77 Ill. Adm. Code 280.2010
Hospice Services
Section 280
Section 280.2010Â Hospice
Services
a)Â Â Â Â Â Â Â Â The hospice care team shall be responsible for ensuring that
all services are provided in accordance with the patient care plan. Services shall
be provided directly by the hospice or through written contracts with other
providers. Â A comprehensive or volunteer hospice shall comply with the
following:
1)
The
hospice program shall foster independence of the patient and his
/her
family by providing training, encouragement and support so that the patient and
family can care for themselves as much as possible.
(Section 8(f) of the
Act).
2)
The hospice program must have functioning hospice care
teams that develop the hospice patient plans of care in accordance with the
standards for certification under the Medicare program set forth in the
Conditions of Participation in 42 CFR 418
. (Section 8(c) of the Act)
3)
A
hospice patient's plan of care must be established and maintained for each
individual admitted to a hospice program, and the services provided to an
individual must be in accordance with the individual's plan of care. The plans
of care must be established and maintained in accordance with the standards for
certification under the Medicare program set forth in the Conditions of
Participation in 42 CFR 418.
(Section 8(c-5) of the Act)
A)Â Â Â Â Â Â Â Each
hospice shall ensure that there is a written plan of care for each patient.Â
The hospice care team shall complete an assessment of the care needs and
evaluate the ability of the patient to be cared for in his/her place of
residence
.
B)Â Â Â Â Â Â Â The
plan shall be updated based on ongoing assessments by the hospice care team.
C)Â Â Â Â Â Â Â The
patient care plan shall provide for involvement of the family and others in
treatment
.
D)Â Â Â Â Â Â Â Each
hospice providing services to a patient in both the home setting and the
inpatient setting shall have written policies and procedures to share the
written plan of care between both settings to facilitate continuity of care
.
4)
The
hospice program's services shall include
nursing services, medical
social work services, bereavement services,
and volunteer services.Â
These services shall be coordinated with those of the hospice patient's
attending physician and shall be substantially provided by hospice program
employees. The hospice program must provide these services in a manner
consistent with the standards for certification under the Medicare program set
forth in the Conditions of Participation in 42 CFR 418.
(Section 8(a) of
the Act)
5)
The
hospice program must make nursing services, medical social work services,
volunteer services and bereavement services available on a 24-hour basis to the
extent necessary to meet the needs of individuals for care that is reasonable
and necessary for the palliation and management of terminal illness and related
conditions. The hospice program must provide these services in a manner consistent
with the standards for certification under the Medicare program set forth in
the Conditions of Participation in 42 CFR 418.
(Section 8(a) of the Act)
6)
Hospice
services, as defined in Section 3
of the Act
, may be furnished in a home
or inpatient setting, with the intent of minimizing the length of inpatient
care. The home care component shall be the primary form of care and shall be
available on a part-time, intermittent, regularly scheduled basis.
(Section 8(a) of the Act)
7)Â Â Â Â Â Â Â Â The required hospice services are defined as follows:
A)       Nursing Services – Nursing services are responsible for
developing and implementing the diagnostic, therapeutic, and rehabilitative
plan as prescribed by the patient's attending physician. The nursing staff
shall provide care in the patient's place of residence; observe symptoms and
reactions; and meet the nursing care needs of the terminally ill. A registered professional
nurse shall perform the initial home care assessment. Nursing services shall be
provided under the supervision of a registered professional nurse.
B)       Medical Social Work Services – Medical social work services
shall be made available to the patient/family. An evaluation of the social
needs, such as environment, religious background, financial needs, psychosocial
needs, family, special activities, and psychological needs shall be conducted.Â
Social services shall be delivered by a social worker.
C)       Spiritual Counseling Services – The hospice program shall
provide, at a minimum, one counselor as defined in Section 280.1000 to provide
spiritual counseling services. Spiritual counseling services shall be made
available to the patient and family. The patient's religious beliefs and
practices shall be accommodated either by the hospice or with an outside
source.
The hospice program shall not impose the dictates of any value or
belief system on its patients
. (Section 8(g) of the Act)
D)       Bereavement Services – Each hospice shall provide bereavement
services to the families of hospice patients to the extent desired by the
family. Bereavement services may be coordinated with the family's clergy, if
any, as well as with other community resources judged by the hospice care team
to be useful to the family unless the family declines.
The bereavement
services must be provided in accordance with the standards for certification
under the Medicare program set forth in the Conditions of Participation in 42
CFR 418
. (Section 8(e) of the Act)
E)Â Â Â Â Â Â Â Volunteer
Services – The hospice program shall use volunteers in day-to-day
administration and/or direct patient care roles.
The hospice program shall
utilize the services of trained volunteers
in accordance with the
standards for certification under the Medicare program set forth in the
Conditions of Participation in 42 CFR 418
. Â (Section 8(j) of the Act)
F)        Alzheimer's Services – The hospice program shall provide
Alzheimer's disease and related dementias services in accordance with the Alzheimer's
Disease and Related Dementias Act and the Alzheimer's Disease and Related
Dementias Services Code.
8)        Nutritional Evaluation – The hospice program shall perform a nutritional
evaluation of the patient by a qualified individual, including, but not limited
to, a dietitian or nurse. This evaluation shall be reviewed by the hospice
care team. Consultation by a dietitian shall be available to the patient as
determined necessary by the hospice care team.
b)
Additional
requirements; comprehensive hospice program. In addition to complying with the
standards prescribed by the Department under Section 9
of the Act
and
complying with all other applicable requirements under
the
Act
and
this Part,
a comprehensive hospice program must meet the minimum standards
for certification under the Medicare program set forth in the Conditions of
Participation in 42 CFR 418.
(Section 8.5 of the Act)
c)
Additional
requirements; volunteer hospice program. In addition to complying with the
standards prescribed by the Department under Section 9
of the Act
and
complying with all other applicable requirements under
the
Act
and
this Part,
a volunteer hospice program must do the following:
1)
Provide
hospice care to patients regardless of their ability to pay, with emphasis on
the utilization of volunteers to provide services. Nothing in this
subsection
(c)(1)
prohibits a volunteer hospice program from employing paid staff,
however.
2)
Provide
services not required under Section 8(a)
of the Act
in accordance with
generally accepted standards of practice and in accordance with applicable
local, State, and federal laws.
3)
Include
the word "Volunteer" in its corporate name and in all verbal and
written communications to patients, patients' families and representatives, and
the community and public at large.
4)
Provide
information regarding other hospice care providers available in the hospice
program's service area.
(Section 8.10 of the Act)