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

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

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Introducing our comprehensive Home Health Care Agency Policies and Procedures package designed specifically for Massachusetts 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 VALUES 
MISSION 
STATEMENT OF PURPOSE 
STATEMENT OF POLICY 
DOCUMENT CONTROL & APPROVALS 
ORGANIZATIONAL CHART 
ADMINISTRATIVE AND OPERATIONAL POLICIES AND PROCEDURES 
ADMINISTRATIVE RECORDS
    Record Procedures
    Correction of documentation
    Records
    Filing of Records
    Security of Records 



SERVICE CRITERIA
    Admission/Acceptance Criteria
    Termination Criteria



INFORMED CONSENT
ADVANCE DIRECTIVES, INCLUDING DURABLE DO NOT RESUSCITATE ORDERS
MEMBER RIGHTS
GRIEVANCE PROCEDURE
CONTRACT SERVICES
MEDICATION MANAGEMENT
QUALITY IMPROVEMENT
MANDATED REPORTING OF ABUSE, NEGLECT AND EXPLOITATION
COMMUNICABLE AND REPORTABLE DISEASES
MEMBER RECORDS, INCLUDING CONFIDENTIALITY
    Guidelines
    Documentation Requirements



HIPPA/ CONFIDENTIALITY
    Release of Information Rights and Consent
    Rights of Confidentiality
    Photo Release, Marketing and Social Media
    Storage, Protection and Retention
    Best Practices while using mobile phones
    Contingencies for loss of records
    Destruction
    Breach of Confidentiality



RECORD RETENTION, INCLUDING TERMINATION OF SERVICES
SUPERVISION AND DELIVERY OF SERVICES
    Supervision of Care and Services
    Supervisory Instructions
    Assessment
    Strategic planning of care
    Coordinating home healthcare
    Access to and review of home health care plans
    Delivering home health care
    Delivering person-centered home health care

INDIVIDUALIZED SERVICES PLAN (ISP)
MEDICATION MANAGEMENT
BEHAVIOR INTERVENTIONS AND SUPPORT
    Procedural Requirements for Behavior Interventions
    Positive Behavior Support Strategies Include:
    Manipulation of Rewards:
    Consent
    Functional Assessment
    Monitoring On-going Progress



EMERGENCY AND ON-CALL SERVICES
    Responsibilities of the Management
    Risk Management
    Emergency Management Procedures
    On-Call Services



INFECTION CONTROL
    Infection Control, OSHA Regulations, and Bloodborne Pathogens


HANDLING CONSUMER COMPLAINTS
    Making Complaints Accessible
    Acknowledgment
    Open Disclosure
    Assessment and assigning priority
    Investigation
    Timeframe for resolution

MONITORING AND EVALUATING QUALITY 
INCIDENT & ACCIDENT REPORTING POLICY 
FINANCIAL POLICIES AND PROCEDURES 
ADMISSION AGREEMENTS 
DATA COLLECTION AND VERIFICATION OF SERVICES DELIVERED 
METHODS OF BILLING FOR SERVICES 
MEMBER NOTIFICATION OF CHANGES IN FEES AND CHARGES 
CORRECTION OF BILLING ERRORS AND REFUND POLICY 
COLLECTION OF DELINQUENT MEMBER ACCOUNTS 
PERSONNEL POLICIES AND PROCEDURES 
AUTHORITY, RESPONSIBILITY, AND QUALIFICATIONS 

Duties and Responsibilities 
JOB DESCRIPTIONS 
Chief Executive Officer 
Care Manager 
Registered Nurse 
Therapist 
Medical Social Services 
Home Health Aide 
Caregiver 
Psychologist 

ACCURATE, COMPLETE AND CURRENT PERSONNEL RECORD 

Personnel Files 
Contents of an Employee Personnel File 
Personnel Files Maintenance Policies 
Retention of Records 


VERIFICATION OF PROFESSIONAL LICENSING OR CERTIFICATION AND TRAINING OF EMPLOYEES

Employee Guidelines 
Human Resources Procedures 
Training & Development 


EVALUATION OF EMPLOYEE PERFORMANCE AND COMPETENCY 
VERIFYING PERSONNEL QUALIFICATIONS 
CRIMINAL BACKGROUND CHECK AND DRUG-FREE WORKPLACE 
REPORTING LICENSE AND CERTIFICATION VIOLATIONS 
DAILY STAFFING 
ADJUSTMENTS IN STAFFING 
FLOATING 
EMPLOYEE TRAINING AND DEVELOPMENT 
MEDICATION ADMINISTRATION 
BEHAVIORAL MANAGEMENT 
EMERGENCY PREPAREDNESS 
RECORD KEEPING IN EMPLOYEE PERSONNEL RECORDS 
HEALTH AND CARE DELIVERY 
CRITERIA FOR ACCEPTING MEMBERS FOR SERVICES OFFERED 
OBTAINING A PLAN OF CARE OR SERVICE 

Home health care Plan 
Planning home health care 

HEALTHCARE POLICY 

Medical Necessity 
Individual Services Plans

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