subch. II of ch. DHS 131Subchapter II — Patient Rights
DHS 131.17DHS 131.17Admission.
DHS 131.17(1)(1)Program description. A hospice shall have a written description of its program that clearly describes the general patient and family needs that can be met by the hospice, and that includes written admission policies that includes all of the following:
DHS 131.17(1)(a)(a) Clearly define the philosophy of the program.
DHS 131.17(1)(b)(b) Limit admission to individuals with terminal illness as defined under s. DHS 131.13 (24).
DHS 131.17(1)(c)(c) Clearly define the hospice’s limits in providing services and the settings for service provision.
DHS 131.17(1)(d)(d) Ensure protection of patient rights.
DHS 131.17(1)(e)(e) Provide clear information about services available for the prospective patient and his or her representative, if any.
DHS 131.17(1)(f)(f) Allow an individual to receive hospice services whether or not the individual has executed an advance directive.
DHS 131.17(2)(2)Program explanation.
DHS 131.17(2)(a)(a) A hospice employee shall inform the person and his or her representative, if any, of admission policies under sub. (1).
DHS 131.17(3)(3)Initial determination.
DHS 131.17(3)(a)(a) The hospice employee shall, based on the needs described by the person seeking admission or that person’s representative, if any, or both, make an initial determination as to whether or not the hospice is generally able to meet those needs.
DHS 131.17(3)(b)(b) If the hospice employee determines that the hospice does not have the general capability to provide the needed services, the hospice may not admit the person but rather shall suggest to the referring source alternative programs that may meet the described needs.
DHS 131.17(4)(4)Patient acknowledgement and hospice acceptance. The person seeking admission to the hospice shall be recognized as being admitted after:
DHS 131.17(4)(a)(a) Completion of the assessment under sub. (3).
DHS 131.17(4)(b)(b) Completion of a service agreement in which:
DHS 131.17(4)(b)1.1. The person or the person’s representative, if any, acknowledges, in writing, that he or she has been informed about admission policies and services.
DHS 131.17(4)(b)2.2. The hospice agrees to provide care for the person.
DHS 131.17(4)(b)3.3. The person or the person’s representative, if any, authorizes services in writing.
DHS 131.17(5)(5)Prohibition. Any person determined not to have a terminal illness as defined under s. DHS 131.13 (24) may not be admitted to the hospice.
DHS 131.17 HistoryHistory: CR 10-034: cr. Register September 2010 No. 657, eff. 10-1-10.
DHS 131.18DHS 131.18Discharge.
DHS 131.18(1)(1)Obligation. Once a hospice has admitted a patient to the program, and the patient or the patient’s representative, if any, has signed the acknowledgement and authorization for services under s. DHS 131.17 (4) (b), the hospice is obligated to provide care to that patient.
DHS 131.18(2)(2)Written policy. The hospice shall have a written policy that details the manner in which the hospice is able to end its obligation to a patient. This policy shall be provided to the patient or patient’s representative, if any, as part of the acknowledgement and authorization process at the time of the patient’s admission. The policy shall include all of the following as a basis for discharging a patient:
DHS 131.18(2)(a)(a) The hospice may discharge a patient:
DHS 131.18(2)(a)1.1. Upon the request or with the informed consent of the patient or the patient’s representative.
DHS 131.18(2)(a)2.2. If the patient elects care other than hospice care at any time.
DHS 131.18(2)(a)3.3. If the patient elects active treatment, inconsistent with the role of palliative hospice care.