77 Ill. Adm. Code 280.2080
Hospice Program Care
Section 280
Section 280.2080Â Hospice
Program Care
a)
The
hospice program shall coordinate its services with professional and
nonprofessional services already in the community.
(Section 8(b) of the
Act)
b)
The
hospice
program may contract out for elements of its services.
(Section
8(b) of the Act)
If services are contracted, the hospice care team is
responsible for maintaining direct patient contact and overall coordination of
hospice services.
c)
Any
contract entered into between a hospice and a health care facility or service
provider shall specify that the hospice care team retains the responsibility
for planning and coordinating hospice services and care on behalf of a hospice
patient and his
/her
family.
(Section 8(b) of the Act)
.
d)
All
contracts shall be in compliance with
the
Act.
e)
No
hospice
that
contracts for any hospice services shall charge fees for
services provided directly by the hospice care team
that
duplicate
contractual services provided to the individual patient or his
/her
family.
(Section 8(b) of the Act)
f)
The
hospice program must fully disclose in writing to any hospice patient, or to
any hospice patient's family or representative, prior to the patient's
admission, the hospice services available from the hospice program and the
hospice services for which the hospice patient may be eligible under the
patient's third-party payer plan (that is, Medicare, Medicaid, the Veterans
Administration, private insurance or other plans).
(Section 8(a-10) of the
Act)
g)Â Â Â Â Â Â Â Â Each hospice program shall develop written policies and
procedures for admissions and discharges, the function of the hospice care team,
and the development of the patient care plan.
1)Â Â Â Â Â Â Â Â Admissions to the hospice program shall be limited to
interested individuals who have been determined by their attending physician as
having a terminal illness for which palliative care is considered the
appropriate medical regimen.
2)Â Â Â Â Â Â Â Â Restrictions by geographic areas must be clearly stated by
each hospice program.
3)Â Â Â Â Â Â Â Â Upon admission, the hospice care team shall coordinate an
evaluation of the patient's physical, medical, spiritual, social and
psychological needs. The patient and the hospice patient's family shall be
evaluated to determine the unit of care.
4)Â Â Â Â Â Â Â Â Hospice services are voluntary and may be refused or stopped
in accordance with written policies and procedures. The patient may request a
return to curative treatment, at which time the need for hospice services is to
be re-evaluated.
h)Â Â Â Â Â Â Â Â Function
of the Hospice Care Team
1)Â Â Â Â Â Â Â Â Each comprehensive
hospice will have, at a minimum, an interdisciplinary working unit called the
hospice care team. This unit shall be composed of, at a minimum, the attending
physician, a nurse, a social worker, a counselor, and trained volunteers. The
patient, patient's physician and patient's family are considered members of the
hospice care team when development or revision of the patient's plan of care
takes place.
2)Â Â Â Â Â Â Â Â Each
volunteer hospice shall have a hospice care team consisting of staff from each
of the services provided. The patient, patient's attending physician and
patient's family are considered members of the hospice care team when
development or revision of the patient's plan of care takes place. The hospice
care team must participate in the development of every patient care plan. The
hospice care team must establish a procedure to review each patient care plan
on an ongoing basis, but at least monthly.
i)Â Â Â Â Â Â Â Â Â Patient
Care Plan
1)Â Â Â Â Â Â Â Â Each comprehensive
and volunteer hospice shall ensure that there is a written plan of care for
each patient. The hospice care team will complete an assessment of the care
needs and evaluate the ability of the patient to be cared for in his/her place
of residence.
2)Â Â Â Â Â Â Â Â The plan
shall be updated based on ongoing assessments by the hospice care team.
3)Â Â Â Â Â Â Â Â The
patient care plan shall provide for involvement of the family in treatment.
4)Â Â Â Â Â Â Â Â Each comprehensive
hospice or volunteer hospice providing services to a patient in both the home
setting and the inpatient setting must have written policies and procedures to
share the written plan of care between both settings to facilitate continuity
of care.