DMHSAS Personal Support Agency – Policies and Procedures – Tennessee State Licensure

Introducing our Personal Support Agency Policies and Procedures package designed specifically for personal support agencies licensed under the Department of Mental Health and Substance Abuse Services in Tennessee 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
Vision    
Mission
Values
Document Control
Statement of Policy
Policy and Procedure Manual Compliance Policy
Services Provided and Enrollment/Termination Criteria Policy
Personnel Requirements Policy
Standardized Training and Continuing Education Policy
Service Recipient Record Requirements Policy
Service Recipient Rights Policy
Service Recipient Rights and Grievance Procedures Policy
Organizational Chart and Lines of Authority Policy
Plan of Action for Personal Support Worker Absence Policy
Alternate Staffing Plan Policy
Schedule of Fees Policy
Confidentiality of Service Recipients' Information Policy
Emergency Plans and Procedures Policy
Abuse, Neglect, and Critical Incident Reporting Policy
Communicable Disease Detection and Prevention Policy
Financial Management and Fund Handling Policy
Access to Workers and Cooperation with Investigations Policy
Medication Assistance Policy    
Transportation Safety and Licensing Policy
Use of Assistive Devices Policy
Categorization of Client Population Policy

Forms    

Intake and Assessment Form
Service Plan Form
Emergency Contact and Instructions Form
Consent Form
Service Log
Progress Notes
Grievance & Feedback Form
Medication Assistance Log
Incident Report Form
Employee Information and Job Description Form
Employee Information, Job Description, and Compliance Form
Employee Training and Certification Record Form
In-Service Training Record Form
Performance Evaluation Form
Confidentiality Agreement Form
Absence Notification Form
Health Screening Form
Device Usage Log Form
Staffing Changes Form