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State Approval 2026

Home Health Agency - Policies and Procedures - Washington State Licensure

Home Health Agency - Policies and Procedures - Washington State Licensure

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Introducing our Home Health Agency Policies and Procedures package designed specifically for Washington 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
Plan of Operation Policy
Admission and Discharge Policy
Services and Coordination Policy
Telehealth Policy
Medication and Treatment Policy
Emergency and End-of-Life Policy
Incident Reporting Policy
Emergency Preparedness Policy
Back-Up Care Policy
Nurse Delegation Policy
Personnel Selection Policy
Credential Verification Policy
Background Check Policy
Mandatory Reporting Policy
Orientation and Training Policy
Food Safety and CPR Policy
Infection Prevention Policy
Performance Evaluation Policy
Personnel Records Policy
Patient Bill of Rights Policy
Plan of Care Policy
Plan Review and Orders Policy
Modified Care Documentation Policy
Clinical Services Director Policy
Clinical Supervision Policy
Home Health Aide Supervision Policy    
Patient Records Policy    
Quality Improvement Policy
Medical Supplies and Equipment Policy

Forms    

Patient Admission Form
Service Consent and Payment Form
Patient Rights Acknowledgment
Initial Patient Assessment Form
Home Health Plan of Care
Home Health Aide-Only Plan of Care
Skilled Nursing Visit Note
Home Health Aide Visit Note
Therapy Visit Note
Medication and Treatment Record
Condition Change Report
Transfer and Discharge Form
Missed Visit and Back-Up Care Form
Home Health Aide Supervisory Visit Form
Patient Complaint Form
Patient Satisfaction Survey
Release of Information Form
Workforce Compliance Record
Job Description Acknowledgment
Reference Verification Form
Orientation and Competency Record
Employee Health Record
Performance Evaluation Form
Incident Report Form

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