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What it includes
12 comprehensive packages (click on the contents below) to run your agency smoothly & get through Licensing, Accreditation CHAP/ACHC/Medicare Certification surveys.
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TOTAL OF 154 POLICIES & PROCEDURES
(*customized version slightly different per state)
39 Agency Operations Policies, 37 Human Resources Policies, 49 Clinical, 29 Quality Management & Improvement
Writing policies and procedures is a daunting task. Where do you begin? We say, why attempt to do this complicated task, when it has already been done for you? They are not just guidelines, they are legislation, and you cannot afford to get them wrong.
AGENCY OPERATIONS
Approval of policies & procedures manual
Policies and procedures manual explained
Mission statement
Agency objectives
Lines of authority & organizational structure
Administrative responsibilities
Home health care philosophy
Purpose and scope
On-call course of action
Back up services / after hours care
Agency operating hours
Methods of communication
Communication barriers & providing assistance
Physician delegation
Processing referrals
Service area
Admission qualifications
Non-coverage of services
Compliance implementation
Patient, conduct, responsibilities & rights
Rights of the elderly
Advanced directives
Fraudulent and abusive acts
Illegal solicitation & remuneration
Non-discrimination
Patient re-certification
Financial plan & management
Financial stability
Payment change notification
Billing
Correction of billing errors & refunds
Collection of delinquent client accounts
Financial controls policy
Agency closure process
Communicating with the Impaired, (LEP) (TDD)
Ethics
Fire safety and backup systems
Hazard communication & MSDs
Protection of electronic information
HUMAN RESOURCES
Employee file
Background check
Verification of licensed professionals
Drug testing
Sexual harassment
Verification of vehicle insurance & driver’s license
Mileage reimbursement
Employee initial TB testing
Employee annual TB testing
Dress code
Cellular phone use
90 day probationary period
Paid holidays & paid leave
Employee benefits
Definition of an employee visit
Classification of personnel positions
The administrator
The director of nursing
Rules of vocational nurse examiners
Home health aide: Training / Evaluation / Supervision
Contract services
Non-compete policy
Employee evaluations
Employee attendance & leave
Employee development program
Orientation and training
Management training & continuing education
Confidentiality of information
Employee conduct
Disciplinary actions
Violence in the workplace
Grievance procedure
Family and medical leave
Compliance of agency policies
Appropriate clinical training
Employee references
Hepatitis B vaccine
CLINICAL
Admissions course of action
Therapy admissions process
Supervising Nurse
Supervision of the clinical staff
Physician communication & receiving orders
Medical record protection & retention
Confidentially of patient information
Maintaining patient’s rights & regulation
Release of patients medical records
Patient plan of care
Correction of errors & use of abbreviations
Therapy services
Medical social work (MSW) services
Nutritional counseling
Delegation of specific nursing tasks
LVN/LPN assignment
Coordination of care
Clinical chart order
Abuse / neglect / exploitation
Agency safety practices
Emergency preparedness plan
Disaster and priority classification
Emergency entry
Medication registration
Medication worksheet and schedule
Medication quality management
Drug manufactures recall
Possession / transport / storage of sterile water/ saline
Home intravenous therapy
Home health aides assisting with medication
Oasis outcome & assessment info set
Oasis transmittals & data
Medical records & documentation
Active patient lists and services
Out of hospital DNR
Anaphylaxis Signs & Symptoms
Anaphylaxis treatment
CPR administration cardio-pulmonary resuscitation
Care of the dying
Pronouncement of death by registered
Patient discharge
Transfer of patients
Use of restraints
Home Health Advance Beneficiary Notice
Telemonitoring policy
Use and sterilization of patient care items
Utilities management plan
Volunteer services
Useable abbreviation list
QUALITY MANAGEMENT & IMPROVEMENT
Agency annual evaluations
Professional advisory committee
The governing board
Policy & procedure modifications
Nursing peer review process
Agency supplies & equipment
Management of expired supplies
Clinical laboratory improvement act
Laboratory deliveries & collection
Latex sensitivity
Sharps & medical waist management
Nurse Aide & employee misconduct registry
Health Insurance Portability and Accountability Act
Quality assessment and performance improvement
Patient satisfaction survey & questionnaire
Patient’s complaints and grievances
Oasis adverse events
Quarterly clinical review
Accident / incident reporting and management
Infection control management & assessment
Blood & body fluids spills handling
Reporting communicable diseases
Blood & infectious material exposure
Medical device reporting
Collecting data and monitoring performance
Compliance program and plan
Guidelines for infection control
Exposure control plan blood borne pathogen standards
Tuberculosis exposure control plan
TOTAL OF 158 CLINICAL FORMS
53 General agency Forms, 15 Meds & Labs Forms, 6 Discharge Forms, 19 Skilled Nursing Forms, 3 LVN / LPN Forms, 9 Therapy Forms, 5 Medical Social Worker, 4 Home Health Aide Forms
State legislation, Medicare Conditions of Participation and Accreditation rules requires certain forms to fill out and records to be kept, and so, this is an important part of your health care business.
These forms will help keep you compliant. From an administration point of view these are easy to read and concise. From a medical point of view they are essential. If you need to get organized, then you need our forms!
GENERAL AGENCY FORMS
Active Patient List
Agency Referral Form
Communication Note
Patient Visit Calendar Log
Patient Visit Calendar Form
Patient Calendar Worksheet
Nine Week Planner
Daily Home Checklist
Emergency Plan
Emergency Disaster Preparedness (Category Determination)
Hospitalization and Emergency Care Risk Factor Assessment
Service Coordination / Patient Notification
Disaster Plan Patient Preparedness Guide
Disaster Assessment/ Care Coordination
Directions to Patient Home Form
Doctor Report of Patient Progress
Document Tracking Log Sheet
Agency Fax Transmittal Cover Sheet
Physician Order Form
Vitals Weekly Report to Physician
Patient Emergency Care Plan
Patient Progress Report
Patient New Order Log
Patient Consent Form
Patient Transfer Form
Post Hospital Assessment
Patient Post Hospital Check-List
Hospital Intake Form / Assessment
High Risk Screening Form
Employee In-Service Log
In-Service Sign In Sheet
Daily Agency Census
Patient Certification / Services Log
Patient Re-certification Check-List
Wound Care Evaluation Sheet
Wound Care Flow Sheet
Daily Agency Report Log
Release of Medical Information
Medical Supply/Equipment Sign Out Form
Medical Record Sign Out Log
Patient Weekly Diet Log
Notification Form
Medicare Screening Form
Patient Seizure Log Form
Interdisciplinary Progress Note
Accident Risk Assessment
Accident Risk Reduction
Risks of Falling
Fall Prevention Safety Record
Post Fall Evaluation
OASIS Tracking Slip
Permission to Photograph
HHABN Form
MEDS & LABS FORMS
Medication Profile
Possession of Dangerous Drugs Log
Drug Reaction Form
Laboratory Questionnaire Form
Lab Flow Sheet
Glucometer Testing Weekly Record
Diabetic Assessment Form
Diabetic Log Form
Medication Instruction Sheet
Medication profile
Controlled Medication Verification Sheet
Daily Medication Calendar
Lab / Foley Log Form
IV Competency Checklist
IV Competency Verification Form
DISCHARGE FORMS
Discharged Patient Agency List
Discharge Check-List Coordination of Care
Discharge Order Form
Discharge Summary Sheet
Discharge Patient Log
Agency Release Form for Discharge
NURSING FORMS
Nursing Visit Record
Nurse's Notes
Nurse's Missed Visit Report
Skilled Nursing Assessment Form
485 Work Sheet
Teaching Checklist
RN Teaching Note
Skilled Nursing Mental Health Assessment
Supervision of Skilled Nursing
Supervisory Visit / Re-certification Form
Physician Update 60 Day Summary
New Order Communication Log
Communication Note
Communication Note / Addendum
Nursing Skills Check List
Nursing Skills Log Form
Supply Requisition Form
Nursing Services Flow-Sheet
Telephone Order
LVN'S / LPN'S
LVN'S / LPN'S Patient Care Instructions
LVN'S / LPN'S Emergency Care Plan
LVN'S / LPN'S Medication Record
THERAPY FORMS
Therapy Visit Note
Therapy Referral Form
Therapy Missed Visit Report
Supervisory Visit / Monthly Re-evaluation
Physical Therapy Evaluation Form
Occupational Therapy Evaluation Form
Speech / Language Evaluation Form
Discharge Summary Therapy
Therapy Skills Checklist
MEDICAL SOCIAL WORKER FORMS
MSW Skilled Visit
MSW Initial Visit / Plan of Care
MSW Initial Evaluation
MSW Assessment Visit Note
MSW Referral / Order Form
HOME HEALTH AIDE FORMS
HHA Plan of Care
HHA Visit Note
HHA Weekly Progress Note
HHA Supervisory Visit
35 PAGED BOOK & A TOTAL OF 13 FORMS
Patient Admission Package & Client Orientation Handbook
Patients need to know their rights and understand their choices. Providing them with our Client Orientation Handbook, will reassure patients that they are going to receive the best treatment with your agency and that the business is complying with the Law.
Our Patient Admission pack forms are also easy for your health care staff to use, and ensures that the correct forms are filled out and documents signed. Not only do they look professional, it helps your staff adequately prepare for the continuing care of the patient.
35 PAGE BOOK
Welcome to Home Health
Our Mission & Philosophy
Admission Eligibility
Services Provided by this Agency
Giving Consent to Treat You
Your Plan for Care
Agency Operating Hours
After Hours Coverage
Patient Satisfaction
Emergency Preparedness
Adverse Weather Conditions
Safety Basics at Home
Home Infection Control
Presenting a Grievance
Drug Testing
Our Referral & Discharge Process
Security in your decision for Home Health
OASIS Statement of Privacy Rights
Your Medical Records
Patient Rights
Patient Responsibilities
Rights of the Elderly
Advance Directives
Understanding Your Choices
Medicare Coverage Guidelines
Payment for Services / Charges
FORMS
Referral Intake Form
Medication Profile
Interdisciplinary Flow Sheet
Nine Week Planner
Disaster Preparedness
Coordination of Care
Directions to Patients Home
Change of agency Forms
Emergency Plan
Consent Form
485 Work Sheet
Risk Assessment
Satisfaction Questionnaire
HUMAN RESOURCES FORMS
TOTAL OF 37 HR FORMS
A combination of HR Forms & competency tools
This is another of our packages to help you stay compliant with all aspects of running your agency. Take control of your business, and make sure you take this opportunity to run your company professionally and manage your employees effectively, by using our Human Resources package.
WHATS INCLUDED
Training Acknowledgment For Health & Safety
Employee Benefits
Confidentiality of Information
Request for Leave
Employee File Log Out Sheet
Team Meeting Sign-in Sheet
Wage & Mileage Agreement
Personnel Status & Wage Change
Expense Form
Daily Personnel Activity Log
Employee Annual TB Testing
Interviewing Questions & Response : Clerical Staff
Interviewing Questions & Response : Clinical Staff
Interviewing Questionnaire for Nurses & LVN's/LPN's
Home Health Interviewing Questions
Interview Structure Report
Clinical Contractor Evaluation
Employee Performance Evaluation
Initial Employee Orientation
Nursing Skills Competency Tool
Therapy Skills Competency Tool
Intravenous Therapy Evaluation Tool
Intravenous Competency Log Sheet
Criminal History Acknowledgment
Criminal History Result Form
Emergency Employment Hire Form
Independent Contractor Agreement
Therapy Daily Activity Time Sheet
Nursing Daily Activity Time Sheet
Employee Leave Request Form
Disciplinary Action Form
Extra Hours Worked
Personnel Record Change
Payroll Notification
Shift Tracking Sheet
Abuse Screening Packet
Employee Counseling
JOB DESCRIPTIONS PACKAGE
From Administrative positions to Nursing and Therapy, the Job Descriptions Pack provides clear and definitive duties for all the staff roles that will be required to run a home health agency.
All employees are required to have a signed job description in their personnel file, making the Job Descriptions pack even more important.
WHATS INCLUDED
Administrator
Alternate Administrator
Alternate Director of Nursing
Billing Clerk
CEO Chief Executive Officer
CFO Chief Financial Officer
Director of Nursing
General Office Clerk
Home Health Aide
Human Resources
LVN / LPN
Medical Records Clerk
Medical Social Worker
Occupational Therapist Assistant
Occupational Therapist
Payroll Manager
Physical Therapist Assistant
Physical Therapist
Psychiatric Registered Nurse
Receptionist
Registered Nurse
Speech Therapist Assistant
Speech Therapist
QUALITY MANAGEMENT & IMPROVEMENT PACKAGE
Quality Management pack focuses on the process to help bring services to the next level.
The Quality Management/Improvement Package is a systematic approach, designed to make you study how effective your business and staff are, when it comes to achieving its goals.
Home health care is a highly regulated industry, and the Quality Improvement Package is a critical tool in streamlining, and improving the performance of your business.
WHAT'S INCLUDED
Annual Agency Evaluation
90 Day Chart Review / Clinical Summary
Home Health Care Quality Improvement
Quality Assurance Log
Case Conference Form
Case Conference / Physician Report
Case Conference Log Sheet
Complaint Assessment Form
Complaint Log Sheet
Infection Control Assessment Form
Infection Control Log Sheet
Incident Assessment Form
Incident Log Sheet
Accident Assessment Form
Accident Log Sheet
Clinical Contractor Evaluation Form
Performance Evaluation Form
QI Quarterly Review
Clinical Record Audit
Active Clinical Record Review
Discharge Record Review Form
Annual Clinical Record Review
Corrective Action Report
Satisfaction Survey Questionnaire
Satisfaction Survey Log
Request for Change of Policy Form
NEW PERSONNEL PACKAGE
The New Personnel Package introduces the new employee into your agency. It also assists with the quick integration of your employee, into your agency.
You can be reassured that they are the right employee for you and that you have gone through all the legal requirements through using forms such as the Criminal History Consent Check, the Reference Check form and Verification of Professional License.
The New Personnel Package gives employees a good first impression, which helps with your recruitment. If you want long term success for your business, then the New Employee Package is something you cannot do without!
WHATS INCLUDED
Home Health Care Specific Employment Application
Employment Agreement
Criminal History Consent Check
Wage / Mileage Agreement
Hepatitis B Vaccine / Waiver Form
Reference Check Form
Processing the New Employee
Employee Orientation
Cellular Phone Use
Dress Code
Drug Testing
Sexual Harassment
Universal Precautions Training Document
Confidentiality of Information Agreement
Reporting Abuse / Neglect / Exploitation
Understanding Illegal Remuneration
Orientation Acknowledgement
Agreement to Safety & Health
Agency Disclaimer of Liability
Following Infection Control Procedures
HBV Vaccine / Waiver Form
Noncompete Agreement
Employee Initial TB Testing
Verification of Professional License
PERSONNEL ORIENTATION PACKAGE
40 Pages Orientating New Employees
The Personnel Orientation Package will help you orientate new staff to your agency policies and procedures with the included . When new situations arise with your employees, they will know what to do and where they stand.
You will need to address these situations in a professional manner, with the guidelines already laid out for everyone, with forms such as, the Disciplinary Process, Employee Grievance, Family & Medical Leave and Paid Leave/ Vacation forms.
EMPLOYEE HANDBOOK
Complete personnel file
Tour office with introduction
Company badge
OSHA information
Policies Manual Orientation
Benefits and Payroll Review
Mission and Philosophy Statement
Billing Reporting Abuse / Neglect / Exploitation
Q.A. General Agency Guidelines
Documentation
Orientation to Agency Forms
Paper flow
Review Patient Orientation Manual
Agency Organizational Chart
Orientation & Training Program
Learning about Patient Confidentiality
Non-compete Policy Review
Employee Status / Field Staff Classification
Family & Medical Leave
90 Day Initial Period of Employment
Summary of Benefits
Paid Leave & Holidays + Form
Attendance / Leave + Form
Employee Conduct
Personnel records
Confidentiality of Information
Sexual Harassment
Disciplinary Process
Employee Grievance
Driver Insurability & Valid Driver's License
Work Place Violence
Dress Code
Medical Record / Documentation in Home Care
Service Delivery & Supervision
Corrections of Errors
Care Coordination
Reporting Abuse / Neglect / Exploitation
General Agency Guidelines
HIPAA ORIENTATION
Health Insurance Portability & Accountability Act
Agencies are required to have systems and policies in place to maintain patient information confidentiality and to secure the safety of medical records. This manual will guide you and your personnel.
15 Paged Manual
HIPAA Orientation And Guide
EVALUATING EMPLOYEES & CONTRACT EMPLOYEES
Evaluating Clinical Staff Members & Contract employees helps gin efficiency and quality for your agency. It is also a requirement in this business.
WHATS INCLUDED
General Employee Performance
Contractor Evaluation
Administrator Eval
Clinical Supervisor
Director of Nursing Eval
Home Health Aide Eval
Intake Nurse Eval
LVN/LPN Eval
Medical Social Worker Eval
Occupational Therapist Eval
Physical Therapist Eval
Speech Therapist Eval
SAMPLE CONTRACTS
These sample contracts will be a useful resource when managing your agency.
Back Up Services Agreement (essential for license)
A contract with another Agency to provide Back Up Services in any event. An Agency shall have systems in place to ensure that back-up services are available to provide services to patients when the assigned employee or contractor is not able to deliver the services.
Non Compete Agreement
Ensures employees, contractors, suppliers adhere to this Agreement.
This Agreement shall include but not be limited to, procedure manuals, in-house policies, patient lists, patient's medical records, financial information and billing records, certifications and applications, actual and prospective markets and patients, business plans and marketing strategies, customer lists, sales and marketing data, operating statements, income statements, asset and liability information, financial projections and any other confidential information gathered, revealed, acquired or generated by or for the Agency.
Confidentiality Agreement
In order to protect any individual from invasion of privacy and to protect the interest of the Agency, any information gathered for patient care or operations will be gathered, maintained, and stored in such a manner as to assure confidentiality.
MEETINGS PACKAGE
SAMPLE DOCUMENTATION TEMPLATE'S
Meeting Minutes, Meeting Agendas & Committee Evaluation Tools
GOVERNING BOARD
The Governing Board Manages the Agency Operations reviews & approves the Agency Annual Budget, Annual Agency Evaluation, Policies & Procedures.
Sample Governing Board Meeting Minutes
Governing Board Self Evaluation Protocol 3pgs
(PAC) PROFESSIONAL ADVISORY COMMITTEE
The PAC Committee advises on professional issues and in the evaluation of the agency & it's programs it also helps to maintain liaisons between the local community.
Sample PAC Meeting Agendas
Sample PAC Meeting Minutes
Annual Agency Evaluation Pack 5pgs
BUDGET COMMITTEE
The Agency's Management Staff under the direction of the Governing Board prepares an overall plan & budget that includes an annual Operating Budget and a Capital Expenditure Plan.
Sample Budget Committee Meeting Minutes.
(QAPI) QUALITY ASSESSMENT PERFORMANCE IMPROVEMENT COMMITTEE
The QAPI Committee will address areas for improvement that are cost effective and also perform periodic assessments of care and service.
Sample QAPI Committee Meeting Minutes.
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TOTAL OF 154 POLICIES & PROCEDURES
39 Agency Operations Policies, 37 Human Resources Policies, 49 Clinical, 29 Quality Management & Improvement
Writing policies and procedures is a daunting task. Where do you begin? We say, why attempt to do this complicated task, when it has already been done for you? They are not just guidelines, they are legislation, and you cannot afford to get them wrong.
AGENCY OPERATIONS
Approval of policies & procedures manual
Policies and procedures manual explained
Mission statement
Agency objectives
Lines of authority & organizational structure
Administrative responsibilities
Home health care philosophy
Purpose and scope
On-call course of action
Back up services / after hours care
Agency operating hours
Methods of communication
Communication barriers & providing assistance
Physician delegation
Processing referrals
Service area
Admission qualifications
Non-coverage of services
Compliance implementation
Patient, conduct, responsibilities & rights
Rights of the elderly
Advanced directives
Fraudulent and abusive acts
Illegal solicitation & remuneration
Non-discrimination
Patient re certification
Financial plan & management
Financial stability
Payment change notification
Billing
Correction of billing errors & refunds
Collection of delinquent client accounts
Financial controls policy
Agency closure process
Communicating with the Impaired, (LEP) (TDD)
Ethics
Fire safety and backup systems
Hazard communication & MSDs
Protection of electronic information
HUMAN RESOURCES
Employee file
Background check
Verification of licensed professionals
Drug testing
Sexual harassment
Verification of vehicle insurance & driver’s license
Mileage reimbursement
Employee initial TB testing
Employee annual TB testing
Dress code
Cellular phone use
90 day probationary period
Paid holidays & paid leave
Employee benefits
Definition of an employee visit
Classification of personnel positions
The administrator
The director of nursing
Rules of vocational nurse examiners
Home health aide: Training / Evaluation / Supervision
Contract services
Non-compete policy
Employee evaluations
Employee attendance & leave
Employee development program
Orientation and training
Management training & continuing education
Confidentiality of information
Employee conduct
Disciplinary actions
Violence in the workplace
Grievance procedure
Family and medical leave
Compliance of agency policies
Appropriate clinical training
Employee references
Hepatitis B vaccine
CLINICAL
Admissions course of action
Therapy admissions process
Supervising Nurse
Supervision of the clinical staff
Physician communication & receiving orders
Medical record protection & retention
Confidentially of patient information
Maintaining patient’s rights & regulation
Release of patients medical records
Patient plan of care
Correction of errors & use of abbreviations
Therapy services
Medical social work (MSW) services
Nutritional counseling
Delegation of specific nursing tasks
LVN assignment
Coordination of care
Clinical chart order
Abuse / neglect / exploitation
Agency safety practices
Emergency preparedness plan
Disaster and priority classification
Emergency entry
Medication registration
Medication worksheet and schedule
Medication quality management
Drug manufactures recall
Possession / transport / storage of sterile water/ saline
Home intravenous therapy
Home health aides assisting with medication
Oasis outcome & assessment info set
Oasis transmittals & data
Medical records & documentation
Active patient lists and services
Out of hospital DNR
Anaphylaxis Signs & Symptoms
Anaphylaxis treatment
CPR administration cardio-pulmonary resuscitation
Care of the dying
Pronouncement of death by registered
Patient discharge
Transfer of patients
Use of restraints
Home Health Advance Beneficiary Notice
Telemonitoring policy
Use and sterilization of patient care items
Utilities management plan
Volunteer services
Use-able abbreviation list
QUALITY MANAGEMENT & IMPROVEMENT
Agency annual evaluations
Professional advisory committee
The governing board
Policy & procedure modifications
Nursing peer review process
Agency supplies & equipment
Management of expired supplies
Clinical laboratory improvement act
Laboratory deliveries & collection
Latex sensitivity
Sharps & medical waist management
Nurse Aide & employee misconduct registry
Health Insurance Portability and Accountability Act
Quality assessment and performance improvement
Patient satisfaction survey & questionnaire
Patient’s complaints and grievances
Oasis adverse events
Quarterly clinical review
Accident / incident reporting and management
Infection control management & assessment
Blood & body fluids spills handling
Reporting communicable diseases
Blood & infectious material exposure
Medical device reporting
Collecting data and monitoring performance
Compliance program and plan
Guidelines for infection control
Exposure control plan blood borne pathogen standards
Tuberculosis exposure control plan
PEDIATRIC ADD ON PACKAGE
The Pediatric Package will help your agency become compliant with legislation on Pediatric care. All the policies and forms you will need are included.
Documentation for adults is not suitable for children because the forms do not ask the necessary questions. Relevant questions may be about the mother’s labor, or childhood disorders/illnesses, also whether developmental milestones were met?
The Pediatric Package will help your pediatric home health business be more efficient and better able to service your young patient and their parents.
ADD ON PEDIATRIC POLICIES & PROCEDURES
Pediatric Admission Process
Supervision of Pediatric Care
Pediatric Services
ADD ON PEDIATRIC JOB DESCRIPTIONS
Pediatric Nurse
Pediatric LVN / LPN
PEDIATRIC SPECIFIC FORMS
Pediatric Assessment
Pediatric Plan of Care
Pediatric Visit
Pediatric Supervisory Visit
Reviewing Pediatric Charts
Pediatric Weekly Communication Note
Therapy Pediatric Assessment
Skilled Nursing Pediatric Assessment
Pediatric Nursing Skills Checklist
Pediatric Speech Language Pathology Evaluation/Plan of Care
PEDIATRIC ADMISSION PACKAGE
Welcome to Pediatric Home Health
Understanding Pediatric Home Health
Pediatric Admission Consent Form
Back Up Services Policy
Changing Your Home Health Agency Form
Child Safety in the Home
Drug Testing Policy
Contacting Parents / Caregiver Form
Emergency / Disaster Plan
Child & Parent (Patient Responsibilities)
Mission Statement
Nondiscrimination Policy
Disposal of Sharps Safely
Protection of Patient Confidentiality
Safety Check-List
On Call Process
Patient Right's
Reporting Abuse & Neglect
CIVIL RIGHT'S APPLICATION ASSISTANCE
If you are starting a Licensed & Certified Agency (that bills Medicare) your agency will have to complete this Application to obtain your certification.
Our pack includes a sample of a completed Civil Right's Application, Policies & Procedures & Forms that can easily be tailored to your agency information that is necessary to complete the Civil Right's Application.
We also help you to locate the other government documentation & forms that you'll also need to complete your agencies Civil Right's Application.
THIS PACKAGE INCLUDES THESE WRITTEN POLICIES & PROCEDURES, WITH FORMS
Non-Discrimination (English & Spanish)
Equal Opportunity Employer,
Rights of the Elderly,
Out of Hospital DNR + Form,
Sample Home Health Brochure,
Working with Contractors in Home Health,
HIPAA Privacy Notice to Patient's.
Admission Criteria,
Statement of Patient Privacy Rights,
Confidentiality of Information,
Sexual Harassment,
Patient Grievances + Form,
Admission Consent Form,
Client Accident / Incident Policy,
Accurate Billing,
Reporting Abuse / Neglect / Exploitation + Form,
Home Health Eligibility ( English & Spanish),
Do Not Resuscitate Orders / Mental Health Treatment / Assessment of Possible Abuse & Supervision of Clinical Staff (English & Spanish)
Communicating with the Hearing Impaired, Communicatively Impaired, Limited English Proficiency (LEP) & Telecommunication Device for the Deaf (TDD).
WHAT IT INCLUDES
Completed Sample Application Template
Civil Right's Application + Needed Policies & Procedures with Forms
" I would highly recommend the agency startup pack to any that value their time"
Surpassion Health Care Services, LLC Owner/Administrator
"So hard choosing the right consultants. You saved us a lot of time."
Alexia Health Services, LLC
"An amazingly easy transition to the Mobile Workforce Solution."
Vista Home Care Services, LLC
"What a great set of tools. We have even been doing HHA in-service via video"
Jasmine Community Care, Inc.
"Did what you said and thanks for getting my state license application passed"
J.Lorega . R.N, First Choice Group
"The surveyors commented how the policies and procedures were well written"
D.Eaden Administator, Progress Care Options, LLC
"I tried to do it on my own. You came in & solved everything"
Owner - Bright Stars Home Health, LLC
"I would highly recommend your Policy and Procedures"
M.Hagerty Supervisor/Owner, Angels Care in Action
"Chose the right consultants. I could look at everything before spending money"
Joan Browne – Owner, Belmont Home Health, LLC
"What a great service. Thanks for helping me start this agency"
M.Sailsbury – Administrator, Compassion Home Sevices
"I was a bit worried starting my agency but you helped me when I needed it"
At Home Health Care, LLC, Owner
"Great website and service. I never would have done this without you"
Living Tree Personal Care