DHS 131.21(3)(b)5.5. Medical supplies and appliances necessary to meet the needs of the patient. DHS 131.21(3)(b)6.6. The interdisciplinary group’s documentation of the patient’s or representative’s, if any, level of understanding, involvement, and agreement with the plan of care, in accordance with the hospice’s own policies, in the clinical record. DHS 131.21(3)(c)(c) Review of the plan of care. The hospice interdisciplinary group in collaboration with the individual’s attending physician, if any, shall review, revise and document the individualized plan as frequently as the patient’s condition requires, but no less frequently than every 15 calendar days. A revised plan of care shall include information from the patient’s updated comprehensive assessment and shall note the patient’s progress toward outcomes and goals specified in the plan of care. The hospice interdisciplinary group shall primarily meet in person to review and revise the individualized plan of care. DHS 131.21(3)(d)(d) Bereavement plan of care. The hospice core team shall review and update the bereavement plan of care, at minimum: DHS 131.21(3)(e)(e) Contents of the bereavement plan of care. The bereavement plan of care shall include all of the following: DHS 131.21(3)(e)4.4. Established timeframes for evaluating and updating the interventions. DHS 131.21(3)(f)(f) Record of notes. The core team shall develop a system for recording and maintaining a record of notes within the plan of care. DHS 131.21 HistoryHistory: CR 10-034: cr. Register September 2010 No. 657, eff. 10-1-10; CR 19-092: am. (2) (d) Register July 2020 No. 775, eff. 8-1-20. DHS 131.22DHS 131.22 Quality assessment and performance improvement. DHS 131.22(1)(a)(a) The hospice shall develop, implement, and maintain an effective, ongoing, hospice-wide data-driven quality assessment and performance improvement program. DHS 131.22(1)(b)(b) The hospice’s governing body shall ensure that the program reflects the complexity of its organization and services, involves all hospice services including those services furnished under contract or arrangement, focuses on indicators related to improved palliative outcomes, and takes actions to demonstrate improvement in hospice performance. DHS 131.22(1)(c)(c) The hospice shall maintain documentary evidence of its quality assessment and performance improvement program and be able to demonstrate its operation to the department. DHS 131.22(2)(a)(a) The program shall at least be capable of showing measurable improvement in indicators related to improved palliative outcomes and hospice services. DHS 131.22(2)(b)(b) The hospice shall measure, analyze, and track quality indicators, including adverse patient events, and other aspects of performance that enable the hospice to assess processes of care, hospice services, and operations. DHS 131.22(3)(a)(a) The program shall use quality indicator data, including patient care, and other relevant data, in the design of its program. DHS 131.22(3)(b)(b) The hospice shall use the data collected to do all of the following: DHS 131.22(3)(b)1.1. Monitor the effectiveness and safety of services and quality of care.