Homecare Administrative Policy & Procedure Manual

Chapters

INTRODUCTION

ADMINISTRATIVE

PATIENT RIGHTS

HIPAA – PRIVACY POLICIES

MEDICAL SUPERVISION

COORDINATION OF CARE

CLINICAL RECORDS

INFECTION CONTROL

PERFORMANCE IMPROVEMENT

HUMAN RESOURCES



Introduction

Definitions

Description of Services

Geographic Area

Mission Statement

Services Provided – Scope of Services


Administrative

Abuse Neglect Assessment and Reporting
Administrative Control
Agency Evaluation – Policy
Agency Evaluation - Tool
Approval of Policy and Procedure
Authorization in Absence of Administrator

Budget Policy

Code of Ethics
Communication
Communication Form
Complaints and Grievances
Complaint Log
Conflict of Interest
Conflict of Interest Form
Contractual Agreements
Contractual Agreement Evaluation Form
Corporate Compliance
Corporate Compliance Program
Corporate Responsibility and Confidentiality Statement

Electronically Generated Signatures
Emergency Plan - Acuity
Ethical Issues

Financial Management
Financial Management – Billing and Collections
Fire Plan

Governing Body

Incident Reports
Incident Report (Form)
Intermediary Requests – ADR / Denials

Line of Authority

On Call Responsibilities
Organizational Structure - Chart

Professional Advisory Board

Remuneration and Referrals

Standards of Practice
Staffing and Productivity

Verification of Electronically Generated Signature

Workplace Violence


Patient Rights

Advanced Beneficiary Notice
Advanced Beneficiary Notice and Expedited Appeals Process
Advance Directive

Communication to Persons with Limited English Proficiency
Communication to Persons with Sensory Impairments
Communication with non-English or Sensory Impaired

Informed Consent

Notice of Medicare Non-Coverage
Notice of Medicare Non-Coverage Form

OASIS Statement of Privacy –Medicare
OASIS Statement of Privacy –Non-Medicare

Patient Rights – Policy
     Patient Bill of Rights
    Notification of Patient Rights/Responsibilities / Advance Directives


HIPAA - Privacy Policies

De-Identification of PHI
Delivery of Notice of Privacy Practices
Disclosure of Protected Health Information to Another Covered Entity
Disclosures of Protected Health Information to Personal Representatives

Electronic and Telephonic Communications
Electronic Protected Health Information

Privacy Notice
Patient Authorization to Use and Disclose Patient Information

Right to Request Amendment of Protected Health Information
Right to Accounting
Right to Inspect and Copy Protected Health Information
Right to Request Confidential Communications
Right to Request Restriction of Medical Information

Safeguarding Protected Health Information

Verification of Individuals’ Requesting Protective Health Information


Medical Supervision

Acceptance of Physician Orders

MD Progress Report – 60 Day Summary
Medical Supervision

Plan of Care – Physician Orders


Coordination of Care

Abbreviations – Acceptable
Abbreviations – Medication Do Not Use
Admission Criteria
Admission Visit, Staff Assignment
Aide Services
Aide Supervisory Visit
Assessment, Comprehensive
Assessment Guidelines
Assessment, Initial Patient

Behavioral Healthcare Assessment

Care of the Dying Patient
Case Conferences, Patient
CLIA Lab Testing
Coordination of Services – Aide Coordination
Coordination of Services – Medical Social Worker (MSW)
Coordination of Services – Occupational Therapy (OT)
Coordination of Services – Patient Care
Coordination of Services – Physical Therapy (PT)
Coordination of Services – Skilled Nursing
Coordination of Services – Speech Therapy (ST)
Coordination of Services – Therapy Services

Discharge Planning, Patient
Discharge, Patient
Do Not Resuscitate
Duplication of Services

Education – Patient/ Family – Agency Philosophy
Education – Patient / Family – Assessment
Education - Patient/Family – Resources
Emergency Care of Patient

Glucometer Quality Control Testing

Intravenous Therapy

Lab Services – Procedures
Lab Services –Staff Requirements
Lab Specimen- Transporting of

Medication –Administration of
Medication – Adverse Drug Reaction
Medication-Delivery

Medication Administration of Blood products
Medication Administration, Approved for Administration
Medication Errors
Medication- Guidelines for Possession of Drugs
Medication Regimen Review

Referral Process

Transfer, Patient


Clinical Records

Authorization – Authentication of entries, Clinical Record

Confidentiality of, Clinical Records
Contents of, Clinical Records

Electronic Signature

Keeping of, Clinical Records

Oasis Data Entry and Transmission

Submission of Patient Documentation


Infection Control

Bag Technique Procedure

Communicable Disease, reporting of

Disposal of Sharps

Equipment, Bag Supplies
Exposure Control Plan

Handwashing
Hazardous Materials and Waste

Infection Control
Infection Surveillance Report

Personal Protective Equipment

Standard Precautions

TB Exposure Control Plan
TB Symptom Screen


Performance Improvement

Clinical Record review
Confidentiality of – PI
Customer Satisfaction
Customer Satisfaction Letter
Customer Satisfaction Survey

OASIS Data Quality Review
Outcome Based Quality Monitoring Review

Performance Improvement Policy


Human Resources

Annual Mandatory Training

Cell Phone Use

Employee Personnel Files
Employment Process
Employee Health

HR Audit

In-service Programs
Introductory Period

Performance Evaluations, Employee

Administrative Policy/Procedure Manual