DHS 131.29(2)(b) (b) Establish an organizational structure appropriate for directing the work of the hospice’s employees in accordance with the program’s policies and procedures.

DHS 131.29(2)(c) (c) Maintain a continuous liaison between the governing body and the hospice employees.

DHS 131.29(2)(d) (d) Ensure that employees are oriented to the program and their responsibilities, that they are continuously trained and that their performance is evaluated.

DHS 131.29(2)(e) (e) Designate in writing, with the knowledge of the governing body, a qualified person to act in his or her absence.

DHS 131.29 History History: CR 10-034: cr. Register September 2010 No. 657, eff. 10-1-10.

DHS 131.30 DHS 131.30 Professional management responsibility.

DHS 131.30(1) (1) Responsibility. The hospice is responsible for providing services to the patient or family, or both, based on assessed need and as established by the plan of care.

DHS 131.30(2) (2) Contract services. The hospice may contract with other providers for the provision of services to a patient or the patient’s family, or both, in which case the hospice shall retain responsibility for the quality, availability, safety, effectiveness, documentation and overall coordination of the care provided to the patient or the patient’s family, or both, as directed by the hospice plan of care. The hospice shall:

DHS 131.30(2)(a) (a) Ensure that there is continuity of care for the patient or the patient’s family, or both, in the relevant care setting.

DHS 131.30(2)(b) (b) Be responsible for all services delivered to the patient or the patient’s family, or both, through the contract. The written contract shall include all of the following:

DHS 131.30(2)(b)1. 1. Identification of the services to be provided.

DHS 131.30(2)(b)2. 2. Stipulation that services are to be provided only with the authorization of the hospice and as directed by the hospice plan of care for the patient.

DHS 131.30(2)(b)3. 3. The manner in which the contracted services are coordinated and supervised by the hospice.

DHS 131.30(2)(b)4. 4. The delineation of the roles of the hospice and service provider in the admission process, assessment, interdisciplinary group meetings and ongoing provision of palliative and supportive care.

DHS 131.30(2)(b)5. 5. A method of evaluation of the effectiveness of those contracted services through the quality assurance program under s. DHS 131.22.

DHS 131.30(2)(b)6. 6. The qualifications of the personnel providing the services.

DHS 131.30(2)(c) (c) Evaluate the services provided under a contractual arrangement on an annual basis.

DHS 131.30 History History: CR 10-034: cr. Register September 2010 No. 657, eff. 10-1-10.

DHS 131.31 DHS 131.31 Employees.

DHS 131.31(1) (1) Caregiver background checks. Each hospice shall comply with the caregiver background check and misconduct reporting requirements in s. 50.065, Stats., and ch. DHS 12, and the caregiver misconduct reporting and investigation requirements in ch. DHS 13.

DHS 131.31(2) (2) General requirements. Prior to beginning patient care, every employee or contracted staff shall be oriented to the hospice program and the job to which he or she is assigned.

DHS 131.31(3) (3) Orientation program. A hospice’s orientation program shall include all of the following:

DHS 131.31(3)(a) (a) An overview of the hospice’s goal in providing palliative care.

DHS 131.31(3)(b) (b) Policies and services of the program.

DHS 131.31(3)(c) (c) Information concerning specific job duties.

DHS 131.31(3)(d) (d) The role of the plan of care in determining the services to be provided.

DHS 131.31(3)(e) (e) Ethics, confidentiality of patient information, patient rights and grievance procedures.

DHS 131.31(4) (4) Duties. Hospice employees or contracted staff may be assigned only those duties for which they are capable, as evidenced by documented training or possession of a license or certificate.

DHS 131.31(5) (5) Continuous training. A program of continuing training directed at maintenance of appropriate skill levels shall be provided for all hospice employees providing services to patients and their families.