Statewide Variance
Approval for HSS 131.42(1)(b)
PDF Version
of BQA 99-034 (PDF, 6 KB)
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Date: June 30, 1999 DSL-BQA-99-034
To: Hospice Providers HSPCS 9
From: Rita Prigioni, Interim Director, Bureau of Quality Assurance
Effective immediately, the Bureau of Quality Assurance (BQA) has
initiated the option for hospice providers to be granted a variance to Wisconsin
Administrative Code, Section HSS 131.42(1)(b).
The registered nurse shall immediately record and sign a physician’s oral
orders and shall obtain the physician’s countersignature within 10 days.
BQA will allow a variance to the "10 days" requirement of the code.
Specifically, the variance we have granted allows the hospice providers to have
20
calendar days to obtain the physician’s countersignature on verbal orders.
This variance will not require a separate request for approval, but will be evaluated in
each hospice at the time of survey. This code will be revised in future revisions of HSS
131.
The use of this variance must not jeopardize the health, safety or welfare of any of
the hospices’ clients. The Bureau has the authority to rescind this variance at any
time.
If you have questions or concerns regarding this variance contact Jim Sniff, Unit
Supervisor, Health Services Section, at (608) 267-7389 (replaced by Jan
Heimbruch, (608) 243-2086); or Barbara Woodford, Nurse
Consultant, Provider Regulation & Quality Improvement Section, at (715)
855-7310 (replaced by Marianne Missfeldt, (715) 836-4036).
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