Policy Manual sample

MDT Home Health Care Agency, Inc. INFORMATION FOR OUR PATIENTS (Notice to clients right to report complaints/abuse) POLICY: To provide patient’s needed information and guidelines to report complaints and abuse. Written information to the patient. Our HHA will provide the patient and caregiver with a copy of written instructions outlining: (1) Visit schedule, including frequency of visits by HHA personnel and personnel acting on behalf of the HHA. (2) Patient medication schedule/ instructions, including: medication name, dosage and frequency and which medications will be administered by HHA personnel and personnel acting on behalf of the HHA. (3) Any treatments to be administered by HHA personnel and personnel acting on behalf of the HHA, including therapy services. (4) Any other pertinent instruction related to the patient’s care and treatments that the HHA will provide, specific to the patient’s care needs. (5) Name and contact information of our HHA clinical manager. Also: a) Grievance procedures, their right and phone numbers to report abuse, neglect, exploitation or any complaint (as part of our admission process) b) Information about emergency procedures c) Resources guide with useful phone numbers, and regulatory agency information d) Any other required and needed information than can help in the process of the care plan compliance. ELIGIBILITY: To be eligible for care, patients must be referred by their private physician, essentially home-bound, require skilled care and recovering from an acute illness or injury. All services provided must meet requirements of the State regulatory agency guidelines. To initiate care for our patient, a physician must sign and return our plan of treatment before we billing for services, to our office. Should recertification be required for extended care, forms will be sent for the physician's signature. EMERGENCY: In case a patient need to contact a staff member, we will inform them our phone number availability of 24 hours a day: 305-644-2100 ABUSE OR NEGLECT: Written information is included in all admission packages, in good faith and the purpose of it is to inform the patient that under Florida Statutes, they have the right to report any acts against them if such acts constitute abuse, neglect or exploitation. On or before the first day services our Agency will provide to a client and his or her immediate family or representative, if appropriate, of the right to report Complaints. The statewide toll-free telephone number for reporting complaints to the agency will be provided to clients in a manner that is clearly legible, and include the words: "To report a complaint regarding the services you receive, please call toll free (1-888-419-3456)". The Home Health Agency Bylaws H-9

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