Non-Medical Home Health Agency – Policies and Procedures – Kansas State Licensure

Introducing our Non-Medical Home Health Agency Policies and Procedures package designed specifically for Kansas 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
Governing Body Policy
Administrator Responsibilities Policy
Personnel Policies
Personnel Records Policy
Organizational chart
Contracted Policy
Abuse, Neglect, and Exploitation Reporting Policy
Client Acceptance / Admission Criteria Policy
Supportive Care Service Plan of Care Policy
Communication to Support the Plan of Care Policy
On-Call Services Policy
Scope of Practice – Supportive Care Worker Policy
Staff Training and Competency Policy    
Competency Checklist Policy
Client Records Documentation Policy
Policy and Procedure Maintenance Policy
Client Record
Supervision Policy
Clients’ Rights Policy
Non-Skilled Services Policy
Background Checks and Criminal History Compliance
Client Record Retention Policy
Safeguard Against Loss or Unauthorized Use of Client Records
Discharge Summary Policy
Documentation of Supportive Care Services Policy
Admission Note Documentation Policy
Progress Note Policy
Workplace Safety Policy
Client Grievance and Complaint Policy
Emergency Response Policy
Provision of Services Policy
Supportive Care Worker Supervision Policy

Forms

Client Intake & Admission Form
Plan of Care & Service Log
Progress Notes & Discharge Summary Form
Staff Roster
Client Consent & Rights Form
Incident & Complaint Form
Emergency & Safety Form
Home Safety & Timekeeping Form
Client Satisfaction Survey / Feedback Form
Transportation Log Form
Infection Control Checklist
Employee Performance Evaluation Form
Staff Orientation Checklist
Personal Records Form
Personnel Application form
Interview and Reference Check Record
Credential/License/Certification Validation Form
Employee Self-Reported Health History
Employee Health Assessment Certification
Two-Step Tuberculosis Screening Record
Supportive Care Worker Competency Checklist
Supportive Care Worker Supervisory Visit Record