Amity Healthcare Group developed a variety of products for home health and home care organizations to support their daily operations, policies and procedures, processes, and documentation. These products underwent a thorough review by ACHC and/or CHAP to verify that Amity Healthcare Group provides resources that allow home health and home care organizations to meet the intent of applicable regulations and standards.


Colorado Home Health Policy and Procedure Manual (for Class A Agencies)
(30-minutes customization orientation is included)
$2450 per copy
×
Colorado Home Health Policy and Procedure Manual (for Class A Agencies)
This Policy and Procedure Manual has been designed to meet ACHC standards and Medicare Conditions of Participation for home health organizations. The manual is customizable to further meet your agency needs and align the proposed policies and procedures with the internal organizational practices while ensuring compliance with Medicare Conditions of Participation and ACHC standards. The manual also includes multiple forms, practical tools, and references.
- SECTION I – ORGANIZATION AND ADMINISTRATION
-
- POLICY
- LEGAL AND REGULATORY COMPLIANCE
- DISCLOSURE OF OWNERSHIP AND MANAGEMENT
- PROFESSIONAL STANDARDS AND PRINCIPLES
- GOVERNING BODY RESPONSIBILITIES AND REQUIREMENTS
- CONFLICT OF INTEREST
- ADMINISTRATOR
- LINES OF AUTHORITY
- SERVICES PROVIDED
- CLINICAL MANAGER
- COLLECTION AND TRANSMISSION OF OASIS DATA
- REPORTING NEGATIVE AGENCY OUTCOMES
- SERVICES FURNISHED UNDER WRITTEN AGREEMENT/CONTRACT
- WAIVED TESTS
- ATTACHMENT
- GOVERNING BODY MEMBERS ROSTER
- GOVERNING BODY ORIENTATION CHECKLIST
- CONFLICT OF INTEREST ATTESTATION STATEMENT
- DESIGNATION OF ALTERNATE ADMINISTRATOR
- ORGANIZATIONAL CHART
- DESIGNATION OF ALTERNATE CLINICAL MANAGER
- CONTRACTOR/PROVIDER AGREEMENT
- ANNUAL CONTRACTOR EVALUATION
-
- SECTION II – PROGRAM AND SERVICE OPERATIONS
- POLICY
- DESCRIPTION OF CARE AND SERVICES
- PATIENT RIGHTS AND RESPONSIBILITIES
- REPORTING AND INVESTIGATING ABUSE AND NEGLECT
- REPORTING AND INVESTIGATING ABUSE AND NEGLECT
- PATIENT CONFIDENTIALITY AND PROTECTED HEALTH INFORMATION
- ADVANCE DIRECTIVES
- EMERGENCY CARE AND RESUSCITATION
- EMERGENCY CARE AND RESUSCITATION
- COMMUNICATION AND LANGUAGE BARRIERS
- CULTURAL AWARENESS AND RESPECT
- AGENCY COMPLIANCE PROGRAM
- SUPERVISOR AND NURSING AVAILABILITY
- APPROVED TREATMENTS AND PROCEDURES
- ATTACHMENT
- PATIENT RIGHTS AND RESPONSIBILITIES
- SAMPLE COMPLAINT LOG
- SAMPLE COMPLAINT REPORT
- NOTICE OF PRIVACY PRACTICES
- COMPLIANCE REPORTING POSTER
- SECTION III – FISCAL MANAGEMENT
- POLICY
- AGENCY BUDGET PLAN
- CAPITAL EXPENDITURE PLAN
- FINANCIAL MANAGEMENT AND BUSINESS PRACTICES
- FINANCIAL RECORDS RETENTION AND REVIEW
- DISCLOSURE OF RATES FOR CARE AND SERVICES
- ATTACHMENT
- CARE AND SERVICE RATES
- SECTION IV – HUMAN RESOURCE MANAGEMENT
- POLICY
- PERSONNEL FILE MANAGEMENT
- VERIFICATION OF CREDENTIALING
- TB SCREENING AND VACCINATION POLICIES
- JOB DESCRIPTION
- DRIVER’S LICENSE AND MVR CHECKS
- BACKGROUND CHECKS
- EMPLOYEE HANDBOOK AND PERSONNEL POLICIES
- EMPLOYEE HANDBOOK AND PERSONNEL POLICIES
- ORIENTATION
- COMPETENCY ASSESSMENT
- CONTINUING EDUCATION AND IN-SERVICE REQUIREMENTS
- HOME HEALTH AIDE TRAINING, COMPETENCY, AND SUPERVISION
REQUIREMENTS - PERSONAL CARE ATTENDANTS
- TRAINING FOR WAIVED TESTING
- SPECIALTY TRAINING AND CERTIFICATION FOR NURSES
- ATTACHMENT
- PERSONNEL FILE CHECKLIST
- SAMPLE JOB DESCRIPTIONS
- ADMINISTRATOR
- CLINICAL MANAGER
- REGISTERED NURSE
- LICENSED PRACTICAL/VOCATIONAL NURSE
- PHYSICAL THERAPIST
- PHYSICAL THERAPIST ASSISTANT
- OCCUPATIONAL THERAPIST
- OCCUPATIONAL THERAPIST ASSISTANT
- SPEECH-LANGUAGE PATHOLOGIST
- MEDICAL SOCIAL WORKER
- HOME HEALTH AIDE
- QUALITY ASSURANCE COORDINATOR/QAPI COORDINATOR
- ACKNOWLEDGEMENT OF RECEIPT OF EMPLOYEE HANDBOOK
- SAMPLE PERFORMANCE EVALUATIONS
- ADMINISTRATOR
- CLINICAL MANAGER
- REGISTERED NURSE
- LICENSED PRACTICAL/VOCATIONAL NURSE
- PHYSICAL THERAPIST
- PHYSICAL THERAPIST ASSISTANT
- OCCUPATIONAL THERAPIST
- OCCUPATIONAL THERAPIST ASSISTANT
- SPEECH-LANGUAGE PATHOLOGIST
- MEDICAL SOCIAL WORKER
- HOME HEALTH AIDE
- QUALITY ASSURANCE COORDINATOR/QAPI COORDINATOR
- SAMPLE COMPETENCY ASSESSMENTS
- REGISTERED NURSE
- LICENSED PRACTICAL/VOCATIONAL NURSE
- PHYSICAL THERAPIST
- PHYSICAL THERAPIST ASSISTANT
- OCCUPATIONAL THERAPIST
- OCCUPATIONAL THERAPIST ASSISTANT
- SPEECH-LANGUAGE PATHOLOGIST
- MEDICAL SOCIAL WORKER
- HOME HEALTH AIDE
- SAMPLE ANNUAL EDUCATION/INSERVICE AGENDA
- SECTION V – PROVISION OF CARE AND RECORD MANAGEMENT
- POLICY
- PATIENT RECORD REQUIREMENTS
- STORAGE AND ACCESS OF PATIENT RECORDS
- INITIAL ASSESSMENT AND PLAN OF CARE DEVELOPMENT
- COMPREHENSIVE ASSESSMENTS
- THERAPY AND MEDICAL SOCIAL WORK SERVICES ASSESSMENTS
- THERAPY AND MEDICAL SOCIAL WORK SERVICES ASSESSMENTS
- FIRST DOSE IN THE HOME SETTING
- PLAN OF CARE REQUIREMENTS
- WRITTEN INSTRUCTIONS FOR PATIENTS AND CAREGIVERS
- CARE COORDINATION
- TRANSFER/DISCHARGE CRITERIA AND PROCESS
- VERBAL ORDERS
- CHANGES IN PATIENT CONDITION
- SKILLED PROFESSIONAL SERVICES
- HOME HEALTH AIDE SERVICES
- PATIENT AND CAREGIVER EDUCATION
- REFERRAL AND ACCEPTANCE PROCESS
- FACE-TO-FACE ENCOUNTER AND CERTIFICATION
- CREDENTIAL VERIFICATION FOR PHYSICIANS AND
ALLOWED PRACTITIONERS - OUTPATIENT SERVICES
- ATTACHMENT
- PHYSICIAN AND ALLOWED PRACTITIONER LICENSE VERIFICATION
- SECTION VI – QUALITY OUTCOMES AND PERFORMANCE IMPROVEMENT
- POLICY
- QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT
(QAPI) PLAN - OVERSIGHT AND APPROVAL OF THE QAPI PROGRAM
- INCIDENTS AND OCCURRENCES REPORTING AND DOCUMENTATION
- SAFE MEDICAL DEVICE REPORTING
- OASIS DATA REPORTS
- ATTACHMENT
- AGENCY QAPI PLAN
- ANNUAL QAPI REPORT
- SAMPLE INCIDENT/OCCURRENCE REPORT
- SAMPLE INCIDENT LOG
- SECTION VII – RISK MANAGEMENT: INFECTION CONTROL, SAFETY AND EMERGENCY PREPAREDNESS
- POLICY
- INFECTION CONTROL PROGRAM
- EXPOSURE CONTROL AND STANDARD PRECAUTIONS
- TUBERCULOSIS SCREENING AND PREVENTION PLAN
- COVID-19 STANDARD
- EMPLOYEE AND PATIENT INFECTION CONTROL TRAINING
- EMPLOYEE AND PATIENT INFECTION CONTROL TRACKING
- BLOODBORNE PATHOGENS STANDARD
- EMPLOYEE PERSONAL SAFETY EDUCATION
- BASIC HOME SAFETY
- OFFICE AND WORKPLACE SAFETY PLAN
- HAZARDOUS WASTE AND MATERIALS USE, STORAGE, AND DISPOSAL
- HAZARD COMMUNICATION STANDARD
- INCIDENT AND OCCURRENCE REPORTING FOR PERSONNEL
- POINT-OF-CARE LABORATORY TESTING: PT/INR
- POINT-OF-CARE LABORATORY TESTING: BLOOD GLUCOSE MONITORS
- EMERGENCY PREPAREDNESS
- SAFE USE OF EQUIPMENT AND SUPPLIES
- EXPERIMENTAL THERAPIES AND CLINICAL RESEARCH
- ATTACHMENT
- AGENCY TB SCREENING ASSESSMENT
- EMPLOYEE TB SCREENING ASSESSMENT
- PATIENT INFECTION LOG
- EMPLOYEE INFECTION LOG
- FIRE DRILL LOG
- ANNUAL OFFICE ENVIRONMENT ASSESSMENT
- INCIDENT/OCCURRENCE LOG
- INCIDENT/OCCURRENCE REPORT
- EMERGENCY PREPAREDNESS PLAN


Colorado Non – Medical Home Care Policy and Procedure Manuals (for Class B Agencies)
(30-minutes customization orientation is included)
$1500 per copy
×
Colorado Non – Medical Home Care Policy and Procedure Manuals (for Class B Agencies)
The “virtual” Skilled Nursing Competency program offered by Amity Healthcare Group, LLC is designed to assist agencies in meeting initial onboarding and/or annual competency requirements for Registered Nurses (RNs) and Licensed Practical/ Vocational Nurses (LPN/LVNs) in the home health care setting. This comprehensive program serves as a robust introductory foundation to nurses new to the home health setting as well as an excellent “refresher” for experienced home health nursing staff. While this program is not designed to eliminate the need for in-person observation and demonstration of nursing skills in the live direct-care setting, it streamlines the education and skills validation process for agencies by preparing nurses with theoretical and practical knowledge to enter the home health setting with increased confidence in their skills.
The Skilled Nursing Competency program offered by Amity Healthcare Group, LLC consists of two (2) parts that are delivered in the following manner:
Part I of the Skilled Nursing Competency consists of a didactic (lecture) delivered via on-demand videos and accompanying clinical procedures handouts.
In Part II of the Skilled Nursing Competency, attendees participate in a live, instructor-led interactive 2-hour skills session delivered via Zoom platform by a qualified nurse educator
- HOME HEALTH SKILLED NURSING COMPETENCY PROGRAM DESCRIPTION
- EXHIBITS
- EXHIBIT I: SKILLED NURSING COMPETENCY ASSESSMENT CHECKLIST
- EXHIBIT II: SKILLED NURSING COMPETENCY WRITTEN ASSESSMENT
- EXHIBIT III: CEU CERTIFICATE/CERTIFICATE OF COMPLETION
- EXHIBIT IV: COURSE EVALUATION-FEEDBACK SURVEY
- EXHIBIT V: HANDOUTS
- SAMPLES
- HOME HEALTH SKILLED NURSING COMPETENCY DOCUMENTATION SAMPLE – 2022


Purchase both manuals together and receive a significant discount.
Colorado Non – Medical Home Care Policy and Procedure Manuals (for Class B Agencies)
Purchase both manuals together and receive a significant discount.
$3650 per copy for both manuals
×
Purchase both manuals together and receive a significant discount.
Colorado Home Health Policy and Procedure Manual (for Class A Agencies)
This Policy and Procedure Manual has been designed to meet ACHC standards and Medicare Conditions of Participation for home health organizations. The manual is customizable to further meet your agency needs and align the proposed policies and procedures with the internal organizational practices while ensuring compliance with Medicare Conditions of Participation and ACHC standards. The manual also includes multiple forms, practical tools, and references.
Colorado Non – Medical Home Care Policy and Procedure Manuals (for Class B Agencies)
The “virtual” Skilled Nursing Competency program offered by Amity Healthcare Group, LLC is designed to assist agencies in meeting initial onboarding and/or annual competency requirements for Registered Nurses (RNs) and Licensed Practical/ Vocational Nurses (LPN/LVNs) in the home health care setting. This comprehensive program serves as a robust introductory foundation to nurses new to the home health setting as well as an excellent “refresher” for experienced home health nursing staff. While this program is not designed to eliminate the need for in-person observation and demonstration of nursing skills in the live direct-care setting, it streamlines the education and skills validation process for agencies by preparing nurses with theoretical and practical knowledge to enter the home health setting with increased confidence in their skills.
The Skilled Nursing Competency program offered by Amity Healthcare Group, LLC consists of two (2) parts that are delivered in the following manner:
Part I of the Skilled Nursing Competency consists of a didactic (lecture) delivered via on-demand videos and accompanying clinical procedures handouts.
In Part II of the Skilled Nursing Competency, attendees participate in a live, instructor-led interactive 2-hour skills session delivered via Zoom platform by a qualified nurse educator


Home Care Performance Improvement (PI) Program
(Includes a 30-minutes orientation to the manual)
$270 per copy
×
Home Care Performance Improvement (PI) Program
This Home Care Performance Improvement Program is intended to support the home care performance improvement process and associated activities as well as compliance with ACHC home care standards.
The way this Home Care Performance Improvement Program is developed will allow your organization to align the proposed program with the existing organizational policies and procedures to ensure that the organization incorporates ACHC standards in its comprehensive approach to performance improvement.The plan also include multiple forms, practical tools, and references.The plan also includes multiple forms, practical tools, and references.
- PRODUCT DISCLOSURE STATEMENT
- PLACE HOLDER [INSERT AGENCY’S QAPI POLICY AND PROCEDURE]
- PERFORMANCE IMPROVEMENT PROGRAM
- GUIDE TO PERFORMANCE IMPROVEMENT PROJECTS (PIPS) FOR THE PI PROGRAM
- SAMPLES
- ONGOING MONITORING INDICATORS AND THRESHOLDS
- PIP – ADHERENCE TO THE PLAN OF CARE
- PIP FOCUS AUDIT- ADHERENCE TO POC/PROVIDER ORDERS
- PERFORMANCE IMPROVEMENT ACTIVITY TRACKING SHEET
- TEMPLATES
- PERFORMANCE IMPROVEMENT PROJECT
- PERFORMANCE IMPROVEMENT COMMITTEE MEETING MINUTES
- ANNUAL PERFORMANCE IMPROVEMENT (PI) REPORT
- GOVERNING BODY PI REVIEW
- GOVERNING BODY ORIENTATION CHECKLIST
- PI SELF-ASSESSMENT TOOL
- CLIENT/PATIENT RECORD AUDIT TOOL
- CLIENT/PATIENT SATISFACTION SURVEY
- EMPLOYEE SATISFACTION SURVEY
- PHYSICIAN/REFERRAL SOURCE/COMMUNITY PARTNER SATISFACTION SURVEY


Home Health QAPI Program
(Includes a 30-minutes orientation to the manual)
$295 per copy
×
Home Health QAPI Program
This Home Health Quality Assessment and Performance Improvement program is intended to support the home health Quality Assessment and performance improvement process and associated activities, as well as compliance with Medicare Conditions of Participation and ACHC home health standards.
The way this Home Health Quality Assessment and Performance Improvement Program is developed will allow your organization to align the proposed program with the existing organizational policies and procedures to ensure that the organization incorporates Medicare Conditions of Participation and ACHC standards in its comprehensive approach to performance improvement. The QAPI program also includes multiple forms, practical tools, and references.
- PRODUCT DISCLOSURE STATEMENT
- PLACE HOLDER [INSERT AGENCY’S QAPI POLICY AND PROCEDURE]
- QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM
- QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT AND HOME HEALTH VALUE-BASED PURCHASING
- GUIDE TO PERFORMANCE IMPROVEMENT PROJECTS (PIPS) FOR THE QAPI PROGRAM
- SAMPLES
- ONGOING MONITORING INDICATORS AND THRESHOLDS (SAMPLE)
- PIP – WOUND ASSOCIATED INFECTIONS (SAMPLE#1)
- PIP – WOUND ASSOCIATED INFECTIONS AUDIT TOOL (SAMPLE#1)
- PIP – ADHERENCE TO POC (SAMPLE #2)
- PIP – ADHERENCE TO POC AUDIT TOOL (SAMPLE #2)
- PIP- KEY ASPECT OF ADMINISTRATIVE FUNCTION (SAMPLE #3)
- PIP- KEY ASPECT OF ADMINISTRATIVE FUNCTION AUDIT TOOL (SAMPLE #3)
- TEMPLATES
- PERFORMANCE IMPROVEMENT PROJECT (TEMPLATE)
- QAPI COMMITTEE MEETING MINUTES (TEMPLATE)
- ANNUAL PERFORMANCE IMPROVEMENT (PI) REPORT (TEMPLATE)
- GOVERNING BODY QAPI REVIEW (TEMPLATE)
- GOVERNING BODY ORIENTATION CHECKLIST
- QAPI SELF-ASSESSMENT TOOL (TEMPLATE)
- PATIENT RECORD AUDIT TOOL (TEMPLATE)
- PERSONNEL FILE AUDIT FORM (TEMPLATE)
- PATIENT SATISFACTION SURVEYS (TEMPLATE)
- EMPLOYEE SATISFACTION SURVEY (TEMPLATE)
- PHYSICIAN/REFERRAL SOURCE/COMMUNITY PARTNER SATISFACTION SURVEY (TEMPLATE)
- ETHICS REPORTS LOG (TEMPLATE)
- ETHICS REPORT FORM (TEMPLATE)
- PRODUCT DISCLOSURE STATEMENT
- PLACE HOLDER [INSERT AGENCY’S QAPI POLICY AND PROCEDURE]
- QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM
- QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT AND HOME HEALTH VALUE-BASED PURCHASING
- GUIDE TO PERFORMANCE IMPROVEMENT PROJECTS (PIPS) FOR THE QAPI PROGRAM
- SAMPLES
- ONGOING MONITORING INDICATORS AND THRESHOLDS (SAMPLE)
- PIP – WOUND ASSOCIATED INFECTIONS (SAMPLE#1)
- PIP – WOUND ASSOCIATED INFECTIONS AUDIT TOOL (SAMPLE#1)
- PIP – ADHERENCE TO POC (SAMPLE #2)
- PIP – ADHERENCE TO POC AUDIT TOOL (SAMPLE #2)
- PIP- KEY ASPECT OF ADMINISTRATIVE FUNCTION (SAMPLE #3)
- PIP- KEY ASPECT OF ADMINISTRATIVE FUNCTION AUDIT TOOL (SAMPLE #3)
- TEMPLATES
- PERFORMANCE IMPROVEMENT PROJECT (TEMPLATE)
- QAPI COMMITTEE MEETING MINUTES (TEMPLATE)
- ANNUAL PERFORMANCE IMPROVEMENT (PI) REPORT (TEMPLATE)
- GOVERNING BODY QAPI REVIEW (TEMPLATE)
- GOVERNING BODY ORIENTATION CHECKLIST
- QAPI SELF-ASSESSMENT TOOL (TEMPLATE)
- PATIENT RECORD AUDIT TOOL (TEMPLATE)
- PERSONNEL FILE AUDIT FORM (TEMPLATE)
- PATIENT SATISFACTION SURVEYS (TEMPLATE)
- EMPLOYEE SATISFACTION SURVEY (TEMPLATE)
- PHYSICIAN/REFERRAL SOURCE/COMMUNITY PARTNER SATISFACTION SURVEY (TEMPLATE)
- ETHICS REPORTS LOG (TEMPLATE)
- ETHICS REPORT FORM (TEMPLATE)


Home Care Emergency Preparedness Plan
(Includes a 30-minutes orientation to the manual)
$270 per copy
×
Home Care Emergency Preparedness Plan
The Home Care Emergency Preparedness Plan intended to support the process for meeting client/patient and personnel needs in a disaster or crisis situation as well as compliance with ACHC Home Care standards.
The way this Home Care Emergency Preparedness Plan is developed will allow your organization to align the proposed program with the existing organizational policies and procedures to ensure that the organization incorporates ACHC standards in its comprehensive approach to emergency preparedness. The plan also includes multiple forms, practical tools, and references.
- PRODUCT DISCLOSURE STATEMENT
- PLACE HOLDER [INSERT AGENCY’S EMERGENCY PREPAREDNESS PROGRAM POLICY AND PROCEDURE]
- HOME CARE AGENCY EMERGENCY PREPAREDNESS PLAN
- SAMPLES
- ALL HAZARD VULNERABILITY ASSESSMENT
- BUSINESS CONTINUITY PLAN
- EMERGENCY PHONE COMMUNICATION TREE
- EMERGENCY CONTACTS
- EMERGENCY PREPAREDNESS RESOURCES FOR PATIENTS AND FAMILIES
- EXERCISE PLANNING WORKSHEET
- EXERCISE AFTER ACTION REPORT
- EXERCISE EVALUATION GUIDE
- HOME ENVIRONMENT AND EMERGENCY PREPAREDNESS ASSESSMENT
- HOME CARE AGENCY EMERGENCY PREPAREDNESS PLAN ASSESSMENT
- MEMORANDUM OF UNDERSTANDING
- PATIENT EVACUATION TRACKING FORM
- PATIENT EVACUATION TRACKING LOG
- PATIENT ROSTER
- PHYSICIANS/ALLOWABLE PRACTITIONERS ROSTER
- READY.GOV FACT SHEETS
- STAFF ROSTER
- SUPPLIER ROSTER
- VOLUNTEER ROSTER
- TEMPLATES
- PERFORMANCE IMPROVEMENT PROJECT (TEMPLATE)
- QAPI COMMITTEE MEETING MINUTES (TEMPLATE)
- ANNUAL PERFORMANCE IMPROVEMENT (PI) REPORT (TEMPLATE)
- GOVERNING BODY QAPI REVIEW (TEMPLATE)
- GOVERNING BODY ORIENTATION CHECKLIST
- QAPI SELF-ASSESSMENT TOOL (TEMPLATE)
- PATIENT RECORD AUDIT TOOL (TEMPLATE)
- PERSONNEL FILE AUDIT FORM (TEMPLATE)
- PATIENT SATISFACTION SURVEYS (TEMPLATE)
- EMPLOYEE SATISFACTION SURVEY (TEMPLATE)
- PHYSICIAN/REFERRAL SOURCE/COMMUNITY PARTNER SATISFACTION SURVEY (TEMPLATE)
- ETHICS REPORTS LOG (TEMPLATE)
- ETHICS REPORT FORM (TEMPLATE)


Home Health Emergency Preparedness Plan
(Includes a 30-minutes orientation to the manual)
$295 per copy
×
Home Health Emergency Preparedness Plan
The Home Health Emergency Preparedness Plan is intended to support the process for meeting patient and personnel needs in a disaster or crisis situation as well as compliance with Medicare Conditions of Participation and ACHC Home Health standards.
The way this Home Health Emergency Preparedness Plan is developed will allow your organization to align the proposed program with the existing organizational policies and procedures to ensure that the organization incorporates ACHC standards in its comprehensive approach to emergency preparedness. The plan also includes multiple forms, practical tools, and references.
- PRODUCT DISCLOSURE STATEMENT
- PLACE HOLDER [INSERT AGENCY’S PI POLICY AND PROCEDURE]
- HOME HEALTH AGENCY EMERGENCY PREPAREDNESS PLAN
- SAMPLES
- ABBREVIATED ASSESSMENT
- ALL HAZARD VULNERABILITY ASSESSMENT
- BUSINESS CONTINUITY PLAN
- DISASTER PHONE TREE
- EMERGENCY CONTACTS
- EMERGENCY PREPAREDNESS RESOURCES FOR PATIENTS AND FAMILIES
- EXERCISE PLANNING WORKSHEET
- EXERCISE AFTER ACTION REPORT
- EXERCISE EVALUATION GUIDE
- HOME ENVIRONMENT AND EMERGENCY PREPAREDNESS ASSESSMENT
- HOME HEALTH AGENCY EMERGENCY PREPAREDNESS PLAN ASSESSMENT
- MEMORANDUM OF UNDERSTANDING
- PATIENT EVACUATION TRACKING FORM
- PATIENT EVACUATION TRACKING LOG
- PATIENT ROSTER
- PHYSICIANS/ALLOWABLE PRACTITIONERS ROSTER
- READY.GOV FACT SHEETS
- STAFF ROSTER
- STRATEGIES TO ADDRESS EMERGENCY EVENTS
- SUPPLIER ROSTER
- VOLUNTEER ROSTER


Home Care Admission Packet
(Includes a 30-minutes orientation to the manual)
$150 per copy
×
Home Care Admission Packet
This Home Care Admission Packet is intended to support the home care patient admission process as well as compliance with ACHC home care standards.
The way this Admission Packet is developed will allow the organization to align the proposed documentation with the existing organizational policies and procedures to ensure that the organization incorporates ACHC standards in its comprehensive approach to the admission process.
- PRODUCT DISCLOSURE STATEMENT
- ADMISSION AGREEMENT
- EMERGENCY PREPAREDNESS RISK LEVEL
- HOME ENVIRONMENT AND EMERGENCY PREPAREDNESS ASSESSMENT
- AUTHORIZATION FOR DISCLOSURE OF PHI
- CARE COORDINATION WITH EXTERNAL AGENCIES
- PLAN OF CARE SUMMARY AND CARE INSTRUCTIONS
- STATE SPECIFIC FORMS
- CLIENT/PATIENT HANDBOOK


Home Health Admission Packet
(Includes a 30-minutes orientation to the manual)
$175 per copy
×
Home Health Admission Packet
This Home Health (Medicare- certified) Admission Packet is intended to support the home health patient admission process as well as compliance with ACHC standards and Medicare Conditions of Participation requirements.
The way this Admission Packet is developed will allow the organization to align the proposed documentation with the existing organizational policies and procedures to ensure that the organization incorporates ACHC standards and Medicare Conditions of Participation requirements in its comprehensive approach to the admission process.
- PRODUCT DISCLOSURE STATEMENT
- CONSENT FOR TREATMENT
- EMERGENCY PREPAREDNESS RISK ASSESSMENT
- HOME ENVIRONMENT AND EMERGENCY PREPAREDNESS ASSESSMENT
- PATIENT AUTHORIZATION FOR DISCLOSURE OF PHI
- CARE COORDINATION WITH EXTERNAL AGENCIES
- PATIENT PLAN OF CARE SUMMARY AND CARE INSTRUCTIONS
- STATE SPECIFIC FORMS
- ADVANCE BENEFICIARY NOTICE OF NON-COVERAGE (ABN_EXP. 06. 30.23)
- HOME HEALTH CHANGE OF CARE NOTICE (HHCCN EXP. 12.31.24)
- NOTICE OF MEDICARE NON-COVERAGE (NOMNC)
- PATIENT HANDBOOK


Home Care Human Resources (HR) Packet
(Includes a 30-minutes orientation to the manual)
$250 per copy
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Home Care Human Resources (HR) Packet
This Non-Medical Home Care HR Packet is intended to support home care agency human resources operations, including personnel onboarding, training documentation, performance management, and ongoing compliance with applicable Colorado non-medical home care agency rules and regulations, as well as relevant employment and labor requirements.
-
- 1. Product Disclosure Statement
-
- 2. Hiring Documentation:
- Employment Application
- Background Check Consent Form
- CAPS Written Authorization Form 2.2025
- Confidentiality Statement
- Reference Verification
- Employment Offer
- Orientation Checklist
- Health Functional Ability Questionnaire
- Training Record for Personal Care-Homemaker Services
- fw4 2026
- I-9 (exp. May 2027)
- Annual Staff Education Record
- 2. Hiring Documentation:
-
- 3. Job Descriptions:
- Agency Manager
- Homemaker
- In-Home Support Services Attendant
- Licensed Health Care Professional
- Personal Care Worker
- Supervisor
- 3. Job Descriptions:
-
- 4. Competency:
- Homemaker
- IHSS Health Maintenance Activities Attendant
- Personal Care Worker
- 4. Competency:
-
- 5. Annual Performance Evaluations:
- Agency Manager
- Direct Care Worker
- In-Home Support Services Attendant
- Licensed Health Care Professional
- Supervisor
- 5. Annual Performance Evaluations:
- 6. Employee Handbook:
- Employee Handbook
- Acknowledgment of Receipt of Employee Handbook
