Pediatrics Home Health Care Agency – Policies and Procedures – Pennsylvania State Licensure

Introducing our comprehensive Pediatrics Home Health Care Agency Policies and Procedures package that follows Medicare standards designed specifically for Pennsylvania 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
Writing Requirements Policy
Services Provided Policy
Governing Body Policy
Administrator Policy
Supervising Physician or Registered Nurse Policy
Personnel Policies
Civil Rights Policy
Coordination of Patient Services Policy
Institutional Planning Policy
Annual Policy Review
Advisory and Evaluation Function Policy
Annual Program Evaluation Policy
Clinical Record Review Policy
Patient Acceptance Policy
Plan of Treatment Policy
Periodic Review of Plan of Treatment Policy
Conformance with Physician’s Orders Policy
Supervision Policy
Duties of the Registered Nurse Policy
Duties of the Licensed Practical Nurse Policy
Qualified Therapists Policy
Supervision of Occupational Therapy Assistant Policy
Supervision of Speech Therapy Services Policy
Medical Social Services Policy
Selection and Training of Home Health Aides Policy
Assignment and Duties of the Home Health Aide Policy
Supervision of Home Health Aides Policy
Maintenance and Content of Records Policy
Retention of Records Policy
Protection of Records Policy
Patient Rights and Responsibilities Policy
Infection Control and Prevention Policy
Emergency Preparedness and Response Policy
Quality Improvement and Performance Management Policy
Staff Training and Development Policy
Medication Management Policy
Patient Admission and Discharge Policy
Pediatric Care and Supervision Policy
Pediatric Medication Management and Safety Policy
Child Protection and Safeguarding Policy
Pediatric Patient Rights and Responsibilities Policy
Staff Qualifications and Pediatric Experience Policy
Health and Safety Protocols for Pediatrics Policy

Forms

Client Assessment Form
Individualized Care Plan Form
Consent to Care Form
Data Protection / Privacy Consent Form
Incident Report Form
Client Satisfaction Survey
Employee Application Form
Client Service Verification Form
Billing and Payment Authorization Form
Clinical Intake & Assessment Tools
OASIS-E Intake Form
Skilled Nursing Admission Assessment Form
Plan of Care / Treatment Orders
Plan of Care Form
60-Day Recertification Plan of Care Process Form
Visit Documentation Templates
Skilled Nursing Visit Note
Therapy Evaluation & Progress Note
MSW Assessment & Visit Note
Home Health Aide Care Plan / Task Sheet
Medicare Notices
Medicare Compliance Notices
Advance Beneficiary Notice (ABN)
CMS Transfer/Discharge Notice
Medicare Appeal Rights Handout
Home Health Admission Packet
Welcome Letter & Agency Contact Form
Service Agreement / Patient’s Rights Form
Consent to Care Form
HIPAA Notice of Privacy Practices
Emergency Preparedness Information Form
Plan of Care Summary for Patient/Caregiver
Quality & Compliance Tools
Case Conference Notes
60-Day Summary Report Form
Discharge Summary Form