REVIEW OF PLAN OF CARE. (a) Hospice staff shall review the integrated plan of care at least every 2 weeks after the initiation of services or at more frequent intervals specified in the plan, and more frequently in response to a significant change in the individ- ual’s condition. If the core team determines that the written goals and interventions are not effective in meeting the needs of the patient or the patient’s family, or both, or that their needs have changed, the plan of care shall be revised to provide for updated goals and intervention strategies to meet those needs. Any revi- sion shall include outcomes expected and dates for evaluation as provided under sub. (3) (b) 5. All members of the hospice core team shall participate in the plan of care review. The plan of care shall be updated as necessary.
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Samples: docs.legis.wisconsin.gov, docs.legis.wisconsin.gov, docs.legis.wisconsin.gov
