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Residential Home Care Agency- Policies and Procedures- Pennsylvania State Licensure

Residential Home Care Agency- Policies and Procedures- Pennsylvania State Licensure

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Introducing our comprehensive Residential Home Care Agency Policies and Procedures package 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 
MISSION STATEMENT 
VISION STATEMENT 
OUR VALUES 
STATEMENT OF PURPOSE 
STATEMENT OF POLICY 
DOCUMENT CONTROL & APPROVALS 
SERVICES 
ADMINISTRATIVE STRUCTURE AND JOB DESCRIPTIONS 
QUALITY MANAGEMENT PLAN 
Office of Developmental Programs Priorities for Provider QM Plan Development 
Monitoring and Evaluating Quality 
   Policy: 
   Procedures: 
   Performance Measures and Improvement Strategies 
   Employee Performance Evaluation 
   What is good performance? 
   Periodical reviews 
   Rewards 
   Training 
   Frequent communication 
Monthly QA Participant File Monitoring Policy 
   Responsibilities of QM Team: 
   Grievances/Complaints: 
   Satisfaction Surveys: 
   Training: 
   QA Audits: 
   Quality Improvement Goals: 
Quarterly Clinical Record Review Process 
   Record Review 
   Record Procedures 
   Correction of documentation 
   Physician Orders 
   Documentation 
   Filing of Records 
   Security of Records/Documents 
Member Assessment 
Data Collection 
Quality Management Plan 

PERSONNEL POLICIES AND PROCEDURES 
§ 6100.141. Training records.
§ 6100.142. Orientation. 
§ 6100.143. Annual training. 
Staffing 
   Policy: 
   Procedures: 
   Types of Services Provided and Service Descriptions 
   Daily Staffing 
   Adjustments in Staffing 
Checking staff on List of Excluded Individuals and Entities (LEIE), System for Award Management (SAM) and DHS’s Medicheck list 
Background Check and Drug-Free Workplace 
   Drug-Free and Non-Smoking Policies 
   Employee Verification 
   Background Check 
   Recruitment 
Orientation 
   Policy: 
   Procedures: 
Authority, Responsibility, And Qualifications 
   Duties and Responsibilities 
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 

PHYSICAL RESTRAINT: RESTRICTIVE PROCEDURES 
§ 6100.341. Definition of restrictive procedures 
§ 6100.342. Written policy 
§ 6100.344. Human rights team 
§ 6100.345. Behavior support component of the individual plan 
§ 6100.346. Staff training 
§ 6100.347. Prohibited procedures 
§ 6100.348. Physical restraint 
Safeguards Concerning Participant Abuse, Restraints and Restrictive Intervention 
   Policy: 
   Process for Reporting Abuse under § 52.16 
   Incident Report 
   Physical restraint 
   Emergency use of a physical restraint 
Behavior Interventions and Support 
   Policy 
   Procedures: 
   Procedural Requirements for Behavior Interventions 
   Positive Behavior Support Strategies Include: 
   Manipulation of Rewards: 
   Consent 
   Planning for Behavior Supports 
   Functional Assessment 
   Monitoring On-going Progress 

RECORDKEEPING 
Record Management Policy 
   Policy: 
   Procedures: 
   Storage, processing, and handling of active and closed records 
   Storage, processing and handling of electronic records 
   Strategies for service continuity and record recovery 
   Designation of person responsible for records management 
   Disposition of records 
   Record management policy will comply with state and federal regulations including: 
   Medication record 
Documentation Policy 
   Policy: 
   Procedure: 
   Legibility 
   Patient Identification 
   Time Documentation 
   Record Procedures 
   Correction of documentation 
   Physician Orders 
   Documentation 
   Filing of Records 
   Security of Records/Documents 

EMERGENCY DISASTER RESPONSE PLAN 
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 

HEALTH, AND BEHAVIORAL EMERGENCY AND CRISIS PROCEDURES 
Crisis or Emergency Interventions 
   Policy: 
   Definitions and Procedures: 
   Crisis intervention 
   Designated Person 
   Crisis Receiving and Stabilization Services 
   Minimum Expectations to Operate a Crisis Receiving and Stabilization Service 
   Documenting Crisis Intervention and Clinical Emergency Services 

COMPLAINT PROCEDURE 
Complaint Policy and Procedure 
   Policy: 
   Procedures: 
   Grievance Handling 
   Filing Complaints 
   State Policies 
Management Complaint Policy 
   Policy: 
   Definition of a Complaint: 
   Procedure: 
   Notification: 
   Complaint Process 

BACK-UP PLAN PROTOCOL 
INTERNAL CONFLICT OF INTEREST PROTOCOL 
ANNUAL TRAINING CURRICULUM 
Annual Training Curriculum 
   Policy: 
   Procedures: 
   Medication Administration 
   Behavioral Management 
   Emergency Preparedness 
   Record Keeping in Employee Personnel Records 

LOSS OR DAMAGE TO PROPERTY 
TRANSITION OF INDIVIDUALS 
§ 6100.301. Individual choice 
§ 6100.302. Cooperation during individual transition 
§ 6100.303. Involuntary transfer or change of provider 
§ 6100.304. Written notice
§ 6100.305. Continuation of service 
§ 6100.306. Transition planning 
§ 6100.307. Transfer of records 
Transition of Individuals among Services 
   Policy: 
   Procedures: 

ACCESSIBILITY FOR INDIVIDUALS WHO ARE DEAF 
   Policy: 
   Procedures: 
   Communicating with People Who are Deaf or Hard of Hearing 
   Practical Suggestions for Communicating Effectively
   Web accessibility 
   Visual and textual information 

INCIDENT MANAGEMENT 
§ 6100.401. Types of incidents and timelines for reporting 
§ 6100.402. Incident investigation 
§ 6100.403. Individual needs 
§ 6100.404. Final incident report 
§ 6100.405. Incident analysis 
Incident Management 
   Purpose: 
   Definitions of critical events or incidents as outlined by BHCBS: 
Critical Incident Reporting Process 
   Definitions: 
   Procedures: 

TRANSPORTATION TRIP AIDE 
   Policy: 
   Procedure: 

ANNEXURES 
01. Quality Management Plan 

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