Home Health Care Agency- Policies and Procedures- Maryland State Licensure

Introducing our comprehensive Home Health 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 

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 
    Physical Therapist 
    Occupational Therapist
    Speech-Language Pathologist   
    Audiology Therapist 
    Psychotherapist  
    Respiratory Therapist    

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

Therapeutic Services    
    Physical Therapist Policy    
    Occupational Therapist Policy  
    Speech-Language Pathologist Policy    
    Audiology Therapist Policy    
    Psychotherapist Policy  
    Respiratory Therapist Policy    

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