Development Disability Home Care Agency- Policies and Procedures- Maryland State Licensure

Introducing our comprehensive Development Disability Home Care Agency Policies and Procedures package designed specifically for Maryland State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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TABLE OF CONTENTS

INTRODUCTION 
MISSION STATEMENT 
STATEMENT OF PURPOSE 
STATEMENT OF POLICY 
DOCUMENT CONTROL & APPROVALS 
HEALTH & SAFETY AND INDIVIDUAL POLICIES 
Medical Necessity 
Individual Services Plan 
Medical Care and Identification for Treatment 
Principles of Identification 
Patient Identification Policy 
Client Rights 

INDIVIDUAL CARE POLICIES 
Confidentiality 
Visitation, Outings, Mail and Telephones 
Visitation and Communication Procedures 
Outing Procedures 
Visiting Hours 
Limitations and The Reasons for The Limitations 

Behavior Management 
Disruptive Behavior
Behavior Interventions
Positive Behavior Support Strategies
Responding to Disruptive Behavior
Client Discipline and Behavior
Restricted Behavior Management Practices
Physical Restraints

Grievance Handling and Discrimination
Summary of the Grievance Resolution
Grievance Handling
Filing and Resolution of Grievance Process
Discrimination

Medical and Health Care
General Health Care
Medical Care

RECORD KEEPING AND INCIDENT REPORTING
Procedures:
Personnel Records
Client Records
Active Client Record
Record Retention
Unauthorized Absences
Strategies for service continuity and record recovery
Operation Records
Designation of person responsible for records management
Disposition of records

MEDICATION ADMINISTRATION
Medications Guidelines
Medication Administration
Drug and Dangerous Items Disposal Policy

PERSONNEL POLICIES AND PROCEDURES
Job Descriptions
Chief Executive Officer
Client-Care Administrator
Registered Nurse
Caregiver
Therapist
Psychologist

Staffing Plan
Types of Services Provided and Service Descriptions
Adjustments in Staffing and Emergency

Employee Training and Development
Medication Administration
Behavioral Management
Emergency Preparedness
Record Keeping in Employee Personnel Records

Taking Client Away from Operations and Overnight Visit Policy
Background Check and Drug-Free Workplace
Drug-Free and Non-Smoking Policies
Employee Verification
Background Check
Recruitment

Abuse, Neglect, Or Exploitation
Procedures:
Disciplinary sanctions
Investigation Procedures
Evidence
Protective Custody
Identification of Suspect/Custody Considerations
Notifications
Documentation
Impact of Investigation

Drug Testing Policy

BEHAVIOR INTERVENTION
Disruptive Behavior
Behavior Interventions
Positive Behavior Support Strategies
Responding to Disruptive Behavior
Client Discipline and Behavior
Restricted Behavior Management Practices
Physical Restraints
Intervention for The Intoxicated /Impaired Client
Suicide Prevention

PROPERTY DAMAGE
Introduction
Purpose
Procedures
Security of Departments
Security of Personal Property
Security of Patient’s Property
State Compliances

CONFLICT OF INTEREST POLICY
Code of Ethics and Conduct
Conflict of Interest

FINANCE POLICIES
Budget Setting
Budgetary Control
Methods of Billing for Services
Client Notification of Changes in Fees and Charges
Correction of Billing Errors and Refund Policy
Refund Policy
Collection of Delinquent Client Accounts
Funds of Individuals Receiving Services

COORDINATION AND DELIVERY OF SERVICES
Supervision of Care and Services
Supervisory Instructions
Plan for the Provision of Resident Care
Resident Assessment
Strategic planning of home care
Coordinating home care
Access to and review of home care plans
Delivering home care
Delivering person-centred home care

ACCEPTANCE OF PATIENTS, PLAN OF TREATMENT, AND MEDICAL SUPERVISION
ACCEPTENCE OF PATIENCE
Patient Acceptance
Admission Criteria
Screening Admission and Referrals
Discharged/ Termination Criteria

DEVELOPMENT OF THE PLAN OF TREATMENT
Plan of Treatment
Medical Care and Identification for Treatment
Patient Identification
Individualized Services Plan (ISP)
Care Plan
Care of Residents
Planning Home Care

REVIEW OF THE PLAN OF TREATMENT
Periodic review of plan of treatment

PHYSICIAN’S ORDER POLICY
Conformance with physician’s orders
Physician Orders Methods

VERBAL ORDER POLICY

ADMISSION POLICIES
Procedure:
Admission Criteria

EMERGENCY BEHAVIOR INTERVENTION POLICIES
Emergency Behavior Interventions Permit to Caregivers
Specific Techniques and Qualifications
Restrictions on the Use of Permitted Emergency Behavior Interventions
Orientation and Emergency Behavior
Training for Emergency Behavior Intervention
Prohibitions for Discharging

DISCIPLINE POLICIES
Methods Used and Positive Response
Trauma Informed Care
Corporal Punishment
Prohibited Punishment
Importance of Nurturing Behavior and Stimulation

ABUSE AND NEGLECT POLICIES
Annual Training
Awareness and Warning
Prevention Techniques
Designee Coordination and Actions

SAFETY PRECAUTION AND INFECTION CONROL
OSHA Regulations, Bloodborne Pathogens and Infection Control
Bloodborne Pathogens
Hepatitis C Virus (HCV)
HIV
Hepatitis B Virus (HBV)
PPE
Hazard Communication/ MSDS
Radiation
Chemical and Blood Spills

EMERGENCY PREPAREDNESS AND RESPONSE PLAN
Policy:
Procedures:
Emergency Preparedness Plan
Emergency Plan
Emergency Preparedness
Responsibilities of the Management
Risk Management
Emergency Management Procedures
Obtains Written Authorization to seek Emergency Treatment
Record Keeping in Employee Personnel Records
Emergency Communications

LIST OF APPENDICES
Appendix 01: Record Keeping Log
Appendix 02: Record Retrieval Form
Appendix 03: Authorization to Release Information Form
Appendix 04: Unauthorized Leave Form
Appendix 05: Serious Incident Form
Appendix 06: Employee Checklist
Appendix 07: Acknowledgment
Appendix 08: Staff Training and Development Form
Appendix 09: Active Client Form
Appendix 10: Client Unauthorized Leave Debrief Form
Appendix 11: Continuous Unauthorized Leave
Appendix 12: Annual Summary Log
Appendix 13: Information Breach Form
Appendix 14: Monthly Records Management Review
Appendix 15: Training Form
Appendix 16: Daily Medication Form
Appendix 17: Disruptive Behavior Form
Appendix 18: Fire Safety Drill Form
Appendix 19: Emergency Preparedness Numbers
Appendix 20: Safety Drill Form
Appendix 21: Caretaker Acknowledgement Form
Appendix 22: Parental Consent Form
Appendix 23: Criminal Disclosure Form
Appendix 24: Client Maltreatment Form
Appendix 25: Investigative Form
Appendix 26: Intake Form
Appendix 27: Medication Form
Appendix 28: Inventory Form
Appendix 29: Client Acknowledgment
Appendix 30: Medical and Dental Consent Form
Appendix 31: Medical Refusal Form
Appendix 32: Sign in and Sign out Log
Appendix 33: Transfer/ Discharge Form
Appendix 34: Money Holding Form