Policy Manual sample

MDT Home Health Care Agency, Inc. (e) Personal hygiene. Helping the patient with shaving. Assisting with oral, hair, skin and nail care. (f) Toileting. Reminding the patient about using the toilet, assisting him to the bathroom, helping to undress, positioning on the commode, and helping with related personal hygiene, including assistance with changing of an adult brief. Also includes assisting with positioning the patient on the bedpan, and helping with related personal hygiene. (g) Assistance with physical transfer. Providing verbal and physical cueing, physical assistance, or both while the patient moves from one position to another, for example between the following: a bed, chair, wheelchair, commode, bathtub or shower, or a standing position. Transfer can also include use of a mechanical lift, if a home health aide is trained in its use. (h) Assistance with self-administered medication, as defined in State Statutes. (28) “Caregiver” means a person who has been entrusted with or has assumed the responsibility for frequent and regular care of or services to a disabled adult or an elderly person on a temporary or permanent basis and who has a commitment, agreement, or understanding with that person or that person’s guardian that a caregiver role exists. Caregivers include, for example, relatives, household members, guardians, friends, neighbors, and employees and volunteers of facilities. (29) “Case management” means the initial assessment of the patient and caregiver for appropriateness of and acceptance for home health services; establishment and periodic review of a plan of care; implementation of medical treatment when ordered; referral, follow-up, provision of, evaluation of and supervision of care; coordination of services given by other health care providers; and documentation of all activities and findings. (30) “Drop-off site” means any location in any county within the geographic service area of the main office, pursuant to subsection in the State Statutes. (31) ”Financial instability” means the home health agency cannot meet its financial obligation. Evidence such as the issuance of bad checks or an accumulation of delinquent bills shall constitute prima facie evidence that the ownership of the home health agency lacks the financial ability to operate. Evidence also includes the Medicare or Medicaid program’s indications or determination of financial instability or fraudulent handling of government funds by the home health agency. (32) “Providing one service directly” means the agency must provide one service, in part, by direct employees. (33) Conditions of Participation (CoPs): set of rules and regulations required by Medicare & Medicaid program to participate in their programs. (34) Clinical Notes: means a notation of a contact with a patient that is written, timed, and dated, and which describes signs and symptoms, treatment, drugs administered and the patient’s reaction or response, and any changes in physical or emotional condition during a given period of time. (35) In advance: means that Agency staff must complete the task prior to performing any hands ‐ on care or any patient education. (36) Quality indicator: means a specific, valid, and reliable measure of access, care outcomes, or satisfaction, or a measure of a process of care. (37) Representative means the patient’s legal representative, such as a guardian, who makes Home Health Agency - - Introduction 6