Policy Manual sample

MDT Home Health Care Agency, Inc. SCOPE OF SERVICES AND SERVICES TO BE PROVIDED POLICY: To establish Agency’s Basis and Scope of services. Basis: Our Agency will meet in order to participate in the Medicare, Medicaid program and which, along with the additional requirements set forth in the CoPs, are considered necessary to ensure the health and safety of patients. Also will be implemented a standard institutional planning that facilitate this compliance We will directly provide case management by a Registered Nurse (RN) to determine type, appropriateness and adequacy of requested services to include at a minimum an initial home visit for assessment of the patient's needs and compliance with our patient care plan. Following our acceptance of a case, the Director of Nursing, Clinical Manager or designee Registered Nurse, Registered Physical Therapist shall, within 48 hours of the acceptance of the case, make an initial home visit to assess/evaluate the patient's needs as well as plan for adequate case management (including all discipline ordered), and will also complete an OASIS assessment if required. This initial visit to assess or evaluate the case in question shall be carried out by the Director of Nursing, Clinical Manager or by a Registered Nurse or Registered Physical Therapist. Appropriate patient assessment forms shall be filled out by the RN/RPT who, in consultation with the patient's physician, PA, advanced registered nurse practitioner (ARNP), shall plan for the homemanagement of the patient as approved and recommended by the patient's physician. Both the RN/RPT and the physician, PA or ARNP (Advanced Registered Nurse Practitioner), acting within their scope of practice, shall sign the patient's "Plan of Care” form, and this form shall then represent the official authorization for provision of services by our agency. Federal regulation require that the Plan of care must be signed by the patient’s physician. Compliance with this requirement is in accordance with guidelines as set forth by the Office of Licensor and Regulation. Our Agency shall guarantee the 24 hours of services to all of our patients and fast response to any Emergency after regular business hours, through 24 hrs pager/cellular from our Administrator/Director of Nursing, Clinical Manager, both are responsible to coordinate the services in compliance with all patient’s needs. Also, in keeping with acceptable practices as outlined by the Office of Licensure and Regulation, this initial patient care Plan of Care shall be reviewed at least once every sixty (60) days to determine the appropriateness of services continuation, modification or termination. In all cases of such a review, both the patient's physician, PA, or ARNP (Advanced Registered Nurse Practitioner), acting within their scope of practice, and our agency's Director of Nursing, Clinical Manager, or qualified designee (Alternate Director of Nursing or RN Case Manager) shall affix their signatures to the Plan of Care form in order to authenticate the decision. MDT Home Health Care Agency, Inc. shall provide the following services: Services furnished. (1) Skilled nursing services and at least one other therapeutic service (physical therapy, speech - language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis, in a place of residence used as a patient’s home. Our agency will provide at least one of the services described in this subsection directly, but may provide the second service and additional services under arrangement with another agency or organization. (2) All HHA services will be provided in accordance with current clinical practice guidelines and accepted professional standards of practice. Our Agency state explicitly what services will be provided directly by agency employees or by contracted personnel, if services are provided by contract. Our home health agency shall provide at least one service directly to our patients. Home Health Agency Policies A-12