Every finding on record at Abbeville Area Medical Center

Upon Policy and Procedure review, the policy did not have evidence of a process for ensuring, tracking and documenting the COVID19 vaccination status of all personnel for the following criteria: • A process for ensuring all personnel (except for those personnel who have pending requests for, or who have been granted exemptions to the vaccination requirements, or those personnel for whom COVID-19 vaccination must be temporarily delayed, as recommended by CDC due to clinical precautions and considerations) have received at a minimum, a single dose COVID-19 vaccine, or the first dose of the primary vaccination series for a multi-dose COVID19 vaccine prior to providing any care, treatment or other services for the Hospice and/or its patients. • A process for ensuring that all personnel are fully vaccinated, except for those personnel who have been granted exemptions to the vaccination requirements, or those personnel for whom COVID-19 vaccination must be temporarily delayed, as recommended by the CDC, due to clinical precautions and considerations. • A process for ensuring implementation of additional precautions, intended to mitigate the transmission, and spread of COVID-19 a, for all personnel who are not fully vaccinated for COVID-19. • A process for tracking and securely documenting the COVID-19 vaccination status of all personnel. • A process for tracking and securely documenting the COVID-19 vaccination status of any personnel who have obtained any booster doses as recommended by CDC. • A process by which personnel may request an exemption from the personnel COVID-19 vaccination requirements based on an applicable federal law. • A process for tracking and securely documenting information provided be those personnel who have requested, and for whom the Hospice has granted an exemption from the personnel COVID-19 vaccination requirements. • A process for ensuring that all documentation, which confirms recognized clinical contraindications to COVID-19 vaccines, and which supports personnel requests for medical exemptions from vaccination, has been signed and dated by a licensed practitioner, who is not the individual requesting the exemption, and who is acting within their respective scope of practice as defined by, and in accordance with, all applicable state and local laws, and for further ensuring that such documentation contains: - All information specifying which of the authorized COVID-19 vaccines are clinically contraindicated for the personnel member to receive and the recognized clinical reasons for the contraindications; and - A statement by the authenticating practitioner recommending that the personnel member be exempted from the Hospice's COVID-19 vaccination requirements for personnel based on the recognized clinical contraindications. • A process for ensuring the tracking and secure documentation for the vaccination status of personnel for whom COVID -19 vaccines must be temporarily delayed as recommended by CDC, due to clinical precautions and considerations, including, but not limited to, individuals with acute illness secondary to COVID-19, and individuals who received monoclonal antibodies or convalescent plasma for COVID-9 treatment; and • Contingency plans for personnel who are not fully vaccinated for COVID-19. The administrator and/or Clinical director could not provide evidence of the aforementioned processes.