Home Health Agency- Policies and Procedures- Washington DC State Licensure

Introducing our comprehensive Home Health Agency Policies and Procedures package designed specifically for Washington DC 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 
Our Mission 
Our Vision 
Core Values 
Statement of Purpose 
Statement of Policy 
Document Control & Approvals 
PLAN OF OPERATION 
Organization Structure 
Job Descriptions 
Policy and Purpose: 
Procedures: 
Chief Executive Officer 
Care Manager 
Registered Nurse 
Caregiver 
Resident Assistant 
Therapist 
Psychologist 
Home Health Aide 

Responsibilities and Services
Policy and Purpose:
Procedures:
Types of Services Provided and Service Descriptions
Number of People Served at a Given Time
Daily Staffing
Adjustments in Staffing
Floating
Hours of Operation

Service Description Requirements
Policy and Purpose:
Procedures:
Level 1: [AGENCY NAME]-A1
Level 2: [AGENCY NAME]-A2
Level 3: [AGENCY NAME]-A3
Level 4: [AGENCY NAME]-A4

Employee or Contractor Performance Evaluation
Policy and Purpose:
Procedures:
What is good performance?
Periodical reviews
Rewards
Training
Frequent communication
Managers’ responsibilities

Monitoring and Evaluating Quality Improvement
Policy and Purpose:
Procedures:

Record Management Policy
Policy and Purpose:
Procedures:
Storage, processing, and handling of active and closed records
Storage, processing and handling of electronic records
Strategies for service continuity and record recovery
Designation of person responsible for records management
Disposition of records

Documentation Policy
Policy and Purpose:
Procedure:
Legibility
Patient Identification
Time Documentation
Record Procedures
Correction of documentation
Physician Orders
Documentation
Filing of Records
Security of Records/Documents

Emergency Preparedness and Response Plan
Policy and Purpose:
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

Risk Management
Policy and Purpose:
Procedures:
Designated Risk Management Specialist
Intervention for The Agitated or Dangerous Resident
Personal Injury and Illness Prevention Plan
Preventing Missing residents Incidents
Raising the Alarm
Risk of Property Damage
Procedure for Searching Missing/Loss Residents
Records and Documentation

DELIVERY OF SERVICES
Screening Admission and Referrals
Policy and Purpose:
Procedures:

Pre-Scanning and Discharge Planning
Policy and Purpose:
Procedures:

Discharge Policy
Policy and Purpose:
Procedures:
Discharged Criteria
Notifying Clients of Intent To Discharge/Terminate or Refer

Medication Management
Policy and Purpose:
Procedures:

Assessment Policy
Policy and Purpose:

Frequency of Assessments
Procedures:
Data collection to assess patient needs
Diagnostic testing
Analysis of patient data

Individualized Services Plan (ISP)
Policy and Purpose:
Procedures:

State Policies

PERSONNEL, CONTRACTOR, AND VOLUNTEER POLICIES
Criminal Background Check and Drug-Free Workplace
Policy and Purpose:
Procedures:
Drug-Free
Employee Verification
Background Check
Recruitment

Employee Training and Development
Policy and Purpose:
Procedures:
Medication Administration
Behavioral Management
Emergency Preparedness

Employee Notification of Policy Changes and Mandatory Reporting
Policy and Purpose:
Procedures:
Data Collection and Mandatory Reporting
Mandatory reporting—How and when to report.

Orientation & Discrimination
Policy and Purpose:
Procedures:
In-person Orientation
Freedom from discrimination—Declaration of civil rights
State Policies

Infection Control
Policy and Purpose:
Procedure:

OSHA Regulations, Bloodborne Pathogens and Infection Control
Bloodborne Pathogens
Hepatitis C Virus (HCV)
HIV
Hepatitis B Virus (HBV)
Personal Protective Equipment (PPE)
Hazard Communication/ MSDS
Radiation
Chemical and Blood Spills
Communicable and Reportable Diseases
    Tuberculosis (TB) Screening

Hand Hygiene Policy and Procedure
Policy and Purpose:
Procedure:
Indications for Handwashing and Handrubbing
Non-Surgical Hand Hygiene Technique
Nails
Gloves and Hand Hygiene
Glossary of Commonly Used Hand Hygiene Terms

Respiratory Hygiene/Cough Etiquette
Policy and Purpose:
Procedures:
Visual Alerts
Respiratory Hygiene/Cough Etiquette
Masking and Separation of Persons with Respiratory Symptoms
Droplet Precautions

PERSONNEL, CONTRACTOR, AND VOLUNTEER RECORDS
Record Keeping in Employee Personnel Records
Policy and Purpose:
Procedure:

State Policies

BILL OF RIGHTS
Client Rights
Policy and Purpose:
Procedures:

State Policies

HOME HEALTH PLAN OF CARE
Home Health Plan of Care
Policy and Purpose:
Procedures:
Plan of Treatment
Medical Care and Identification for Treatment
Individualized Services Plan (ISP)
Care Plan
Care of Clients
Planning Home Care

Healthcare Policy
Policy and Purpose:
Procedures:
Medical Necessity
Individual Services Plan
Patient Identification Policy

Physical Examination
Policy and Purpose:
Procedures:

State Policies

SUPERVISION OF HOME HEALTH SERVICES
Supervision and Delivery of Services
Policy and Purpose:
Procedures:
On-Call Services and Availability
Supervision of Care and Services
Supervisory Instructions
Client 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
Case Management
Process of Changing a Case Manager

State Policies

PATIENT RECORDS
Review Process for Records
Policy and Purpose:
Procedure:

State Policies

QUALITY IMPROVEMENT PROGRAM
Grievance/Complaints Policy
Policy and Purpose:
Procedures:
Grievance Handling
Filing Complaints
Making Complaints Accessible
Acknowledgement
Open Disclosure
Assessment and assigning priority
Investigation
Timeframe for resolution

HOME MEDICAL SUPPLIES AND EQUIPMENT
Medical Equipment
Policy and Purpose:
Procedures:

State Policies

List of Forms/Annexures:
Annexure 01: Financial Information Form – Expenditure and Disbursement of Client Funds
Annexure 02: Staff Orientation Form for Employees, Contractors,
Volunteers and Students
Annexure 03: Staff Training and Development Form
Annexure 04: Performance Evaluation Form
Annexure 05: Grievance Procedure Form
Annexure 06: Facility Inspection Checklist Form
Annexure 07: Fire Safety Drill Form
Annexure 08: Emergency Preparedness Numbers
Annexure 09: Daily Schedule of Services
Annexure 10: Daily Nutrition Monitoring Form
Annexure 11: Client Screening Form
Annexure 12: Initial Assessment Form
Annexure 13: Comprehensive Assessment Form
Annexure 14: ISP Requirements Form
Annexure 15: Reassessments and ISP Quarterly Review Form
Annexure 16: Sample Daily Progress Notes
Annexure 17: Client Orientation Form
Annexure 18: Transfer Form
Annexure 19: Discharge Form
Annexure 20: Crisis Intervention and Emergency Services
Annexure 21: Fall Assessment Form
Annexure 22: Client Physical Examination Form
Annexure 23: Emergency (ER) Medical Information Form
Annexure 24: Monitoring, Behavior Intervention & Supports Form
Annexure 25: Abuse/ Neglect Reporting Form
Annexure 26: Seclusion and/ or Restraint Documentation Form
Annexure 27: Client Face Sheet Form
Annexure 28: Individual’s Service Record Form
Annexure 29: Therapies – Individual/ Group Form
Annexure 30: Release of Information Form
Annexure 31: Record Review Form