Table of Contents. PD1-6A PD1-6B Services Offered PD2-1A

Transcription

1 Table of Contents Page ADMINISTRATIVE Definition of Organization PD1-1A Mission Statement, Goals, and Philosophy PD1-6A PD1-6B Services Offered PD2-1A 59A PD5-4C PD5-4A Service Area PD5-5B 59A Payment for Services Fee Schedule PD2-1A PD3-6A Target Population PD5-5B Service Limitations PD5-5B Hours of Operation PD2-1A 59A Administrative Control PD1-1A PD1-2A PD1-2B PD1-2C PD1-2D PD1-4A PD1-4B PD1-4C PD1-5A PD1-9A PD3-1A PD6-1C 59A Ethics Committee PD2-7A Corporate Compliance Plan Branch Offices 59A Professional Advisory Committee PD1-2A Annual Evaluation PD1-2A PD1-6A PD1-10B PD3-1B PD4-11B PD5-5B

2 Page ADMINISTRATIVE Cont Admission Criteria PD2-1A PD2-5B PD3-6B 59A PD5-3A PD5-3B PD5-4A Discharge/Transfer from Service PD5-7A 59A PD5-7B Contingency Plan Agency Closure Procedures Backup Coverage of Services Business Associate Contract PD2-5C Anti Fraud Program PD2-9A Professional Standards & Principles PD1-7A PD1-7B Financial Records PD3-1A PD3-2B Financial Planning PD3-1A PD3-1B PD3-4A PD3-5A Capital Expenditures PD3-1A Services Provided under Contract PD1-10A PD1-10C PD1-10D Research Activities/Investigational PD7-10A Studies Public Disclosure PD1-1A PD2-1A PD3-6A Disclosure to Licensing Authority PD1-1B PD1-8A PD1-9A Change of Ownership/Administrative Control Plan of Correction Information Management PD1-1B PD1-4A 59A A A Page HUMAN RESOURCES Reasonable Accommodations Personnel Records PD4-1A PD4-1B PD4-1C Employment References PD4-2A

3 Page HUMAN RESOURCES Cont Time Records OIG Excluded List PD4-2H Selection of Personnel PD4-2B Classification of Personnel PD4-2E PD4-2F PD4-2G Volunteers Ethics PD2-7A Employee Dress Code Employee Health Assessments PD4-2C Alzheimer's disease or dementiarelated disorders Training Aide Training Payday PD4-2I Benefits & Wages PD4-2I Confidentiality PD2-5A Orientation & Staff Development PD1-5B PD1-6A PD1-6B PD2-2B PD2-4A PD2-7A PD2-8A PD2-8B PD3-6A PD4-3A PD4-5A PD4-5B PD7-2A PD7-3B PD7-7a Policy & Procedure Agreement Competency Evaluation PD4-6A PD4-6C Cell Phone and Texting Performance Evaluation PD4-2I PD4-2J PD4-4A PD4-8A Employee Discipline

4 Page HUMAN RESOURCES Cont Termination/Separation of Employment Employee Grievances PD4-2I Smoking PD7-5B Professional Reporting PD1-7B Drug Testing Conflict of Interest PD1-3A PD1-3B PD4-2I Knowledge/Resource Center PD1-7B PD4-7A PD4-13A PD4-14A Page RIGHTS RESPONSIBILITIES ETHICS Client Conduct Responsibility & Rights PD2-2A PD2-2C PD2-6A PD3-6B PD5-3I Non Discrimination Program Accessibility Solicitation/Distribution for Referrals Ethical Complaints Patients Complaints & Grievances PD2-4A PD2-4B 59A Reporting Abuse Neglect or PD2-3A 59A Exploitation Criminal History Checks PD4-2H 59A Nurse Aide Registry National Sex Offender Registry PD4-2H Out-of-Hospital Do Not Resuscitate Order 59A Advanced Directives PD2-6A 59A Declaration for Mental Health Treatment

5 Page RIGHTS RESPONSIBILITIES ETHICS Cont Coordination of Client Care PD4-10A PD5-3K Facilitating Communication PD2-8A After Hours Care PD2-11A PD2-12A PD4-9A 59A Page PATIENT INFORMATION Security of Clinical Information PD2-5A PD5-2A Data Backups PD5-2A Retention of Clinical Records PD2-5A PD5-2A Timeliness of Entries in Clinical PD5-1c Record Client Records PD5-1A PD5-5C 59A A A A Patient Identification Physician Orders/Plan of Care PD5-3O Physician Signatures PD5-1C 59A Physician Delegation Physician Verification PD1-11A RN Delegation Clinical Record Review/Quarterly Review PD6-2H Abbreviations Prohibition on Transporting Patient Medication Profile PD5-8C Medication Administration Record PD4-12A PD5-8A PD5-8B Medication Storage Emergency Medication Medication/Prescriptions Orders Confused Medications Administration of Blood PD5-8A Adverse Drug Reactions PD5-8C Vaccine Storage and Transportation Medication Reminding

6 Page NON-CLINICAL Billing PD3-2A PD3-2B PD3-3A PD3-7A PD5-5B Referrals PD2-1A PD5-5A PD5-5B Verification of Primary Payer Staffing Issues PD2-8B PD5-3Q Faxing Protected Health Information Password/Usernames Red Flag Rules PD2-9A Page CLINICAL In Service Education PD4-7A PD4-7B Patient Education PD5-6A PD5-6B Wound Care Management Pain Management Reporting Emergencies in the Home Cardiopulmonary Resuscitation PD2-6B (CPR) Clinical Procedures Care Planning PD2-12A PD5-3A PD5-3F PD5-3I PD5-3K PD5-3N PD5-3O RN Pronouncement Assessment of Patients PD5-3A PD5-3C 59A

7 Page CLINICAL Cont Nurse Supervision PD4-7D PD4-8B PD4-9A PD4-11C PD4-11D PD4-13E Registered Nurse PD4-13A Licensed Practical Nurse PD4-9A PD4-11D PD4-13A Certified Nursing Aide PD2-11A PD4-9A Page SAFETY/INFECTION CONTROL Infection/Exposure Control Plan PD7-1A PD7-1B PD7-1D PD7-1E CLIA Waiver PD7-8A Universal Body Substance PD7-1A Precautions PD7-1D Management of PD7-1A Infections/Exposures in Personnel PD7-7B Personal Protective Equipment PD7-1D PD7-6B Hand washing PD7-1A PD7-1D Aseptic Technique Sterile Technique Respiratory & Tuberculosis Precautions Tuberculosis Exposure Control PD7-1A Plan

8 Page SAFETY/INFECTION CONTROL Cont Contaminated Reusable Materials Disposition PD7-1A PD7-6A PD7-9A Contaminated Waste Disposal PD7-1A PD7-6A Therapy Bag Techniques PD7-9A Multidrug-Resistant Organisms PD7-1A Communication of Hazards to Personnel Hepatitis B Vaccination PD4-2D Information & Training PD7-1C Evaluating & Maintaining Records PD7-1E of infections Reporting of Communicable PD7-1A Diseases Record Keeping Medical Equipment Malfunction PD7-9A Hazardous Waste Handling & Labeling PD7-1A PD7-6A PD7-6B OSHA Bloodborne Pathogen PD7-1A Training Incident/Accident Reporting PD6-4A PD7-7A Agency Personnel Safety PD7-2A Personal Safety Agency Personnel Safety/ Unsafe PD7-2A Home Visits Accidental Exposure Accidental Prevention PD7-2B Fall Prevention Car Accident Reporting Disaster/Emergency Preparedness PD7-2A PD7-3A PD7-3C Material Safety Data Sheet PD7-2A PD7-6B Fire Safety PD7-2A PD7-5A PD7-5B Emergency Power Source PD7-4A PD7-5A Utilities/Equipment Management PD7-4A 59A

9 Page QUALITY MANAGEMENT Quality Assessment/Performance Plan PD2-4A PD6-1A PD6-1B PD6-1C PD6-1D PD6-2A PD6-2B PD6-2C PD6-2D PD6-2E PD6-2F PD6-2H PD6-2I PD6-3A PD6-4A PD7-7B PD7-1E Patient Satisfaction Survey PD6-2G Non Patient Satisfaction Survey PD6-2G Page PROVISIONS OF INTRAVENOUS THERAPY Provisions of Intravenous Therapy Administration of IV Therapy Nurse Responsibility Patient Education Anaphylaxis Protocol Possession of Supplies Possession of Dangerous Drugs