If you would like to purchase our Home Health Care Policy and Procedure Manuals, contact our home health care consultants today. Lists all policies (Titles of policies, or brief description of policy) and policy numbers. You … Your Home Care Agency Policies and Procedures Our Policies and Procedure Manuals define your Agency’s operating principles and processes. ©MCN Healthcare, 2021. You may read online Briggs home health policy and procedures manual or load. No. Includes policies for HIPPA, Exposure Control and Compliance with the OIG recommendations. The manuals are customizable to further meet your agency needs. The Policy & Procedure Manual will be delivered in the receipt as a Microsoft Word document and Adobe PDF after purchase and customization. This Policy & Procedure Manual was created for DMEPOS - Community Retail for one location only. List issues that occurred within the past six months. Does your manual follow CHAP, JCAHO, or ACHC accreditation standards? Our Home Health Care Policy and Procedures include: Other policies, forms, documentation and consulting services are available upon request. Table includes order code, description, specimen requirements, test method, values, turnaround time, contact information and CPT codes. Free Updates for One Year. 5.1.2 All hospital-wide policies and procedures shall be documented using the following format: Section. If you are interested in policy management software, please give us a call at 800.538.6264 or schedule a free, no obligation demo. All policy and procedure manual templates include the company’s best practices, the core descriptions for business processes, and the standards and methods on how employees should do their work. Other policies, forms, documentation and consulting services are available upon request. Section 1.0 - Purpose The telephone system to be used. Applied Home Care reserves the right to modify in whole or part of its personnel policies. The Indiana Health Coverage Programs (IHCP) Medical Policy Manual contains information about Indiana Medicaid policies. Infusion policy and procedure manuals are required for home health care agencies offering home care infusion to their patients. Patient record procedures . 3 Planning for Care's Care Home's policies and procedures address operational aspects of elderly care and ensure care homes achieve high standards of care. Long Term Care Environment of Care Manual. Table of Contents - TJC Standards and CMS Regulations, Table of Contents - ACHC Standards and CMS Regulations, Table of Contents - CHAP Standards and CMS Regulations, 1002 - Disaster Planning - Patient Classification System, 1003 - Integrated Healthcare Systems - Emergency Preparedness, 1004 - Hazard Vulnerability Analysis (HVA), 1005 - Emergency Management - Hazard Vulnerability Analysis Worksheet - Example, 1007 - Communication Plan During an Emergency/Disaster, 1008 - Emergency Management Call-Back Tree Sample, 1009 - Emergency Management Responder List, 1010 - Patient and Family Education Handout - Individual Emergency Management Plan, 1013 - Utility Systems Failure/Disruption - Emergency Procedures, 1014 - Managing Patients During an Emergency/Disaster, 1015 - Emergency Response Exercise - Exercises and Improvement Plans, 1017 - Detecting Suspicious Packages/Letters, 2002 - Letter of Appointment - Safety Director, 2004 - Duties of Department Manager in Safety Program, 2005 - Safety - Hazard Surveillance Program, 2007 - Safety and Security Training for Home Health Staff, 2013 - Employee Photo Identification Badge, 2014 - Hazardous Materials and Waste Plan, 2020 - Emergency Backup for Refrigerated Medications, 3005 - Safe Medical Devices - Home Health, 3008 - Medical Supplies Expiration Checklist Licensed Staff, 3009 - Medical Supply Department Expiration Date Checklist, 4001 - Position Description/Performance Evaluation - Home Health Administrator, 4002 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Administrator, 4003 - Annual Competency Clinical Skills Assessment - Home Health Administrator, 4004 - Position Description/Performance Evaluation - Home Health Patient Care Services Director, 4005 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Patient Care Services Director, 4006 - Annual Competency Clinical Skills Assessment - Home Health Patient Care Services Director, 4007 - Position Description/Performance Evaluation - Home Health Clinical Supervisor, 4008 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Clinical Supervisor, 4009 - Annual Competency Clinical Skills Assessment - Home Health Clinical Supervisor, 4010 - Position Description/Performance Evaluation - Home Health Intake Nurse, 4011 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Intake Nurse, 4012 - Annual Competency Clinical Skills Assessment - Home Health Intake Nurse, 4013 - Position Description/Performance Evaluation - Home Health Case Manager, 4014 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Case Manager, 4015 - Annual Competency Clinical Skills Assessment - Home Health Case Manager, 4016 - Position Description/Performance Evaluation - Home Health RN, 4017 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health RN, 4018 - Annual Competency Clinical Skills Assessment - Home Health RN, 4019 - Position Description/Performance Evaluation - Home Health LPN/LVN, 4020 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health LPN/LVN, 4021 - Annual Competency Clinical Skills Assessment - Home Health LPN/LVN, 4022 - Position Description/Performance Evaluation - Home Health Physical Therapist, 4023 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Physical Therapist, 4024 - Annual Competency Clinical Skills Assessment - Home Health Physical Therapist, 4025 - Position Description/Performance Evaluation - Home Health Occupational Therapist, 4026 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Occupational Therapist, 4027 - Annual Competency Clinical Skills Assessment - Home Health Occupational Therapist, 4028 - Position Description/Performance Evaluation - Home Health Speech-Language Pathologist, 4029 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Speech-Language Pathologist, 4030 - Annual Competency Clinical Skills Assessment - Home Health Speech-Language Pathologist, 4031 - Position Description/Performance Evaluation - Home Health Medical Social Worker, 4032 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Medical Social Worker, 4033 - Annual Competency Clinical Skills Assessment - Home Health Medical Social Worker, 4034 - Position Description/Performance Evaluation - Home Health Aide, 4035 - Performance Evaluation - Population-Specific/Age-Related Competency - Home Health Aide, 4036 - Annual Competency Clinical Skills Assessment - Home Health Aide, 4037 - Annual Competency - Joint Commission National Patient Safety Goals and Universal Protocol - Home Health/Hospice, 4038 - Employment of Certified Home Health Aides/Nursing Assistants, 4040 - Certified Home Health Aide Competency Evaluation Program, 4041 - Certified Home Health Aide Competency Checklist Form, 4042 - Home Health Aide Assignments and Duties, 4045 - Certified Home Health Aide Supervision, 4047 - Monitoring of Home Health Aide and CNA Inservice Hours, 4049 - Qualifications and Competency - HHA, 4050 - Licensure, Certification and Registration Verification and Control Systems, 4052 - Criminal Background Check Release of Information Authorization Form - Sample, 4056 - Orientation - Certified Home Health Aide Services, 4059 - Continuing Education/Inservice Attendance Record Form, 4082 - Payroll Distribution/Time Verification, 4083 - Personnel Files - Contents and Originations, 4086 - Personnel Requisition Form - Sample, 4090 - Staff Recruitment, Retention and Education, 5001 - Infection Prevention and Control Program - Home Health, 5002 - Infection Prevention and Control Plan - Home Health, 5003 - Infection Prevention and Control Committee, 5006 - Patient Infection Control Log Form, 5007 - Summary of Monthly Infection Control Data Form, 5009 - National Notifiable Infectious Conditions, 5012 - Hand Hygiene/Glove Use Observation Form, 5013 - Respiratory Hygiene/Cough Etiquette in Healthcare Settings, 5014 - Transmission-Based Precautions (Isolation Precautions), 5018 - Personal Protective Equipment - Training, 5019 - Multidrug-Resistant Organisms in Non-Hospital Healthcare Settings - Management of, 5021 - Guidelines for Prevention of Tuberculosis Transmission in the Home, 5022 - Tuberculosis Training Program Outlines, 5023 - Influenza Vaccination - Home Health, 5024 - HHA Plan and Response to a Potential or Actual Influenza Pandemic Outbreak, 5025 - Pandemic Risk Assessment Tool for Home Care Organizations, 5026 - CDC - Home Healthcare Services Pandemic Influenza Planning Checklist, 5030 - Employee Exposure to Blood and Body Fluids - Sample Form, 5102 - Influenza Vaccination Program for Healthcare Staff, 5103 - Influenza Immunization Program for Healthcare Staff - Monthly Implementation Checklist, 5105 - Health Questionnaire for Positive Tuberculosis Skin Test Reactions, 5108 - Informed Consent for Hepatitis B Vaccine Form, 5109 - Hepatitis B Vaccine Declination Form, 5110 - Workplace Injury, Illness or Fatality Reporting, 5111 - Employee Health - Employee Illnesses, 6001 - Information Management Plan - Home Health, 6002 - Interruptions to Electronic Health Information, 6004 - Electronic Signature Authorization/Confidentiality Form, 6005 - Privacy and Confidentiality of Information, 6006 - Confidentiality of Information - General Issues, 6007 - Confidentiality of the Medical Record, 6008 - Confidentiality of Information - Electronic Health Records, 6009 - Uses and Disclosures of Protected Health Information - General Rules, 6010 - Uses and Disclosures for Which an Authorization is Required, 6011 - Uses and Disclosures of Protected Health Information Subject to an Agreed-Upon Restriction, 6012 - Restriction Agreement - Release of Patient Protected Health Information Consent Form, 6014 - Release of Patient Information Consent Form, 6015 - Patient Medical Record Access Form, 6016 - Release of Patient Identifiable OASIS Information, 6018 - Consent for Uses or Disclosures to Carry Out Treatment, Payment or Healthcare Operations, 6019 - Staff Confidentiality Statement Form - Sample, 6020 - Confidentiality Agreement - Sample, 6021 - Documentation and the Use of Abbreviations, Acronyms and Symbols, 6022 - Unacceptable Abbreviation and Symbol List, 6025 - Guidelines for the Use of Electronic Mail, 7003 - Governance - Governing Body/Management Company, 7006 - Licensure and Compliance with Federal, State and Local Laws, 7012 - Communication Process - Staff, Patients and Community, 7014 - Supervision of Care, Treatment and Services, 7015 - Supervising Physician or Registered Nurse, 7016 - Guidelines for Medical Management and Physician's Responsibilities, 7018 - Professional Standards and Principles, 7019 - Staff Under Hourly or Per Visit Contracts, 7022 - Services Provided to Residents in Assisted Living Facilities, 7025 - Role of HHA Leadership in Quality Assessment and Performance Improvement, 7030 - Financial Incentives/Clinical Decision Making, 7038 - Financial Records - Maintenance of, 7040 - Conflict of Interest Disclosure Letter - Sample, 7044 - Disruptive and Inappropriate Behavior, 7045 - Examples of Survey Tools to Survey a Culture of Safety and Quality, 7046 - Your Organization's Culture of Safety and Quality Survey, 7048 - Accrediting Body/Regulatory Agency - Reporting to, 7049 - Staff Rights and Ethical Dilemmas in Patient Care, 7051 - Components of a Patient Safety Program - Patient Safety Program Checklist, 7053 - Sentinel Event Intensive Assessment Flow Chart, 7054 - Compliance Standards and Procedures, 7055 - Standards of Conduct Agreement Form, 7057 - The Organization's Governing Body Resolution Establishment of a Corporate Compliance Program, 7058 - Compliance Education and Training Programs, 7060 - The Organization's Governing Body Resolution Establishment of the Corporate Officer and the Corporate Compliance Committee, 7063 - Referring Specimens for Laboratory Testing, 8002 - HHA Medication Reconciliation/Verification Form - Sample, 8003 - Medication Profile Form "A" - Sample, 8004 - Medication Profile Form "B" - Sample, 8007 - Contracted Pharmacy and On-Call Pharmacist, 8008 - Look-Alike, Sound-Alike Medication Management, 8010 - Safe Storage of Medications in the Patient's Home, 8012 - Prescribing/Ordering - General Practices, 8014 - Physician Telephone/Verbal Orders Form, 8015 - Medication Orders and Administration, 8017 - Patient Self-Administration of Medication, 8018 - Patient Self-Administration of Medications, Subcutaneous and Intramuscular, 8019 - Influenza and Pneumococcal Vaccine Standing Orders, 8021 - Use of Investigational Treatments/Trials, 8022 - First Dose Home IV Antimicrobial Administration and Management of Anaphylaxis, 8025 - Disposal of Controlled Substance Patches in the Home, 8029 - Quality Assessment and Performance Improvement Analysis - Medication Incident Form, 8031 - Adverse Drug Reaction Reporting Form (Internal), 9001 - Organizational Quality Assessment and Performance Improvement (QAPI) Program, 9007 - A Framework for a Root Cause Analysis and Action Plan in Response to a Sentinel Event, 9011 - Home Health QAPI Monitoring and Evaluation Plan, 9013 - Home Health QAPI Outcome Evaluation, 9014 - Home Health QAPI Volume Measures/Statistics, 9016 - Home Health Service Questionnaire Form, 9017 - Incident Reporting Staff Questionnaire Form, 10004 - Physician Certification of Patient Eligibility - Face-to-Face Encounter, 10007 - Completion of the Comprehensive Assessment, 10011 - Interdisciplinary Patient Assessments and Reassessments, 10013 - Initial Home Safety Evaluation and Instruction Form, 10014 - Home Hazard Analysis Checklist Form, 10015 - Home Oxygen Safety Risk Assessment, 10016 - Safety Precautions When Using Oxygen in the Home, 10017 - Patient and Family Education Handout - Oxygen Safety Rules, 10018 - Pain Assessment, Reassessment and Management, 10023 - Skilled Nursing Plan of Care Form - Sample, 10026 - Coordination of Care - Physicians, 10028 - Nursing Progress Report Form - Sample, 10029 - Monthly Medical Update - Sample Form, 10030 - Latex Sensitive Patient - Care of, 10033 - Physical Therapy/Speech-Language Pathology - Outpatient Services, 10101 - Administration of Blood/Blood Components, 10102 - Blood/Blood Components - Transfusion Reactions, 10103 - Change in Patient's Condition - Reporting to the Physician, 10107 - Scheduling and Coordinating Patient Visits, 10111 - Critical Results of Tests and Diagnostic Procedures - Reporting of, 10115 - Home Health Aide - Supervision Form, 10116 - Licensed Practical/Vocational Nurse Supervision, 10201 - Patient/Family Education - Home Health, 10202 - Interdisciplinary Patient Education, 10203 - Patient/Family Education Record - Sample Form, 10204 - Anticoagulation Therapy - Patient/Family Education - Home Health, 10206 - INR Test Meters Fact Sheet for Patients and Caregivers, 10207 - Medical Equipment - Patient/Family Education - Home Health, 10208 - Patient and Family Education Handout - Home Safety, 10209 - Patient and Family Education Handout - Hazardous Materials and Waste Disposal, 10210 - Patient and Family Education Handout - Infection Prevention and Control, 10211 - Patient and Family Education Handout - Use of Restraint Devices, 10212 - Patient and Family Education Handout - Crutch Ambulation for Stairs - Weight Bearing as Tolerated (WBAT), 10213 - Patient and Family Education Handout - Crutch Ambulation for Stairs - Non-Weight Bearing (NWB), 10214 - Patient Instruction Sheet - Oxygen Cylinder Set-Up, 10215 - Patient Instruction Sheet - Oxygen Concentrator, 10216 - Patient Instruction Sheet - Canes and Quad Canes, 10217 - Hoja de Instruccin del Paciente - Los Bastones y Los Bastones de Cuadrngulo, 10218 - Patient Instruction Sheet - Walker, 10219 - Hoja de Instruccin del Paciente - Andador, 10220 - Patient Instruction Sheet - Bedside Commode Procedure, 10221 - Hoja de Instruccin del Paciente - Procedimiento de la Cmoda del Lado de la Cama, 10301 - Discharge/Transfer/Referral of Patients, 10303 - Skilled Nursing Discharge Summary Form, 10304 - Discharge Summary Plan/Transfer Form, 10306 - Patient Discharge Instructions Form, 11004 - Corrections to the Paper Medical Record, 11005 - Access and Maintenance of the Electronic Health Record, 11006 - Late Entries to the Electronic Health Record, 11007 - Addendum to the Electronic Health Record, 11008 - Amendment to the Electronic Health Record, 11009 - Legibility of Medical Record Documentation, 11010 - Maintenance and Retention of Medical Records, 11011 - Medical Records - Retention of Following Discontinuance of Operations, 11013 - Home Health Medical Records Audit Form, 12002 - Home Care Patient Rights and Responsibilities, 12003 - OASIS Privacy Act Statement Policy, 12004 - CMS Statement of Patient Privacy Rights in English and Spanish, 12005 - CMS Home Health Beneficiary Notices - Home Health Change of Care Notice and Advance Beneficiary Notice of Noncoverage (ABN), 12007 - Communication - Medical Equipment, 12009 - Advance Directive Information Form, 12010 - Patient Information on Advance Directives, 12012 - Durable Power of Attorney for Healthcare, 12013 - Withholding or Withdrawal of Life-Sustaining Measures, 12014 - Declaration to Withdraw/Withhold Treatment, 12015 - Do Not Resuscitate/Do Not Intubate (DNR/DNI), 12016 - Do Not Resuscitate (DNR) and/or Do Not Intubate (DNI) Request Form, 12019 - Authorization to Treat/Informed Consent, 12020 - Patient Consents and Authorizations Form, 12021 - Authorization/Agreement for Services - Sample Form, 12022 - Discontinuance of Service Against Medical Advice Form, 12024 - Consent to Blood/Blood Product Transfusion(s) Form, 12025 - Recordings, Films or Other Images of Patients - Home Health, 12026 - Photographing Pressure Injuries or Suspected Physical Abuse, 12027 - Authorization and Consent Form - Recordings, Films or Other Images, and Publication, 12028 - Auxiliary Aids and Services for Persons with Disabilities, 12029 - Patients with Special Communication Needs, 12032 - Non-English-Speaking Patients - Cultural Considerations, 12033 - Patient Abuse, Neglect or Exploitation - Training Program, 12034 - Child, Adult, Disabled Person or Elderly Abuse - Recognition and Reporting, 12036 - Patient Concerns/Grievance Process Flowchart, 12037 - About the Right to Express Grievances, 13002 - Glucose Monitor Operator Proficiency Record Form, 13004 - Blood Glucose Monitoring Competency Checklist, 13005 - Glucose Monitor Quality Control Log, 13006 - Fingerstick and Point of Care Blood Testing Devices.
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