Non-Medical Home Care / Personal Assistance Services
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Agency Start-up Pack
Compliant, Tested & Guaranteed
The Start-up Pack will help you get your Home Care business up and running,Efficiently, Compliant, and within the shortest time. These solutions have been used by successful Home Care Agencies in every area of the country.
Starting a new agency will not give you much time. We can help you get the home care systems that you need. Having all the necessary policies, forms and documents is not just about looking professional, it is necessary in the home care industry.
Why you should evaluate our systems?
You can view everything immediately for review, with no cost or risk. You can start preparing for your new home care agency instantly and everything is guaranteed.
What's Included
7 comprehensive packages (click on the contents below) to to run your agency efficiently and in compliance with State/Federal law.
POLICIES & PROCEDURES MANUAL
Total of 93 Policies & Procedures
Our policy & procedures enable your agency to utilize a tried & tested system that's been used by many successful people to start and run their agencies.
Easy to follow guidelines on procedural information, increases the flow of communication between the administrative and operational sides of your business and gives your agency a clear direction.
Clearly defined policies will increase productivity and provide employees with a reference source, allowing you and your staff to make quicker decisions while complying with legislative guidelines.
This Policy & Procedures Manual includes the following 4 sections : Agency Operations , Human Resources, Home Care Services, Quality Management and Improvement
AGENCY OPERATIONS
Approval of Policies & Procedures Manual
Policies & Procedures Manual Explained
Mission Statement
Agency Objectives
Personal Assistance Services
Organizational Structure & Lines of Authorities
Agency Organizational Changes
Management Responsibilities / Administrator
Supervisor
Home Care Philosophy
Scope of Service
Agency Operation Hours
Methods of Communication
Communication Barriers & Providing Assistance
Services Area
Acceptance of Clients
Intake Referral Process
Client Conduct / Rights / Responsibilities
Consent Form
Client Rights
Fraudulent & Abusive Acts
Illegal Solicitation & Remuneration
Non-Discrimination
Financial Plan & Management
Financial Stability
Payment Change Notification
Billing
Agency Closure Process
HUMAN RESOURCES
Personnel Records
Verification of Employability / Criminal History Checks
Verification of Licensed Professionals
Disclosure of Drug Testing
Sexual Harassment
Verification of Vehicle Insurance & Drivers 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
Rules of Vocational / Practical Nurse Examiners
Home Health Aide: Training/Evaluation/Supervision
Employee Evaluations
Employee Attendance & Leave
Employee Development Program
Orientation & Training
Management Training & Continuous Education
Confidentiality & Information
Employee Conduct
Disciplinary Actions
Violence in the Work Place
Grievance Procedure
Family & Medical Leave
HOME CARE
Admission course of action
Initial Assessment
Start of Care
Individualized Service Plan
Supervision Of Staff
Client Record Protection & Retention
Confidentiality of Client Information
Maintaining Client Right’s & Regulations
Release Of Client’s Records
Correction of Errors
Abuse / Neglect / Exploitation
Agency Safety Practices
Emergency Preparedness Plan
Emergency Entry
Assistance with Self Administered Medications
Client Records & Documentation
Active Client List & Services
CPR Administration
Latex Sensitivity
QUALITY MANAGEMENT & IMPROVEMENT
Agency Annual Evaluation
The Governing Board
Policy & Procedure Modifications
Agency Supplies & Equipment
Sharps & Medical Waste Management
Nurse Aide & Employee Misconduct
Health Insurance Portability & Accountability ACT (HIPAA)
Quality Assessment & Performance Improvement
Client Satisfaction Survey & Questionnaire
Client Complaints & Grievances
Accident / Incident Reporting & Management
Infection Control Management & Assessment
Blood & Body Fluids Spills Handling
Reporting Communicable Diseases
Blood & Infectious Materials Exposure
AGENCY FORMS PACKAGE
Total of 45 Forms
Why re-invent the wheel? Put your Agency Solutions in place quicker by using our Forms!
Our experienced team have taken many years designing efficient forms. Our forms will provide practical solutions and professional organization. They have been created to assist an agency meet compliance.
These forms will help you take care of the administration needs within your agency. Each form can be tailored, to fit your requirements.
GENERAL AGENCY FORMS
Client Needs Assessment Questionnaire & Task / Hour
Addendum to Form for Personal Assistance Services
Individual Service Plan
Service Delivery Record
Summary of Client's Need for Service
Client Profile
Individualized Service Plan
Treatment Consent Form
Personal Assistance Services Tasks
Personal Care Attendant
Personal Care Attendant Do's & Don'ts
Caring for Client's at Home
HIPAA Privacy Notice to Patient's
Cient Rights
Home Safety Check List
Active Client List
Helpful Numbers
Service Agreement
Latex Products
Client Referral Form
Daily Agency Census
Agency Fax Coversheet
Medication Instruction/Reminder Sheet
Daily Medication Calendar
Fall Prevention Safety Check-List
Client Weekly Diet Log
Communication Note
Patient Visit Calendar Form
Patient Visit Calendar Log
Client Calendar Worksheet
Daily Home Checklist
Emergency Plan
Emergency Disaster Preparedness
Service Coordination / Patient Notification
Disaster Plan Patient Preparedness Guide
Disaster Assessment/ Care Coordination
Directions to Patient Home Form
Document Tracking Log Sheet
DISCHARGE FORMS
Discharged Client Agency List
Discharge Summary Sheet
Discharge Client Log
Agency Release for Discharge Form
HOME CARE ATTENDANT FORMS
Home Care Attendant Plan of Care
Home Care Attendant Visit Note
Home Care Attendant Weekly Progress Note
Home Care Attendant Supervisory Visit
CLIENT ADMISSION PACK WITH CLIENT ORIENTATION HANDBOOK
Your agency Admission Pack is one of the first impressions your client will have of your agency, why not start off on the right foot?
This Admission Pack is easy to follow for staff and clients reviewing pertinent admission information. It looks professional and sends the right message to your client that they can feel safe in your agencies hands.
Our Admission Pack can easily be tailored with your agency information and needs.
25 Paged Booklet and Forms
Welcome to Home Care
Services Request & Agreement
Our Mission & Philosophy
Agency Change
Admission Eligibility
Referral Assessment
Services we provide
Client Profile
Your Consent
Individualized Service Plan
Individualized Care Plan
Home Safety Check List
Home Care Attendants
Satisfaction Questionnaire
Agency Operating Hours
Emergency Preparedness
After Hours Coverage
Client Evaluation
Client Satisfaction
Transportation Waiver
Emergency Preparedness Rights & Responsibilities
Adverse Weather Conditions
Safety Basics at Home
Infection Control Considerations
How to File a Complaint
Drug Testing
Security & Privacy Rights
Confidentiality & Access to your Records
Client Rights
Client Responsibilities
Rights of the Elderly
Understanding Your Choices
Payment for Services / Charges
HIRING NEW PERSONNEL PACKAGE
Your employees are a very important part of the agency. Making sure that your staff are adhering to regulations, policies and procedures are important.
Be prepared when your New Staff Member walks through the door, this enrollment package has the materials to make this process a snap.
WHAT IT INCLUDES
Home Health Care Specific Employment Application
Employment Agreement
Criminal History Consent Check
Wage / Mileage Agreement
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
Orientation Acknowledgement
Agreement to Safety & Health
Agency Disclaimer of Liability
Following Infection Control Procedures
Non-Compete Agreement
Employee Initial TB Testing
Verification of Professional License
JOB DESCRIPTIONS
All employees must have a signed job description in their personnel file. With this package you will be well equipped for all types of staff.
Clearly defined job roles and duties help to remove confusion and keep employees on track.
WHAT IT INCLUDES
Administrator
Alternate Administrator
Supervisor
Alternate Supervisor
CFO – Chief Financial Officer
CEO – Chief Executive Officer
Personal Attendant
Receptionist
General Office Clerk
Medical Records Clerk
Human Resources
Payroll Coordinator
HUMAN RESOURCES FORMS
COMBINATION OF HR FORMS & COMPETENCY TOOLS
These systems will help you stay on track and maintain employee records. Our experienced team have taken many years designing efficient forms. Our forms will provide practical solutions and professional organization.
They have been created to assist an agency meet compliance. Our HR forms will help you take care of the administration needs within your agency.
TOTAL OF 31 HR FORMS
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 : Attendant
Home Care Interviewing Questions
Employee Counseling
Interview Structure Report
Contractor Evaluation
Employee Performance Evaluation
Initial Employee Orientation
Criminal History Acknowledgement
Criminal History Result Form
Emergency Employment Hire Form
Independent Contractor Agreement
Personal Attendant Dailey Activity Time Sheet
Employee Leave Request Form
Disciplinary Action Form
Extra Hours Worked
Personnel Record Change
Payroll Notification
Shift Tracking Sheet
Abuse Screening Packet
QUALITY MANAGEMENT & IMPROVEMENT PACKAGE
Quality Assurance Performance Improvement and Tracking Documentation are critical in Home Health Care.
Why not be geared up & equipped with the right tools? Have confidence in your agency and these systems they are crucial in staying compliant and legal within this industry.
WHAT'S INCLUDED
Annual Agency Evaluation
Home Health Care Quality Improvement
Quality Assurance Log
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
Active Clinical Record Review
Annual Clinical Record Review
Satisfaction Survey Log
*State Information & Licensing - click on the map - opens a new window
Just Policies & Procedures
POLICIES & PROCEDURES MANUAL
(TEMPLATES ONLY)
Total of 93 Policies & Procedures
Our policy & procedures enable your agency to utilize a tried & tested system that's been used by many successful people to start and run their agencies.
Easy to follow guidelines on procedural information, increases the flow of communication between the administrative and operational sides of your business and gives your agency a clear direction.
Clearly defined policies will increase productivity and provide employees with a reference source, allowing you and your staff to make quicker decisions while complying with legislative guidelines.
This Policy & Procedures Manual includes the following 4 sections : Agency Operations , Human Resources, Home Care Services, Quality Management and Improvement
AGENCY OPERATIONS
Approval of Policies & Procedures Manual
Policies & Procedures Manual Explained
Mission Statement
Agency Objectives
Personal Assistance Services
Organizational Structure & Lines of Authorities
Agency Organizational Changes
Management Responsibilities / Administrator
Supervisor
Home Care Philosophy
Scope of Service
Agency Operation Hours
Methods of Communication
Communication Barriers & Providing Assistance
Services Area
Acceptance of Clients
Intake Referral Process
Client Conduct / Rights / Responsibilities
Consent Form
Right’s of the Elderly
Fraudulent & Abusive Acts
Illegal Solicitation & Remuneration
Non-Discrimination
Financial Plan & Management
Financial Stability
Payment Change Notification
Billing
Agency Closure Process
HUMAN RESOURCES
Personnel Records
Verification of Employability / Criminal History Checks
Verification of Licensed Professionals
Disclosure of Drug Testing
Sexual Harassment
Verification of Vehicle Insurance & Drivers 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
Rules of Vocational / Practical Nurse Examiners
Home Health Aide: Training/Evaluation/Supervision
Employee Evaluations
Employee Attendance & Leave
Employee Development Program
Orientation & Training
Management Training & Continuous Education
Confidentiality & Information
Employee Conduct
Disciplinary Actions
Violence in the Work Place
Grievance Procedure
Family & Medical Leave
HOME CARE
Admission course of action
Initial Assessment
Start of Care
Individualized Service Plan
Supervision Of Staff
Client Record Protection & Retention
Confidentiality of Client Information
Maintaining Client Right’s & Regulations
Release Of Client’s Records
Correction of Errors
Abuse / Neglect / Exploitation
Agency Safety Practices
Emergency Preparedness Plan
Emergency Entry
Assistance with Self Administered Medications
Client Records & Documentation
Active Client List & Services
CPR Administration
Latex Sensitivity
QUALITY MANAGEMENT & IMPROVEMENT
Agency Annual Evaluation
The Governing Board
Policy & Procedure Modifications
Agency Supplies & Equipment
Sharps & Medical Waste Management
Nurse Aide & Employee Misconduct
Health Insurance Portability & Accountability ACT (HIPAA)
Quality Assessment & Performance Improvement
Client Satisfaction Survey & Questionnaire
Client Complaints & Grievances
Accident / Incident Reporting & Management
Infection Control Management & Assessment
Blood & Body Fluids Spills Handling
Reporting Communicable Diseases
Blood & Infectious Materials Exposure
" 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