Ariz. Admin. Code § 9-10-608

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-10-608 - Care Plan

A. An administrator shall ensure that a care plan is developed for each patient:

1. Based on the:

a. Assessment of the:

i. Patient; and

ii. Patient's family, if applicable;

b. Hospice service agency's or inpatient hospice facility's scope of service;

2. With participation from a:

a. Physician,

b. Registered nurse, and

c. Another personnel member as designated in R9-10-612(A)(4); and

3. That includes:

a. The patient's diagnosis;

b. The patient's health care directives;

c. The patient's cognitive awareness of self, location, and time;

d. The patient's functional abilities and limitations;

e. Goals for pain control and symptom management;

f. The type, duration, and frequency of services to be provided to the patient and, if applicable, the patient's family;

g. Treatments the patient is receiving from a health care institution or health care professional other than the hospice, if applicable;

h. Medications ordered for the patient;

i. Any known allergies;

j. Nutritional requirements and preferences; and

k. Specific measures to improve the patient's safety and protect the patient against injury.

B. An administrator shall ensure that:

1. A request for participation in a patient's care plan is made to the patient or patient's representative;

2. An opportunity for participation in the patient's care plan is provided to the patient, patient's representative, or patient's family; and

3. The request in subsection (B)(1) and the opportunity in subsection (B)(2) are documented in the patient's medical record.

C. An administrator shall ensure that:

1. Hospice services are provided to a patient and, if applicable, the patient's family according to the patient's care plan;

2. A patient's care plan is reviewed and updated:

a. Whenever there is a change in the patient's condition that indicates a need for a change in the type, duration, or frequency of the services being provided;

b. If the patient's physician orders a change in the care plan; and

c. At least every 30 calendar days; and

3. A patient's physician authenticates the care plan with a signature within 14 calendar days after the care plan is initially developed and whenever the care plan is reviewed or updated.

Ariz. Admin. Code § R9-10-608

New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.