Home Infusion Administrative Policy Manual

Chapters

INTRODUCTION

ADMINISTRATIVE

PATIENT RIGHTS

HIPAA – PRIVACY POLICIES

MEDICAL SUPERVISION

COORDINATION OF CARE

CLINICAL RECORDS

INFECTION CONTROL

PERFORMANCE IMPROVEMENT

HUMAN RESOURCES

PHARMACY OPERATIONS


Introduction


Geographic Area

Mission Statement

Services Provided – Scope of Services


Administrative

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

Billing Procedure for Co-pay/Deductibles
Bioterrorism Plan
Budget Policy

Cellular Telephone/Road Safety Tips
Communication
Communication Form
Competency Process
Complaints and Grievances
Complaint Log
Conflict of Interest
Conflict of Interest Form
Contractual Agreements
Contractual Agreement Evaluation Form
Corporate Compliance
Corporate Responsibility and Confidentiality Statement

Emergency Plan - Acuity
Emergency Preparedness Plan
Emergency Preparedness Policy
Ethical Issues
External References and Information

Financial Management
Financial Management – Billing and Collections
Financial Solvency
Fire Plan

Governing Body

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

License Verification
Line of Authority

MSDS Policy and Annual Review

Non-Discrimination

Operational Policies
Organizational Structure - Chart

Pharmacy and Office Safety
Professional Advisory Board
Public Disclosure

Record Keeping Personnel and Financial Records
Remuneration and Referrals

Staffing and Productivity
Staff Safety

Waiver Guidelines


Patient Rights

Advanced Beneficiary Notice
Advance Directive

Communication with non-English or Sensory Impaired

Informed Consent
Informed Consent Patient Form
Informed Consent Patient Form - Spanish

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

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

Verbal Orders


Coordination of Care

Abbreviations – Acceptable
Abbreviations- Medication Do Not Use
Active Clients
Admission Checklist
Admission Criteria
Admission Visit, Staff Assignment
After Hours Coverage
After Hours Service
Assessment Guidelines
Assessment, Initial Patient

Care of the Dying Patient
Case Conferences, Patient
CLIA Lab Testing
Clinical Rounds

Discharge Checklist
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

Interagency Care Coordination
Intravenous Therapy

Lab Services – Procedures
Lab Services –Staff Requirements
Lab Specimen- Transporting of
List of Medical Abbreviations Not to be Used

Medication –Administration of
Medication – Adverse Drug Reaction
Medication-Delivery
Medication Administration, Approved for Administration
Medication Errors

Medication- Guidelines for Possession of Drugs
Medication Regimen Review

Nutritional Care

On Call Nursing Progress Notes

Patient Intake Form
Pre-Admission Criteria

Referral and Intake
Referral Form - Fax
Referral Process

Safe Medication Practices Acceptable Abbreviations

Transfer, Patient
Translation Communication Policy


Clinical Records

Authorization – Authentication of entries, Clinical Record

Confidentiality of, Clinical Records
Contents of, Clinical Records

Electronic Signature

Keeping of, Clinical Records

Medical Record Thinning

Record Keeping -Patient Chart
Record Storage


Infection Control

Bag Technique Procedure

Communicable Disease, reporting of

Disposal of Sharps

Equipment, Bag Supplies
Exposure Control Plan
Employee Exposure Classification

Handwashing
Hazard Communication Program
Hazardous Materials and Waste

Infection Control
Infection Surveillance Report

Personal Protective Equipment

Standard Precautions

Tuberculosis Exposure Control Plan
TB Symptom Screen


Performance Improvement

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

Patient Tuberculosis Protocol
Performance Improvement Policy

Medical Device Reporting

Medical Device form 3500

OSHA form 300


Human Resources

Annual Mandatory Training
AIDS/HIV, Hepatitis B Employee Training

Bloodborne Pathogen Employee Training Contract

Cell Phone Use

Disclosure of Beliefs

Education Plan
Employee Community Safety
Employee Health
Employee ID Badge
Employee OSHA Training Form
Employee Personnel Files
Employment Process
Employee Tuberculosis Protocol

Fraud Criminal Conduct

Hepatitis B Policy
HR Audit

In-service Programs
Introductory Period

Job Description - Assistant Administrator
Job Description - Branch Manager
Job Description - Director of Nursing/Administrator
Job Description - Director of Pharmacy
Job Description - General Manager
Job Description - Infusion Nurse Specialist RN
Job Description - Patient Services Representative
Job Description - Pharmacist
Job Description - Pharmacist-in-Charge
Job Description - President
Job Description - Reimbursement Specialist
Job Description - Warehouse/Driver

Performance Evaluations, Employee
Pre-Employment Physical

Safety Tips
Separation from Employment

TB Employee Protection Policy
TB Self Inspection Survey
TB Skin Testing


Pharmacy Operations

Adult Infusion Reaction Protocol
Adverse Drug Reactions

Client Returns
Communication/Progress Notes

Delivery Process
Dispensing
Disposal of Materials
Destination/Delivery Log
Drug Loss or Theft

Emergency Drug Box
Emergency Drug Procurement
Employee DME Validation
Equipment Loan Agreement

First Dosing

General Compounding Guidelines
     Reconstitution of a Drug in a Vial
     Withdrawal and Transfer of Fluid Contents from a Vial
     Withdrawal and Transfer of Fluid Contents from an Ampule
     Filling Small Volume Parenteral Solutions into Minibags
     Filling Small Volume Parenteral Solutions into Cassettes
     Filling an Elastomeric Infusion Device
     Antibiotic Compounding

Handling and Care of DME
Health Requirement for Pharmacy
     Compounding Area
Horizontal Hood Cleaning Log

Investigational Drugs/Devices

Medical Device Problem Reporting
Medication Profile
Medication Related Errors

Pediatric Infusion Reaction Protocol
Pharmacy Cleaning Log
Pick Lists/Delivery Tickets
Pump Selection
Prefilling Insulin Syringes Penalty
Pharmacy Prepared Sterile Products
Pharmacy References
Pharmacy Initial Assessment
Patient Monitoring
Patient/Caregiver Education
     Drug Information Sheets
Purchasing/Inventory Control
Product Recalls

Quality Control
Quality Control-Personnel Validation
QC-Personnel Validation Record

Record Keeping-Prescription Files
Record Keeping-Controlled Substances
Return of Goods to Vendor

Standardized Labeling
Stability Guidelines for Drugs and Admixture Products
Storage and Handling

Administrative Policy/Procedure Manual