The hospice shall have a governing body that assumes full legal responsibility for

The hospice shall have a governing body that assumes full legal responsibility for determining, implementing and monitoring policies governing the hospice’s total operation. No contracts/arrangements or other agreements may limit or diminish the responsibility of the governing body. The governing body shall: 1. Designate an individual who is responsible for the day to day management of the hospice program; 2. Ensure that all services provided are consistent with accepted standards of practice; 3. Develop and approve policies and procedures which define and describe the scope of services offered; 4. Review policies and procedures at least annually revise them as necessary; and 5. Maintain an organizational chart that delineates lines of authority and responsibility for all hospice personnel.