State Codes and Statutes

State Codes and Statutes

Statutes > North-carolina > Chapter_131E > GS_131E-201

§ 131E‑201. Definitions.

As used in this Article, unless a different meaning or construction isclearly required by the context:

(1)        "Commission" means the North Carolina Medical CareCommission.

(2)        "Department" means the Department of Health andHuman Services.

(3)        "Hospice" means any coordinated program of homecare with provision for inpatient care for terminally ill patients and theirfamilies. This care is provided by a medically directed interdisciplinary team,directly or through an agreement under the direction of an identifiable hospiceadministration. A hospice program of care provides palliative and supportivemedical and other health services to meet the physical, psychological, social,spiritual, and special needs of patients and their families, which areexperienced during the final stages of terminal illness and during dying andbereavement.

(3a)      "Hospice inpatient facility" means a freestandinglicensed hospice facility or a designated inpatient unit in an existing healthservice facility which provides palliative and supportive medical and otherhealth services to meet the physical, psychological, social, spiritual, andspecial needs of terminally ill patients and their families in an inpatientsetting.

(4)        "Hospice patient" means a patient diagnosed asterminally ill by a physician licensed to practice medicine in North Carolina,who the physician anticipates to have a life expectancy of weeks or months,generally not to exceed six months, and who alone, or in conjunction withdesignated family members, has voluntarily requested and been accepted into alicensed hospice program.

(5)        "Hospice patient's family" means the hospicepatient's immediate kin, including a spouse, brother, sister, child, or parent.Other relations and individuals with significant personal ties to the hospicepatient may be designated as members of the hospice patient's family by mutualagreement among the hospice patient, the relation or individual and the hospiceteam.

(5a)      "Hospice residential care facility" means a freestandinglicensed hospice facility which provides palliative and supportive medical andother health services to meet the physical, psychological, social, spiritual,and special needs of terminally ill patients and their families in a groupresidential setting.

(5b)      "Hospice services" means the provision ofpalliative and supportive medical and other health services to meet thephysical, psychological, social, spiritual, and special needs of patients andtheir families, which are experienced during the final stages of terminalillness and during dying and bereavement.

(6)        "Hospice team" or "Interdisciplinaryteam" means the following hospice personnel: physician licensed topractice medicine in North Carolina; nurse holding a valid, current license asrequired by North Carolina law; social worker; clergy member; and trainedhospice volunteer. Other health care practitioners may be included on the teamas the needs of the patient dictate or at the request of the physician. Otherproviders of special services may also be included as the needs of the patientdictate.

(7)        "Identifiable hospice administration" means anadministrative group, individual, or legal entity that has an identifiableorganizational structure, accountable to a governing board directly or througha chief executive officer. This administration shall be responsible for themanagement of all aspects of the program.

(8)        "Palliative care" means treatment directed atcontrolling pain, relieving other symptoms, and focusing on the special needs ofthe patient and family as they experience the stress of the dying process,rather than the treatment aimed at investigation and intervention for thepurpose of cure or prolongation of life. (1983 (Reg. Sess., 1984), c. 1022, s. 1; 1993, c. 376, s. 5; 1997‑443,s. 11A.118(a).)