Policy Manual sample

MDT Home Health Care Agency, Inc. 6. Consults with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor _________________________________________ 1 2 3 4 5 NA 7. Submits clinical notes no less often than weekly, and clinical notes and other clinical record forms outlining the services rendered as indicated ___________________________ 1 2 3 4 5 NA 8. Submits a tally of visits made each day____________________________________ 1 2 3 4 5 NA 9. Participates in case conferences _________________________________________ 1 2 3 4 5 NA 10. Discusses with the supervisor problems concerning the patients and how they may best be handled __________________________________________________________ 1 2 3 4 5 NA 11. Discusses with the supervisor the need for involvement of other members of the health team such as the home health aide, RN/LPN, physical therapist, speech therapist, occupational therapist, social worker, etc. ____________________________________________ 1 2 3 4 5 NA 12. Obtains orders for paraprofessional service and submits referral to appropriate personnel ___________________________________________________________ 1 2 3 4 5 NA 13. Participates in the patient's discharge planning process _______________________ 1 2 3 4 5 NA 14. Coordinates total patient care ___________________________________________ 1 2 3 4 5 NA 15. Cooperates with other agencies providing skilled or related services to provide continuity of care and to implement a comprehensive care plan ___________________________________________________________________ 1 2 3 4 5 NA 16. Participates in staff development meetings_________________________________ 1 2 3 4 5 NA 17. Continually strives to improve her service care by attending inservice education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading ___________________________________________________________________ 1 2 3 4 5 NA 18. Participates in the planning, operation and evaluation of the care services ___________________________________________________________________ 1 2 3 4 5 NA 19. Participates in the development and periodic revision of the physician's Plan of Treatment and processes change orders as needed __________________________ 1 2 3 4 5 NA 20. Participates in the patient's discharge planning process _______________________ 1 2 3 4 5 NA 21. Submits clinical notes within one (1) week (before Tuesday 5:00 pm), and progress reports and other clinical record forms outlining the services rendered as indicated _______________ 1 2 3 4 5 NA 22. Maintains an on-going knowledge of current drug therapy ____________________ 1 2 3 4 5 NA 23. Prepares the care plan for the Home Health Aide/Personal Care Aide, Pta, COTA _____________________________________________________________________ Employee/Contractor Signature ________________________________ Date ________ Evaluator ___________________________________________________ Date _________ Comments_________________________________________________________________________________________ Home Health Agency. - - Personnel/Operations Policies B-21