Sec.19-13-D73. Patient care plan

(a) Each medical or dental plan of treatment shall include, but not be limited to:

(1) All diagnoses or conditions, primary and secondary;

(2) Types and frequency of services and equipment required;

(3) Medications and treatments required;

(4) Prognosis, iuding rehabilitation potential;

(5) Functional limitations and activities permitted;

(6) Therapeutic diet.

(b) The medical or dental plan of treatment shall be reviewed as often as the severity of the patient's condition requires, but at least every sixty (60) days for all patients receiving one (1) or more skilled services. The original plan and any modifications shall be signed by the patient's physician or dentist within twenty-one (21) days. Agency professional staff shall promptly alert the patient's physician or dentist to any changes in the patient's condition that suggest a need to alter the plan of treatment.

(c) The plan for each service provided the patient and family shall include, but not be limited to:

(1) Assessment of patient and family needs as they relate to home health services;

(2) Goals of management, plans for intervention and implementation.

(d) The plan for each agency service shall be reviewed and revised as often as the patient's condition indicates and shall be signed by the primary care nurse and other service personnel at least every sixty (60) days.

(Effective September 20, 1978; Amended August 29, 1996)