reglab/statecodes huggingface dataset:
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter II - Nurse Aide Training and Testing › Section DHS 129.06 - Standards for instructors of nurse aide training programs

Current through June 24, 2024
(1) PRIMARY
				  INSTRUCTOR.
(a) The primary instructor for a
				  training program shall be a registered nurse licensed to practice in Wisconsin,
				  who has at least 2 years of experience working as a registered nurse, of which
				  at least one year of experience shall be actual work experience in providing
				  care in a nursing home that meets the requirements of sections 1919(a), (b),
				  (c) and (d) of the Social Security Act.
(b) Notwithstanding par. (a), the primary
				  instructor for a training program conducted by a hospital shall have at least
				  one of the 2 years experience working as a registered nurse in a hospital.
(c) Notwithstanding par. (a), for
				  a primary instructor in a training program in a home health agency-based
				  program, shall have at least one of the 2 years experience working as a
				  registered nurse in the provision of home health care.
(d) A primary instructor shall provide to the
				  program a resume documenting the instructor's education and clinical experience
				  in meeting clients' psychosocial, behavioral, cognitive and physical needs, and
				  the program shall maintain the instructor's resume on file and shall include a
				  copy of the instructor's resume with the program's application for program
				  approval.
(e) The primary
				  instructor shall attend a training course for instructors approved by the
				  department under sub. (3). The department may waive this requirement for an
				  instructor who has taken a substantially equivalent course or who has
				  substantially equivalent training or clinical experience.
(f) A primary instructor is considered active
				  as long as the instructor remains affiliated with an approved course. If the
				  primary instructor leaves the program and does not become affiliated with
				  another program the instructor's approval as a primary instructor is
				  inactivated as of the date the instructor leaves the approved
				  program.
(g) The department may
				  revoke approval of a primary instructor if the department determines the
				  primary instructor failed to comply with any requirement of this
				  chapter.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter II - Nurse Aide Training and Testing › Section DHS 129.07 - Standards for nurse aide training programs

Current through June 24, 2024
(1) CURRICULUM FOR
				  A NURSE AIDE TRAINING PROGRAM. The training program shall include theory and
				  practice in all of the following care areas:
(a)
Interpersonal communication and
				  social interaction.
The program shall include the theory of and
				  practice in communicating and interacting on a one-to-one basis with a client;
				  serving as part of a team implementing client care objectives; demonstrating
				  sensitivity to a client's emotional; social and psychological needs through
				  directed interactions; and skills that enable expressions of age-appropriate
				  behavior by allowing a client to make personal choices and by reinforcing
				  behavior that supports a client's sense of dignity. After completion of this
				  portion of the training program, a nurse aide shall do all of the following:
1. Identify the components of a
				  caregiver-client relationship and be able to recognize and demonstrate
				  understanding of all of the following:
a. The
				  uniqueness of each client, in terms of that person's age, disability, family
				  status, financial status, gender, marital status, race, and sexual orientation,
				  and cultural, generational, social, ethnic, religious or other background,
				  values or characteristics.
b. The
				  needs of a client with Alzheimer's disease, dementia, mental illness,
				  intellectual disability, or other cognitive disabilities or
				  impairments.
c. Ways both nurse
				  aides and clients can cope with stress.
d. What constitutes caregiver
				  misconduct.
e. The messages
				  conveyed by body language, speech and facial expressions.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter II - Nurse Aide Training and Testing › Section DHS 129.09 - Registry

Current through June 24, 2024
(1) CONTENT OF THE REGISTRY. The department
				  shall maintain information about a person on the registry, including:
(a) The person's eligibility for employment
				  in a department-approved or licensed health care provider.
(b) The person's social security
				  number.
(c) The person's first
				  name, middle initial, and last name.
(d) The person's current mailing
				  address.
(e) The person's date of
				  birth.
(f) The date the aide
				  completed a training program approved under s.
				  DHS
				  129.07, if applicable.
(g) The date the aide completed a competency
				  evaluation program, if applicable.
(h) The competency evaluation program number,
				  if applicable.
(i) The dates, if
				  any, that indicate the aide's employment status.
(j) The date the aide was included on the
				  registry.
(k) The 2 character
				  alphabetic postal code of any state other than Wisconsin in which a finding of
				  abuse, neglect, or misappropriation has been placed on the registry against the
				  aide.
(l) Any finding of abuse or
				  neglect of a client or misappropriation of a client's property made by the
				  department under s.
				  146.40(4r)
				  (b), Stats., or, if appealed, by a hearing
				  officer under s.
				  146.40(4r)
				  (d), Stats., and a brief rebuttal statement
				  provided by the affected nurse aide under s.
				  146.40(4r)
				  (e), Stats., if the nurse aide disputes the
				  finding.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter II - Nurse Aide Training and Testing › Section DHS 129.10 - Nurse aide program appeals

Current through June 24, 2024
(1) SUBJECT OF
				  APPEAL. Except for the denial of an approval of a nurse aide training or
				  competency evaluation program under
				  42
				  CFR 483.151(b) (2) or (3) or
				  the withdrawal of approval of a nurse aide training or competency evaluation
				  program under
				  42 CFR
				  483.15(e)(1) or (3), a
				  health care provider may appeal to the department of administration's division
				  of hearings and appeals any of the following:
(a) A denial of a request for a waiver or
				  variance under s.
				  DHS
				  129.04(2) or the revocation of a
				  waiver or variance under s.
				  DHS 129.04(2)
				  (c).
(b) A denial of an application for approval
				  of training program under s.
				  DHS
				  129.05(1).
(c) A denial of an application for approval
				  of a competency evaluation program under s.
				  DHS
				  129.08.
(d) A denial of an application under s.
				  DHS
				  129.06(3) for approval of a training
				  course for primary instructors.
(e)
				  A denial under s.
				  DHS
				  129.09(5) of an application to
				  include a person in the registry.
(f) A suspension or revocation of approval or
				  the imposition of a plan of correction under s.
				  DHS
				  129.05(2) (d) 2
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.11 - Feeding assistant training program requirements

Current through June 24, 2024
(1) Wisconsin's
				  feeding assistant training programs shall require enrolled persons to
				  successfully complete an approved feeding assistant training program, which
				  includes all of the following federally-mandated topics, to be covered during a
				  minimum of 8 hours of instruction:
(a) Feeding
				  techniques.
(b) Assistance with
				  feeding and hydration.
(c)
				  Communication and interpersonal skills.
(d) Appropriate responses to resident
				  behavior.
(e) Safety and emergency
				  procedures, including the Heimlich maneuver.
(f) Infection control.
(g) Resident rights.
(h) Recognizing changes in residents that are
				  inconsistent with the norm and the importance of reporting changes to the
				  nurse.
Note:
Safety and emergency procedures may also
					 include Choking: First Aid taught by the American Red Cross and the American
					 Heart Association.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.12 - Feeding assistant training program curriculum

Current through June 24, 2024
(1) Feeding
				  assistant training programs shall use a training curriculum, which has been
				  pre-approved by the department and determined to comply with the federally
				  mandated topics under s. DHS 129.11 (1) (a) to (h).
(2) Feeding assistant training programs shall
				  use the department of health services, division of quality assurance video, The
				  Wisconsin Caregiver Program: A Blueprint for Excellence, to provide feeding
				  assistant students instruction regarding the requirements of the caregiver
				  program. A copy of the video is provided to the feeding assistant training
				  program by the department.
Note:
Link to the WI Caregiver program video
					 and guide at https://www.dhs.wisconsin.gov/publications/p6/p63161.pdf and
					 https://vimeo.com/546007413.
(3) Training programs that are conducted in
				  nursing homes shall submit to the department proposed training materials to
				  provide feeding assistants instruction regarding the facility's selected
				  resident population.
(4) Although
				  the pre-approved standardized training curriculums include additional skill
				  information, such as, intake and output and special care needs for residents
				  with dysphasia, the instructor shall emphasize that the feeding assistant may
				  not be permitted to perform any other hands-on duty, beyond assisting residents
				  who have no complicated feeding problems to eat and drink.
Trained feeding assistants may identify the amounts of
						food and fluid consumed according to facility policy and
						procedures.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.13 - Feeding assistant training program completion

Current through June 24, 2024
(1) A person may
				  not provide hands-on assistance with feeding or hydrating residents unless the
				  person has successfully completed all of the following:
(a) A training program approved by the state
				  for feeding assistants, including additional instruction on the selected
				  resident population and the Wisconsin Caregiver Program requirements.
(b) After completing the training course, a
				  state-approved standardized written quiz with a score of 75 percent or greater.
				  Individuals may request the quiz to be administered orally. Instructors shall
				  consider the needs of persons who have limited English proficiency or literacy
				  difficulties.
(c) A state-approved
				  standardized skill demonstration, determining hand washing and resident feeding
				  competency with a score of 75 percent or greater.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.14 - Standards for instructors of feeding assistant training programs

Current through June 24, 2024
(1) The feeding
				  assistant training programs shall determine the appropriate qualifications for
				  their instructors based on the needs of the selected clients and the nursing
				  home.
(2) Training programs shall
				  provide the name and qualifications of the proposed instructor to the
				  department.
(3) The primary
				  instructor may supplement the course by including other individuals for lecture
				  or demonstration whose qualifications or experience add benefit to the training
				  program.
(4) A paid feeding
				  assistant is not permitted to lead the training of another paid feeding
				  assistant student.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.15 - Feeding assistant training program approval process

Current through June 24, 2024
(1) A nursing home
				  wishing to operate a feeding assistant training program shall apply for
				  approval from the department on a form provided by the department with the
				  nursing home's proposed selected resident population, curriculum, and proposed
				  feeding assistant instructor information.
(2) The department shall review the
				  application and supporting materials to determine whether to approve or deny
				  the feeding assistant training program. The department will issue a written
				  notice regarding the decision of whether to approve or deny the application
				  within 45 calendar days of receiving a complete application.
(3) Upon approval, the department shall
				  issue, to the feeding assistant program, the standardized training curriculum
				  the program selects, a Wisconsin Caregiver Program video cassette, standardized
				  competency evaluation materials, feeding assistant training program,
				  certificate template, and a feeding assistant roster.
Link to the WI Caregiver program video and guide at
https://www.dhs.wisconsin.gov/publications/p6/p63161.pdf
and
https://vimeo.com/546007413
.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.16 - Feeding assistant employment requirements

Current through June 24, 2024
(1) A nursing home
				  may not employ or use any person as a feeding assistant unless the person is at
				  least 16 years of age and has:
(a)
				  Successfully passed a caregiver background check, that includes no employment
				  or licensure-prohibitive offenses in s.
				  146.40(4r),
				  Stats., or s.
				  48.685,
				  Stats.
(b) Successfully completed a
				  feeding assistant training and competency evaluation program and been
				  determined competent to provide feeding and hydration services to
				  residents.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.17 - Feeding assistant training program requirements

Current through June 24, 2024
Approved feeding assistant training programs shall submit
					 all of the following information to the department:
(1) The program designee shall submit for
				  approval a substantial change in the program to the department in writing. A
				  program may not implement the proposed change in the program without the
				  department's written approval. In this subdivision, "substantial change" means
				  a change in the program designee, primary instructor under s.
				  DHS
				  129.14(2) and the curriculum under s.
				  DHS
				  129.12.
(2) The program designee shall submit an
				  annual report to the department on a form provided by the department, and shall
				  indicate the number of feeding assistants who were trained and tested during
				  the year, including the number of individuals who dropped out or who failed the
				  program.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.18 - Feeding assistant training program record retention requirements

Current through June 24, 2024
(1) Feeding
				  assistant training programs shall maintain all of the following records for at
				  least 3 years:
(a) All student skill
				  checklists, written examinations, certificates and other relevant training
				  records.
(b) Documentation of the
				  training conducted and identification of the instructor who conducted the
				  training.
(c) Records of all
				  individuals who have successfully completed the feeding assistant training and
				  competency testing program.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.19 - Feeding assistant training program prohibitions

Current through June 24, 2024
(1) The department
				  will review substandard quality of care citations made under 42 CFR 483 that
				  result in a prohibition of a nurse aide training or competency evaluation
				  program for a nursing home, in order to determine the appropriate action for a
				  feeding assistant training program. Program decisions will be made on a
				  case-by-case basis.
(2) Any nursing
				  home citation that directly relates to a feeding assistant training program may
				  result in termination by the department of the feeding assistant training
				  program.
(3) Feeding assistant
				  training programs may request a waiver of the feeding assistant training
				  prohibition by submitting a request in writing to the department. The
				  department shall issue a written decision, either approving or denying the
				  request, within 45 calendar days of receiving a complete waiver
				  request.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter III - Feeding Assistants › Section DHS 129.20 - Feeding assistant training program appeals

Current through June 24, 2024
(1) For any of the
				  following department actions, a feeding assistant training program may request
				  a hearing by filing an appeal with the department of administration's division
				  of hearings and appeals.
(a) A denial of an
				  application to operate a feeding assistant training program.
(b) A denial of an approval of a feeding
				  assistant instructor.
(c) A
				  termination or suspension of an approved feeding assistant training
				  program.
(d) An imposed plan of
				  correction.
(e) A denial of a
				  request for a waiver or the revocation of a waiver.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.21 - Medication aide training program application and approval process

Current through June 24, 2024
(1)
				  APPROVAL PROCESS.
(a) All medication aide
				  training programs based in nursing homes shall be approved by the
				  department.
(b) Nursing homes and
				  other entities wishing to operate a nursing home medication aide program shall
				  submit a proposal for developing a medication aide course. The proposal shall
				  include documentation of client needs, staff resources to provide the training
				  and a description of the physical location of the training site. The proposal
				  will be approved or denied by the department, and the department shall issue a
				  decision within 30 calendar days of a completed proposal submittal.
(c) After a medication aide program proposal
				  is approved, medication aide course curriculum, course outline, instructor
				  qualifications and other materials shall be submitted to and approved by the
				  department before the training program can be implemented. The department will
				  issue a decision on a completed course submittal within 90 calendar
				  days.
(d) The department will limit
				  the number of approved programs to a maximum of 10, subject to determined needs
				  as submitted in program development proposals. If the department determines
				  there is a geographical or consumer-based need, the department may approve
				  additional programs.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.22 - Standards for instructors of medication aide training programs

Current through June 24, 2024
A medication aide program instructor shall be one of the
					 following:
(1) A registered nurse,
				  licensed in Wisconsin, with teaching experience in the principles of adult
				  learning and training techniques and one or more years of experience in one of
				  the following positions within the last 5 years immediately before the person
				  will be a program instructor:
(a) An
				  instructor in a school of nursing.
(b) A director of nursing in a nursing home
				  or a hospital.
(c) An in-service
				  director in a nursing home.
(d) A
				  supervisory nurse in a nursing home.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.23 - Nursing home medication aide student qualifications

Current through June 24, 2024
(1) STUDENT
				  REQUIREMENTS. The student shall be at least 18 years of age, have a high school
				  diploma or a high school equivalency diploma, and shall be listed on the
				  registry as eligible to work in federally-certified health care
				  settings.
(2) WORK REQUIREMENTS.
				  The student shall have at least 2,000 hours of experience as a nurse aide in
				  direct patient care within the last 3 years and have worked a minimum of 40
				  hours as a nurse aide within the last 90 days, with the residents to whom the
				  student will be administering medications during the clinical experience
				  portion of the course.
(3) WRITTEN
				  RECOMMENDATION. The student shall have 4 written recommendations, 2 from
				  licensed charge nurses, one from the director of nursing of the nursing home
				  where the student will be working during the clinical experience, and one from
				  the administrator of the nursing home where the student will be working during
				  the clinical experience.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.25 - Nursing home medication aide training program operation

Current through June 24, 2024
Approved medication aide training programs shall submit all
					 of the following information to the department:
(1) Any substantial changes in the program
				  shall be reported to the department in writing within 10 calendar days. The
				  program shall not implement the change until department approves the program's
				  proposed change in writing.
(2) The
				  program shall submit to the department and to an entity designated by the
				  department the required records for registry designation as a medication
				  aide.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.26 - Medication aide training program prohibitions

Current through June 24, 2024
(1) The Department
				  will review substandard quality of care citations made under 42 CFR 483 that
				  result in a prohibition of a nurse aide training or competency evaluation
				  program for a nursing home, in order to determine the appropriate action for a
				  medication aide training program. Program decisions will be made on a
				  case-by-case basis.
(2) Any nursing
				  home citation that directly relates to a medication aide training program may
				  result in termination by the department of the medication aide training
				  program.
(3) A medication aide
				  training program may request a waiver of the medication aide training program
				  prohibition by submitting a request in writing to the department. The
				  department will issue a written decision, either approving or denying the
				  request, within 45 calendar days of receiving a complete waiver
				  request.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.27 - Hospice medication aide training program approval process

Current through June 24, 2024
(1) All medication
				  aide training programs for hospice agencies shall be approved by the
				  department.
(2) Entities wishing to
				  operate a hospice medication aide training program shall submit a course
				  syllabus, course curriculum, text book, list of students, proof of all student
				  qualifications and course instructors' names and qualifications to the
				  department for approval.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.28 - Standards for instructors of hospice medication aide training programs

Current through June 24, 2024
A hospice medication aide program instructor shall be one
					 of the following:
(1) A registered
				  nurse, licensed in Wisconsin, with one or more years experience as an
				  instructor in a school of nursing or other educational institution.
(2) A registered nurse, licensed in
				  Wisconsin, with 2 or more years experience as a director of nursing.
(3) A registered nurse, licensed in
				  Wisconsin, with one or more years experience as an in-service director in a
				  health care provider.
(4) A
				  pharmacist licensed in Wisconsin, with one or more years experience as a
				  hospice consultant.
(5) An other
				  health care professional the department approves.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.29 - Hospice medication aide student qualifications

Current through June 24, 2024
(1) STUDENT
				  REQUIREMENTS. The student shall be at least 18 years of age at the completion
				  of the course, have a high school diploma or high school equivalency diploma,
				  be listed on the registry, and be eligible to work in a federally-certified
				  facility. Nurse aides who have completed the 100-hour nursing home medication
				  aide program are deemed to meet the hospice medication aide program
				  requirements.
(2) WORK EXPERIENCE.
				  The student shall be employed as a nurse aide by a hospice agency and shall
				  complete 2,000 hours in direct patient care within the 3 years immediately
				  preceding the start of the course or by the end of the course.
(3) WRITTEN RECOMMENDATION. The student shall
				  be recommended in writing by the hospice administrator, and by a registered
				  nurse who is working with the nurse aide.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Subchapter IV - Medication Aides › Section DHS 129.31 - Hospice medication aide training program operation

Current through June 24, 2024
(1) Approved
				  hospice medication aide training programs shall complete all of the following
				  before conducting a course:
(a) Submit a
				  sample of the practicum questions or scenarios to the department at least 2
				  weeks before the practicum examination.
(b) Establish a date for the state-generated
				  final examination with the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 129 - Certification Of Programs For Training And Testing Nurse Aides, Medication Aides And Feeding Assistants › Appendix A

Current through June 24, 2024
Bureau of quality assurance regional
				  offices
.
Division of Quality Assurance Regional Offices
Division of Quality Assurance
Madison/Southern Regional Office
2917 International Lane, Suite 300
Madison WI 53704
(608) 243-2370
Division of Quality Assurance
Milwaukee/Southeastern Regional Office
819 N. 6th St., Rm. 210
Milwaukee WI 53203-1606
(414) 227-5000
Division of Quality Assurance
Rhinelander/Northern Regional Office
1853 N. Stevens, Suite B
Rhinelander WI 54501
(715) 365-2800
Division of Quality Assurance
Green Bay/Northeastern Regional Office
200 N. Jefferson St., Suite 211
Green Bay WI 54301
(920) 448-5240
Division of Quality Assurance
Eau Claire/Western Regional Office
610 Gibson St., Suite 1
Eau Claire WI 54701-3687
(715) 836-4752
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter I - General Provisions › Section DHS 131.11 - Authority and purpose

Current through June 24, 2024
This chapter is promulgated under the authority of s.
					 50.95,
					 Stats., to establish minimum standards for the operation of hospice programs in
					 Wisconsin. The purpose of the chapter is to ensure that hospice patients
					 receive safe and adequate care and support and that the health and safety of
					 hospice patients, employees and volunteers are protected.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter I - General Provisions › Section DHS 131.13 - Definitions

Current through June 24, 2024
In this chapter:
(1) "Advance directive" means a written
				  instruction, such as a living will under ch. 154, Stats., or a power of
				  attorney for health care under ch. 155, Stats., or as otherwise recognized by
				  the courts of the state, relating to the provision or nonprovision of health
				  care when the individual is incapacitated.
(2) "Advanced practice nurse" means a person
				  who is certified as an advanced practice nurse as provided in ch. N
				  8.
(3) "Attending physician" means
				  a person who is either a doctor of medicine or osteopathy legally authorized to
				  practice medicine and surgery under ch. 448, Stats., physician assistant or a
				  nurse practitioner who meets the training, education, and experience
				  requirements specified in s.
				  DHS
				  105.20(1) and the who identified by
				  the patient, at the time he or she elects to receive hospice care, as having
				  the greatest overall role in the determination and delivery of the individual's
				  medical care.
(4) "Bereavement
				  services" means emotional, psychosocial, and spiritual support and services
				  provided before and after the death of the patient to assist with issues
				  related to grief, loss, and adjustment.
(5) "Core team" means a defined group within
				  the hospice's interdisciplinary group that has represented on it physician,
				  nurse, social worker and bereavement or other counseling services and that is
				  responsible for all aspects of care and services to a patient and the patient's
				  family.
(6) "Department" means the
				  Wisconsin department of health services.
(7) "Employee" means a person who:
(a) Works for the hospice and for whom the
				  hospice is required to issue a W-2 form on his or her behalf.
(b) If the hospice is a subdivision of an
				  agency or organization, an employee of the agency or organization who is
				  appropriately trained and assigned to the hospice.
(c) Is a volunteer under the jurisdiction of
				  the hospice.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter I - General Provisions › Section DHS 131.14 - License

Current through June 24, 2024
(1) LICENSE REQUIREMENT.
(a) No person may conduct, maintain, operate
				  or otherwise participate in conducting, maintaining or operating a hospice
				  unless the hospice is licensed by the department.
(b) A hospice program may have more than one
				  office or facility. Multiple units do not need to be separately licensed if the
				  hospice is able to demonstrate supervision and administration from the central
				  office.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter I - General Provisions › Section DHS 131.15 - Inspections of licensed programs

Current through June 24, 2024
The department shall conduct unannounced inspections of a
					 hospice which may include home visits with prior patient consent or a review of
					 the clinical records of any individual with terminal illness served by the
					 hospice. The department may inspect or investigate a hospice as it deems
					 necessary.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter I - General Provisions › Section DHS 131.16 - Waivers and variances

Current through June 24, 2024
(1) DEFINITIONS. In this section:
(a) "Variance" means the granting of an
				  alternate requirement in place of a requirement of this chapter.
(b) "Waiver" means the granting of an
				  exemption from a requirement of this chapter.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter II - Patient Rights › Section DHS 131.17 - Admission

Current through June 24, 2024
(1) PROGRAM DESCRIPTION. A hospice shall have
				  a written description of its program that clearly describes the general patient
				  and family needs that can be met by the hospice, and that includes written
				  admission policies that includes all of the following:
(a) Clearly define the philosophy of the
				  program.
(b) Limit admission to
				  individuals with terminal illness as defined under s.
				  DHS
				  131.13(24).
(c) Clearly define the hospice's limits in
				  providing services and the settings for service provision.
(d) Ensure protection of patient
				  rights.
(e) Provide clear
				  information about services available for the prospective patient and his or her
				  representative, if any.
(f) Allow
				  an individual to receive hospice services whether or not the individual has
				  executed an advance directive.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter II - Patient Rights › Section DHS 131.18 - Discharge

Current through June 24, 2024
(1) OBLIGATION. Once a hospice has admitted a
				  patient to the program, and the patient or the patient's representative, if
				  any, has signed the acknowledgement and authorization for services under s.
				  DHS
				  131.17(4) (b), the hospice is
				  obligated to provide care to that patient.
(2) WRITTEN POLICY. The hospice shall have a
				  written policy that details the manner in which the hospice is able to end its
				  obligation to a patient. This policy shall be provided to the patient or
				  patient's representative, if any, as part of the acknowledgement and
				  authorization process at the time of the patient's admission. The policy shall
				  include all of the following as a basis for discharging a patient:
(a) The hospice may discharge a patient:
1. Upon the request or with the informed
				  consent of the patient or the patient's representative.
2. If the patient elects care other than
				  hospice care at any time.
3. If the
				  patient elects active treatment, inconsistent with the role of palliative
				  hospice care.
4. If the patient
				  moves out of the geographical area served by the hospice or into a facility
				  that does not have a contract with the hospice.
5. If the patient requests services in a
				  setting that exceeds the limitations of the hospice's authority.
6. For nonpayment of charges, following
				  reasonable opportunity to pay any deficiency.
7. For the patient's safety and welfare or
				  the safety and welfare of others, if the hospice determines that the behavior
				  of the patient or other persons in the patient's home is disruptive, abusive,
				  or uncooperative to the extent that delivery of care to the patient or the
				  ability of the hospice to operate effectively is seriously impaired.
8. If the hospice determines that the patient
				  is no longer terminally ill.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter II - Patient Rights › Section DHS 131.19 - Patient rights

Current through June 24, 2024
(1) GENERAL INFORMATION. A hospice shall
				  provide each patient and patient's representative, if any, with a written
				  statement of the rights of patients before services are provided, and shall
				  fully inform each patient and patient's representative, if any, of all of the
				  following:
(a) Those patient rights and all
				  hospice rules and regulations governing patient responsibilities, which shall
				  be evidenced by written acknowledgement provided by the patient, if possible,
				  or the patient's representative, if any, prior to receipt of
				  services.
(b) The right to prepare
				  an advance directive.
(c) The right
				  to be informed of any significant change in the patient's needs or
				  status.
(d) The hospice's criteria
				  for discharging the individual from the program.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter III - Patient Care › Section DHS 131.20 - Assessment

Current through June 24, 2024
(1) INITIAL ASSESSMENT.
(a) If the hospice determines that it has the
				  general capability to meet the prospective patient's described needs, a
				  registered nurse shall perform an initial assessment of the person's immediate
				  needs and shall describe in writing the person's current status, including
				  physical condition, present pain status, emotional status, pertinent
				  psychosocial and spiritual concerns and coping ability of the prospective
				  patient and family support system, and shall determine the appropriateness or
				  inappropriateness of admission to the hospice based on the
				  assessment.
(b) The designated
				  hospice employee shall confer with at least one other core team member and
				  receive that person's views in order to start the initial plan of
				  care.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter III - Patient Care › Section DHS 131.21 - Plan of care

Current through June 24, 2024
(1) GENERAL REQUIREMENTS. A written plan of
				  care shall be established and maintained for each patient admitted to the
				  hospice program and the patient's family. The hospice plan of care is a
				  document that describes both the palliative and supportive care to be provided
				  by the hospice to the patient and the patient's family, as well as the manner
				  by which the hospice will provide that care. The care provided to the patient
				  and the patient's family shall be in accordance with the plan of
				  care.
(2) INITIAL PLAN OF CARE.
(a) The hospice shall develop an initial plan
				  of care that does all of the following:
1.
				  Defines the services to be provided to the patient and the patient's
				  family.
2. Incorporates physician
				  orders and medical procedures.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter III - Patient Care › Section DHS 131.22 - Quality assessment and performance improvement

Current through June 24, 2024
(1) PROGRAM
				  STANDARDS.
(a) The hospice shall develop,
				  implement, and maintain an effective, ongoing, hospice-wide data-driven quality
				  assessment and performance improvement program.
(b) The hospice's governing body shall ensure
				  that the program reflects the complexity of its organization and services,
				  involves all hospice services including those services furnished under contract
				  or arrangement, focuses on indicators related to improved palliative outcomes,
				  and takes actions to demonstrate improvement in hospice performance.
(c) The hospice shall maintain documentary
				  evidence of its quality assessment and performance improvement program and be
				  able to demonstrate its operation to the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter III - Patient Care › Section DHS 131.23 - Infection control

Current through June 24, 2024
(1) INFECTION CONTROL PROGRAM. The hospice
				  shall maintain and document an effective infection control program that
				  protects patients, families, visitors, and hospice employees by preventing and
				  controlling infections and communicable diseases.
(2) PREVENTION. The hospice shall follow
				  accepted standards of practice to prevent the transmission of infections and
				  communicable diseases, including the use of standard precautions.
(3) CONTROL. The hospice shall maintain a
				  coordinated agency-wide program for the surveillance, identification,
				  prevention, control, and investigation of infectious and communicable diseases
				  that:
(a) Is an integral part of the
				  hospice's quality assessment and performance improvement program; and
(b) Includes all of the following:
1. A method of identifying infectious and
				  communicable disease problems.
2. A
				  plan for implementing the appropriate actions that are expected to result in
				  improvement and disease prevention.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter IV - Management › Section DHS 131.24 - Employee health

Current through June 24, 2024
(1) DISEASE SURVEILLANCE. Agencies shall
				  develop and implement written policies for control of communicable diseases
				  which take into consideration control procedures incorporated by reference in
				  ch. DHS 145 and which ensure that employees with symptoms or signs of
				  communicable disease or infected skin lesions are not permitted to work unless
				  authorized to do so by a physician, physician assistant or advanced practice
				  nurse.
(2) PHYSICAL HEALTH OF NEW
				  EMPLOYEES. Each new employee, prior to having direct patient contact, shall be
				  certified in writing by a physician, physician assistant or registered nurse as
				  having been screened for tuberculosis, and clinically apparent communicable
				  disease that may be transmitted to a patient during the normal employee's
				  duties. The screening shall occur within 90 days prior to the employee having
				  direct patient contact.
(3)
				  CONTINUING EMPLOYEES. Each employee having direct patient contact shall be
				  screened for clinically apparent communicable disease by a physician, physician
				  assistant, or registered nurse based on the likelihood of their exposure to a
				  communicable disease, including tuberculosis. The exposure to a communicable
				  disease may have occurred in the community or in another location.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter IV - Management › Section DHS 131.25 - Core services

Current through June 24, 2024
(1) GENERAL REQUIREMENTS. A hospice is
				  responsible for providing care and services to a patient and, as necessary, the
				  patient's family, based on the plan of care developed by the core team.
				  Volunteers shall participate in the delivery of program services.
(2) CORE TEAM.
(a) Each member of the core team shall be an
				  employee, including a volunteer of the hospice or be under a contract with the
				  hospice as specified in par. (c).
(b) With respect to services provided to a
				  patient, each core team member shall do all of the following:
1. Assess patient and family needs.
2. Promptly notify the registered nurse of
				  any change in patient status that suggests a need to update the plan of
				  care.
3. Provide services
				  consistent with the patient plan of care.
4. Provide education and counseling to the
				  patient and, as necessary, to the patient's family, consistent with the plan of
				  care.
5. Participate in developing
				  and revising written patient care policies and procedures.
(c) The hospice may contract for physician
				  services as specified in par. (a). A hospice may use contracted staff, if
				  necessary, to supplement hospice employees in order to meet the needs of
				  patients under extraordinary or other non-routine circumstances. A hospice may
				  also enter into a written arrangement with another Medicare certified hospice
				  program for the provision of core services to supplement hospice staff to meet
				  the needs of patients. Circumstances under which a hospice may enter into a
				  written arrangement for the provision of core services include unanticipated
				  periods of high patient loads, staffing shortages due to illness or other
				  short-term temporary situations that interrupt patient care and temporary
				  travel of a patient outside of the hospice's service area.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 131 - Hospices › Subchapter IV - Management › Section DHS 131.26 - Non-core services

Current through June 24, 2024
(1) GENERAL REQUIREMENTS. A hospice is
				  responsible for providing care and services to a patient and, as necessary, the
				  patient's family, based on the plan of care developed by the core team.
				  Volunteers shall participate in the delivery of program services. The hospice
				  may provide other services as follows:
(a)
Therapy services.
Therapy services are provided in accordance
				  with the plan of care for the patient and by individuals who meet qualification
				  requirements for therapy service delivery such as evidence of current licensure
				  or registration and academic training. Therapy services shall consist of all of
				  the following:
1. Physical, occupational,
				  speech and language pathology or respiratory therapy.
2. The provision of a patient assessment as
				  directed by the plan of care.
3.
				  The development of a therapy plan of care.