals" -
Medicinal preparations
						including serum, vaccine autotoxins, and biotechnological drugs made from
						living organisms and their products.
"Brief period" -
Six days or less within a
						thirty consecutive-day period.
"Community services office (CSO)" -
An
						office of the department of social and health services (DSHS) that administers
						social and health services at the community level.
"Concurrent care" -
Medically necessary
						services delivered at the same time as hospice services, providing a blend of
						curative and palliative services to clients twenty years of age and younger who
						are enrolled in hospice. See WAC
						182-551-1860.
"Curative care" -
Treatment aimed at
						achieving a disease-free state.
"Discharge" -
A hospice agency ends hospice
						care for a client.
"Election period" -
The time, ninety or
						sixty days, that the client is certified as eligible for and chooses to receive
						hospice care.
"Family" -
An individual or individuals who
						are important to, and designated in writing by, the client and need not be
						relatives, or who are legally authorized to represent the client.
"Home and community services (HCS) office" -
A department of social and health services (DSHS) aging and disability
						services administration (ADSA) office that manages the state's comprehensive
						long-term care system which provides in-home, residential, and nursing home
						services to clients with functional disabilities.
"Hospice agency" -
A person or entity
						administering or providing hospice services directly or through a contract
						arrangement to individuals in places of temporary or permanent residence under
						the direction of an interdisciplinary team composed of at least a nurse, social
						worker, physician, spiritual counselor, and volunteer. (Note: For the purposes
						of this subchapter, requirements for hospice agencies also apply to hospice
						care centers.)
"Hospice aide" -
An individual registered or
						certified as a nursing assistant under chapter 18.88A RCW who, under the
						direction and supervision of a registered nurse, physical therapist,
						occupational therapist, or speech therapist, assists in the delivery of nursing
						or therapy related activities, or both, to patients of a hospice agency, or
						hospice care center.
"Hospice aide services" -
Services provided
						by hospice aides employed by an in-home services agency licensed to provide
						hospice or hospice care center services under the supervision of a registered
						nurse, physical therapist, occupational therapist, or speech therapist. Such
						care may include ambulation and exercise, medication assistance level 1 and
						level 2, reporting changes in client's conditions and needs, completing
						appropriate records, and personal care or homemaker services, and other
						nonmedical tasks, as defined in this section.
"Hospice care center" -
A homelike
						noninstitutional facility where hospice services are provided, and that meets
						the requirements for operation under
						RCW
						70.127.280 and applicable rules.
"Hospice services" -
Symptom and pain
						management provided to a terminally ill individual, and emotional, spiritual,
						and bereavement support for the individual and individual's family in a place
						of temporary or permanent residence.
"Interdisciplinary team" -
The group of
						individuals involved in client care providing hospice services or hospice care
						center services including, at a minimum, a physician, registered nurse, social
						worker, spiritual counselor, and volunteer.
"Palliative" -
Medical treatment designed to
						reduce pain or increase comfort, rather than cure.
"Plan of care" -
A written document based on
						assessment of client needs that identifies services to meet these needs.
"Related condition(s)" -
Any health
						condition(s) that manifests secondary to or exacerbates symptoms associated
						with the progression of the condition and/or disease, the treatment being
						received, or the process of dying. (Examples of related conditions: Medication
						management of nausea and vomiting secondary to pain medication; skin breakdown
						prevention/treatment due to peripheral edema.)
"Residence" -
A client's home or place of
						living.
"Revoke"
or
"revocation" -
The
						choice to stop receiving hospice care.
"Terminally ill" -
The client has a life
						expectancy of six months or less, assuming the client's disease process runs
						its natural course.
"Twenty-four-hour day" -
A day beginning and
						ending at midnight.
Statutory Authority:
						  RCW
						  41.05.021, Section 2302 of the Patient
						  Protection and Affordable Care Act of 2010 (
						  P.L.
						  111-148 ), and Section 1814(a)(7) of the Social
						  Security Act. 12-09-079, §
													182-551-1010, filed 4/17/12,
						  effective 5/18/12. 11-14-075, recodified as §
													182-551-1010, filed 6/30/11,
						  effective 7/1/11. Statutory Authority:
						  RCW
						  74.08.090,
						  74.09.520. 05-18-033, §
						  388-551-1010, filed 8/30/05, effective 10/1/05. Statutory Authority:
						  RCW
						  74.09.520,
						  74.08.090,
						  42 C.F.R.
						  418.22 and
						  418.24. 99-09-007, §
						  388-551-1010, filed 4/9/99, effective
						  5/10/99.