Home Health Policy and Procedure Manual

Home Health Policy and Procedure Manual

About this Manual

Home Health Policy and Procedure Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.
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Table of Contents - TJC Standards, CMS RegulationsTable of Contents - ACHC Standards, CMS RegulationsTable of Contents - CHAP Standards, CMS RegulationsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 04 - HUMAN RESOURCES
Staffing - GeneralQualifications and Competency - HHALicensure, Certification and Registration Verification and Control SystemsCriminal Background ChecksCriminal Background Check Release of Information Authorization Form - SampleReference CheckingPhysician Licensure VerificationOrientation ProgramOrientation - Certified Home Health Aide ServicesPerformance EvaluationsEmployee Education ProgramsContinuing Education/Inservice Attendance Record FormMonitoring of CHHA and CNA Inservice HoursPosition Description/Performance Evaluation - Home Health AdministratorAnnual Competency Clinical Skills Assessment - Home Health AdministratorPosition Description/Performance Evaluation - Home Health Patient Care Services DirectorPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Patient Care Services DirectorAnnual Competency Clinical Skills Assessment - Home Health Patient Care Services DirectorPosition Description/Performance Evaluation - Home Health Intake NursePerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Intake NurseAnnual Competency Clinical Skills Assessment - Home Health Intake NursePosition Description/Performance Evaluation - Home Health Clinical SupervisorPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Clinical SupervisorAnnual Competency Clinical Skills Assessment - Home Health Clinical SupervisorPosition Description/Performance Evaluation - Home Health Case ManagerPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Case ManagerAnnual Competency Clinical Skills Assessment - Home Health Case ManagerPosition Description/Performance Evaluation - Home Health LPN/LVNPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health LPN/LVNAnnual Competency Clinical Skills Assessment - Home Health LPN/LVNPosition Description/Performance Evaluation - Home Health Physical TherapistPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Physical TherapistAnnual Competency Clinical Skills Assessment - Home Health Physical TherapistPosition Description/Performance Evaluation - Home Health Occupational TherapistPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Occupational TherapistAnnual Competency Clinical Skills Assessment - Home Health Occupational TherapistPosition Description/Performance Evaluation - Home Health Speech-Language PathologistPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Speech-Language PathologistAnnual Competency Clinical Skills Assessment - Home Health Speech-Language PathologistPosition Description/Performance Evaluation - Home Health Medical Social WorkerPerformance Evaluation - Population-Specific/Age-Related Competency - Home Health Medical Social WorkerAnnual Competency Clinical Skills Assessment - Home Health Medical Social WorkerPosition Description/Performance Evaluation - Home Health AidePerformance Evaluation - Population-Specific/Age-Related Competency - Home Health AideAnnual Competency Clinical Skills Assessment - Home Health AideAnnual Competency - Joint Commission National Patient Safety Goals - Home Health/HospiceEmployment of Certified Home Health Aides/Nursing AssistantsHome Health Aide TrainingCertified Home Health Aide - CompetencyCertified Home Health Aide Competency Evaluation ProgramCertified Home Health Aide Competency Checklist FormCertified Home Health Aide SupervisionSupervision Checklist FormEqual Opportunity EmploymentApplications for EmploymentAttendance and TardinessChange in Personal InformationClassification of EmployeesDisciplinary ActionDress RegulationsEmployee Assistance ProgramEmployee CommunicationsEmployee HandbookEmployee Requests for Time OffEmployment of Foreign ApplicantsEmployment of the DisabledEmployment of RelativesExit InterviewsExit Interview Form - SampleGarnishment of WagesHoliday PolicyPayroll Distribution/Time VerificationPersonnel Files - Contents and OriginationsProcurement of EmployeesPersonnel Requisition Form - SampleRe-EmploymentSick Leave PolicyTermination of EmploymentStaff Recruitment, Retention and EducationVacation PolicyWorkers' Compensation
SECTION 05 - INFECTION PREVENTION AND CONTROL
Infection Prevention and Control Program - Home HealthInfection Prevention and Control Plan - Home HealthInfection Prevention and Control CommitteeInfection Report FormInfection Surveillance SheetPatient Infection Control Log FormSummary of Monthly Infection Control Data FormReporting Patient InfectionsNationally Notifiable Infectious DiseasesStandard PrecautionsHand Hygiene - CDC GuidelinesHand Hygiene/Glove Use Observation FormRespiratory Hygiene/Cough Etiquette in Healthcare SettingsTransmission-Based Precautions (Isolation Precautions)AsepsisNursing Bag TechniquesPersonal Protective EquipmentPersonal Protective Equipment - TrainingManagement of Multidrug-Resistant Organisms in Non-Hospital Healthcare SettingsAIDS/HIV Positive GuidelinesGuidelines for Prevention of Tuberculosis Transmission in the HomeTuberculosis Training Program OutlinesInfluenza Vaccination - Home HealthInfluenza Immunization Program for Healthcare Staff - Monthly Implementation ChecklistInfluenza Vaccination Program for Healthcare StaffHHA Plan and Response to a Potential or Actual Influenza Pandemic OutbreakPandemic Risk Assessment Tool for Home Care OrganizationsCDC - Home Healthcare Services Pandemic Influenza Planning ChecklistExposure Control PlanSharps Injury Protection PlanSharps Injury Log FormEmployee Exposure to Blood and Body Fluids - Sample FormInfectious Waste Management Plan
SECTION 10 - PROVISION OF CARE, TREATMENT AND SERVICES
SECTION 12 - RIGHTS AND RESPONSIBILITIES OF THE INDIVIDUAL
Notice of RightsHome Care Patient Rights and ResponsibilitiesOASIS Privacy Act Statement PolicyOASIS Statement of Patient Privacy Rights - English (CMS)OASIS Statement of Patient Privacy Rights - Spanish (CMS)OASIS Privacy Act Statement - English (CMS)OASIS Privacy Act Statement - Spanish (CMS)OASIS Notice About Privacy for Patients Who Do Not Have Medicare or Medicaid Coverage - English (CMS)OASIS Notice About Privacy for Patients Who Do Not Have Medicare or Medicaid Coverage - Spanish (CMS)Patient Information PacketAdvance DirectivesAdvance Directive Information FormPatient Information on Advance DirectivesFormats for Patient DirectivesDurable Power of Attorney for HealthcareWithholding or Withdrawal of Life-Sustaining MeasuresDeclaration to Withdraw/Withhold TreatmentDo Not Resuscitate/Do Not Intubate (DNR/DNI)Do Not Resuscitate and/or Do Not Intubate Request FormPatient Liability for PaymentPrivacy and Confidentiality of InformationStaff Confidentiality Statement FormRelease of Patient Identifiable OASIS InformationUses and Disclosures for Which an Authorization is RequiredConsent for Uses or Disclosures to Carry Out Treatment, Payment or Healthcare OperationsAuxiliary Aids and Services for Persons with DisabilitiesPatient Informed Decision MakingAuthorization to Treat/Informed ConsentPatient Consents and Authorizations - Sample FormAuthorization/Agreement for Services - Sample FormConsent to Blood/Blood Product Transfusion(s) FormRecording/Filming PatientsAuthorization and Consent Form - Recordings, Films or Other Images, and PublicationPatients with Special Communication NeedsPatient Concerns/GrievancesPatient Concerns/Grievance Process FlowchartAbout the Right to Express GrievancesPatient Complaint Form