Policy Manual sample

MDT Home Health Care Agency, Inc. POLICY ON PLAN OF CARE, MEDICAL SUPERVISION MDT Home Health Care Agency, Inc. accepts patients for treatment on the basis of a reasonable expectation that the patient's medical, nursing and social needs can be met adequately by the agency in the patient's place of residence. Care follows a written Plan of Care established and periodically reviewed by a physician, Physician Assistant or advanced registered nurse practitioner (ARNP), (acting within their respective scope of practice ), and care continues under the general supervision of a physician, PA, or ARNP, who must be approve and sign the POC, within 30 days, if possible, but always before billing. The client’s services is not billable until the POC is signed. a) Policy on Plan of Care. This agency's Plan of Care has been developed in consultation with the agency's staff/physician/PA, ARNP (acting within their respective scope of practice), shall contain a list of individualized specific goals for each skilled discipline that provides patient care, with implementation plans addressing the level of staff who will provide care, and covers all pertinent diagnoses, including: (i) Mental status; (ii) Types of services and equipment required; (iii) Frequency of visits; (iv) Prognosis; (v) Rehabilitation potential, Discharge planning; (vi) Functional limitations; (vii) Activities permitted; (viii) Nutritional requirements; (ix) Medications and treatments; (x) Any safety measures to protect against injury; (xi) Instructions for timely discharge or referral; (xii) Any other appropriate items as identified, such as laboratory procedures and/or any contradictions or precautions to be observed. Our staff shall follow the physician’s treatment orders that are contained in the plan of care. If the order cannot be followed and must be altered in some way, the patient’s physician must be notified and must approve of the change. Any verbal changes, reinstatement orders, are put in writing and signed and dated with the date of receipt by the nurse or therapist who talked with the physician’s office. If a physician refers a patient under Plan of Treatment which cannot be completed until after an evaluation visit has been made, it is this agency's policy to consult with the patient's physician, PA, or ARNP,(acting within their respective scope of practice) in order to approve additions or modifications to the original plan. In the case of orders for therapy services, it is this agency's policy to include the specific procedures and modalities to be used and the amount, frequency and duration of same. The therapist and other agency personnel participate in developing the Plan of Care. Our Agency shall provide RN/Therapy supervisory visits to non-Medicare/Medicaid Patients, receiving Aide services in accordance with Patient’s direction and approval, for Medicare- Medicaid cases the supervisory visits will follow 14 days cycle, for Patients with skilled services, and every 60 days, for Personal Care/Custodian, Homemaker/Companion services. Home Health Agency Policies A-197