(a) General. A special care facility designated as
a residential AIDS hospice shall meet the standards of this section.
These standards are in addition to the other standards described in
this chapter that apply to special care facilities.
(b) Service requirements.
(1) Palliative care. The facility shall provide palliative
care that is reasonable and necessary to meet the needs of a resident
and the management of the resident's terminal illness and related
conditions.
(2) Support services. Support services shall be available
to both the resident and the family. Support services shall:
(A) include social, spiritual and emotional care provided
to a resident and the family; and
(B) be under the supervision of a qualified individual
who may be a person with a master's degree in social work, an accredited
or ordained member of the clergy, or other individual with appropriate
training and experience.
(3) Counseling services. Counseling services shall
be available to the resident and the family. If provided, counseling
services shall be identified as a need in the resident's plan of care
described in subsection (c) of this section.
(4) Bereavement services. Bereavement services shall
be available to the family. The provision of bereavement services
shall be:
(A) provided in an organized program under the supervision
of a qualified person who may be a person with a master's in social
work, an accredited or ordained member of the clergy, or other individual
with appropriate training and experience;
(B) available to families for up to one year following
the death of the resident; and
(C) identified as a need for the family in the resident's
plan of care described in subsection (c) of this section.
(c) Plan of care.
(1) An interdisciplinary team shall develop an individual
plan of care for each resident receiving hospice services.
(A) The interdisciplinary team shall consist of the
resident, a physician, a registered nurse and other appropriate members
who are involved with the resident's care.
(B) Members of the interdisciplinary team may also
include a volunteer, an employee of the facility, an individual under
contract with facility, or an employee or representative of a home
and community support services agency employed by the resident to
provide services.
(C) The interdisciplinary team shall review and revise
the resident's plan of care as needed based on changes in the resident's
needs, but not less than once a month.
(2) The plan of care shall identify the need for counseling
and bereavement services, as appropriate.
(3) A physician shall conduct a clinical and medical
review of the care and services provided to a resident receiving hospice
services. The physician conducting the review shall serve as a member
of the interdisciplinary team described in paragraph (1) of this subsection.
The physician may be an employee, a volunteer, or a contracted consultant
to the facility.
(d) Designation process. The department must approve
a special care facility's designation as a residential AIDS hospice
prior to the facility's implementation of hospice services.
(1) A special care facility may request designation
as a residential AIDS hospice on the initial application form, or
by submitting a written request to the department at any time during
the licensing period.
(2) The department will evaluate the facility's compliance
with subsections (a) - (c) of this section prior to approving the
residential AIDS hospice designation. This evaluation may be accomplished
through a presurvey conference with review of required policies and
documents or by means of an onsite inspection.
(3) The department will send a written notice to the
facility regarding the approval or denial of the residential AIDS
hospice designation. If denied, the written notice will state the
deficient items that resulted in the denial of the application. The
facility may submit additional information and request reconsideration
of the application.
(4) The facility may withdraw the residential AIDS
hospice designation by submitting a written request to the department.
The request shall include the effective date of withdrawal.
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