Hospice Management Orientation and Annual Training Requirements.

(i)

Physician qualifications and responsibilities, including, but not limited to, the hospice Medical Director, hospice physician, and attending physician.

(ii)

Skilled nursing and licensed vocational nursing personnel qualifications and responsibilities.

(iii)

Social work and counseling personnel qualifications and responsibilities.

(iv)

Bereavement counseling personnel qualifications and responsibilities.

(v)

Volunteer qualifications and responsibilities.

(vi)

Home health aide qualifications and responsibilities.

(vii)

Inpatient care arrangements.

(i)

The responsibilities and administrative policies of the hospice's governing body, including development, administration, and required content.

(ii)

The responsibilities and qualifications of the hospice Administrator, Director of Patient Care Services, and Medical Director.

(i)

The Americans with Disabilities Act, The Civil Rights Act of 1991, The Rehabilitative Act of 1993, and The Family and Medical Leave Act of 1993.

(ii)

Employee and volunteer requirements, including, but not limited to, state and federal exclusion lists, health screenings, initial and annual competency evaluations, orientation, and education.

(iii)

The written agreement content requirements for contracted services including, but not limited to, vendor, facility, and provider services.

(iv)

The requirements for human resource policies and procedures and how they will be implemented.

(i)

Risk assessment.

(ii)

Training and testing.

(iii)

Implementation.

(iv)

Communication plan.

(v)

Evaluation.

(vi)

Compliance with state and federal statutory and regulatory requirements.

(i)

Infection control education to personnel, contracted providers, volunteers, patients, patient's families, and caregivers on the science of infectious disease transmission.

(ii)

Prevention measures to minimize the spread of infections and communicable diseases through daily activities such as hand hygiene, respiratory hygiene, cough etiquette and the use of personal protective equipment.

(iii)

Surveillance and monitoring for compliance with hospice policies and procedures related to infection control.

(iv)

Reporting all cases of outbreak or undue prevalence of infections or parasitic disease or infestation to the local health officer and the Department in accordance with applicable law.

(v)

Measures for investigating outbreaks.

(i)

Documentation required for hospice patients or patient's families to submit a complaint.

(ii)

Investigation and review of received complaints.

(iii)

Follow-up requirements to resolve a complaint.

(iv)

Safety management, such as real or potential threats to the health or safety of personnel or patients.

(v)

Criminal misconduct, including investigation and reporting requirements of abuse, neglect, and exploitation to the appropriate law enforcement agency.

(i)

Training to personnel, contracted providers and volunteers on how to prevent fraud, waste and abuse. Personnel, contracted providers, and volunteers must also be trained on how and when to report instances or allegations of fraud, waste, and abuse in accordance with applicable state and federal reporting requirements.

(ii)

Surveillance and monitoring for compliance with hospice policies and procedures related to fraud, waste, and abuse.

(iii)

Patient rights and protection from retaliation by personnel, contracted providers, or volunteers.

(i)

Required content, pursuant to section 74892.

(ii)

Proper documentation of services, pursuant to section 74892.

(iii)

Proper storage and maintenance, pursuant to sections 74892 and 74896.

(iv)

The Health Insurance Portability and Accountability Act requirements, including, but not limited to, the privacy rule requirements pursuant to Title 45 of the Code of Federal Regulations parts 160 and 164, subparts A and E; the security rule requirements pursuant to Title 45 of the Code of Federal Regulations parts 160 and 164, subparts A and C; the breach notification rule requirements pursuant to Title 45 of the Code of Federal Regulations part 164, subpart D; and the confidentiality of substance use disorder patient records pursuant to Title 42 of the Code of Federal Regulations part 2, subpart A, if applicable.

(v)

California confidentiality laws including, but not limited to, the confidentiality of medical information requirements pursuant to the Confidentiality of Medical Information Act; medical breach reporting requirements pursuant to Health and Safety Code section 1280.15; patient rights to access health records pursuant to Health and Safety Code Division 106, Part 1, Chapter 1; patient human immunodeficiency virus testing protections pursuant to Health and Safety Code Division 105, Part 4, Chapter 7; and the Information Practices Act of 1977, if applicable.

(i)

Prescribing.

(ii)

Dispensing.

(iii)

Administering.

(iv)

Accountability, including, but not limited to, receipt and reconciliation of controlled substances.

(v)

Storage.

(i)

Policies and procedures.

(ii)

Required notifications including, but not limited to, change in advance directives, change in address or telephone number, or a problem or dissatisfaction with patient care.

(iii)

Uniform Health Care Decisions Act requirements.

(iv)

California End of Life Option Act requirements.