Personal Services Agency (PSA) - Policies and Procedures - Indiana state Licensure

Introducing our comprehensive Personal Services Agency (PSA) Policies and Procedures package designed specifically for Indiana 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
Core Values
Document Control
Statement of Policy
Personal Services
Exclusions to Personal Services Policy
Unstable Health Conditions Policy
Management of Clients with Unstable or Unpredictable Health Conditions
Personal Services Agency Manager Role and Responsibilities
Delegation of Managerial Responsibilities
Service Plan Development and Modification Policy
Client Satisfaction Review Policy
Client Rights Statement Policy
Client Autonomy in Declining Assistance Policy
Lift Equipment Use Policy
Complaint Investigation Policy
24-Hour Telephone Contact Availability Policy
Tuberculosis Testing Policy
Competency Evaluation and Training Policy
Manager’s Job Description
Attendant Care Services Training and Reevaluation Policy
Lift Services Training and Evaluation Policy
Documentation of Evaluation and Training Policy
Ownership and Management Disclosure Policy
Detailed Requirements for Ownership and Management Disclosure
Ownership Interest Determination Policy
Compliance Documentation and Retention Policy
Penalties and Compliance Response Policy
Grounds for Regulatory Action Policy
Application of IC 4-21.5 to Regulatory Actions Policy
Regulatory Compliance and Procedure Policy
Policy on State Department Limitations
Penalty Review and Appeal Policy
Appeals Panel Appointment Policy
Appeals Panel Membership Restrictions Policy
Unlicensed Operation and Advertising Penalty Policy

Forms
Client Intake Form
HIPAA Authorization Form
Neglect and Abuse Reporting Form
Client Consent Form
Client Satisfaction Review Form
Complaint Investigation Form
Attendant Care Services Competency Written Test
Demonstration/Observation Skills Test for Attendant Care Services
Client Service Plan Form
Visit Record Form
Client Rights Statement
Client Service Contract
Employee Information Form
Home Services Worker Training Documentation Form
Incident Report Form
Client Satisfaction Survey
Service Plan Form
Emergency Contact Form
Complaint/Grievance Form
Infection Control Report Form
Abuse, Neglect, and Financial Exploitation Report Form