Policy Manual sample

MDT Home Health Care Agency, Inc. Case Manager/DON reviews POC worksheet for correctness, accuracy and completeness (check worksheet against intake referal form) Case Manager/DON sends POC to Doctor's Office for signature Case Manager/DON enters the information about the POC into the outgoing POC Log Case Manager/DON signs POC Case Manager/DON receives POC from POC generation and checks for completeness Case Manager/DON sends edited POC worksheet to POC confection, where the POC is generated Managing POC POLICY ON PERIODIC REVIEW OF PLAN OF CARE POLICY: It is the policy of MDT Home Health Care Agency, Inc. to have the patient's total Plan of Treatment/Care (POC) reviewed by the attending physician and this agency's personnel as often as the severity of the patient's condition requires, but not less than once every 60 days. This agency's professional staff are prompt in alerting the physician to any changes that suggest a need to alter the Plan of Treatment. Review and revision of the plan of care. (1) The individualized plan of care must be reviewed and revised by the physician who is responsible for the home health plan of care and our HHA as frequently as the patient’s condition or needs require, but no less frequently than once every 60 days, beginning with the start of care date. Our HHA will promptly alert the relevant physician(s) to any changes in the patient’s condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered. (2) A revised plan of care must reflect current information from the patient’s updated comprehensive assessment, and contain information concerning the patient’s progress toward the measurable outcomes and goals identified by our HHA and patient in the plan of care. (3) Revisions to the plan of care must be communicated as follows: (i) Any revision to the plan of care due to a change in patient health status must be communicated to the patient, representative (if any), caregiver, and all physicians issuing orders for our HHA plan of care. (ii) Any revisions related to plans for the patient’s discharge must be communicated to the patient, representative, caregiver, all physicians issuing orders for our HHA plan of care, and the patient’s primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from our HHA (if any). Home Health Agency Policies A-202