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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 310. Oklahoma State Department of Health |
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Chapter 661. Hospice |
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Subchapter 5. Minimum Standards |
SECTION 310:661-5-2. Plan of care
Latest version.
- (a) A written plan of care shall be established and maintained for each patient admitted to a hospice program and the care provided to an individual shall be in accordance with the plan.(b) The plan shall be established by the attending physician, the medical advisor, and the interdisciplinary group.(c) The plan of care shall be reviewed and updated by the hospice team at intervals specified in the plan. These reviews shall be documented by the team members.(d) The content of the plan shall include an assessment of the patient's needs and identify the services provided. The plan shall state in detail the scope and frequency of services needed to meet the patient's and family's needs.(e) Continuous care shall be provided under a plan of care that shall be developed specifically to resolve the patient's medical crisis. These plans shall include:(1) Caregiver education;(2) Anticipated duration of the continuous care;(3) Necessity of continuous care;(4) Interventions required;(5) Identification of interdisciplinary team members developing the plan; and,(6) Physician orders for continuous care.