Home Health Care Policies, ACHC, CHAP, Procedures, Emergency Preparedness Guide Services

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.

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SECTION I – ORGANIZATION AND ADMINISTRATION
1. 1. POLICY
  2. LEGAL AND REGULATORY COMPLIANCE
  3. DISCLOSURE OF OWNERSHIP AND MANAGEMENT
  4. PROFESSIONAL STANDARDS AND PRINCIPLES
  5. GOVERNING BODY RESPONSIBILITIES AND REQUIREMENTS
  6. CONFLICT OF INTEREST
  7. ADMINISTRATOR
  8. LINES OF AUTHORITY
  9. SERVICES PROVIDED
  10. CLINICAL MANAGER
  11. COLLECTION AND TRANSMISSION OF OASIS DATA
  12. REPORTING NEGATIVE AGENCY OUTCOMES
  13. SERVICES FURNISHED UNDER WRITTEN AGREEMENT/CONTRACT
  14. WAIVED TESTS
1. ATTACHMENT
2. GOVERNING BODY MEMBERS ROSTER
3. GOVERNING BODY ORIENTATION CHECKLIST
4. CONFLICT OF INTEREST ATTESTATION STATEMENT
5. DESIGNATION OF ALTERNATE ADMINISTRATOR
6. ORGANIZATIONAL CHART
7. DESIGNATION OF ALTERNATE CLINICAL MANAGER
8. CONTRACTOR/PROVIDER AGREEMENT
9. ANNUAL CONTRACTOR EVALUATION
SECTION II – PROGRAM AND SERVICE OPERATIONS
1. POLICY
2. DESCRIPTION OF CARE AND SERVICES
3. PATIENT RIGHTS AND RESPONSIBILITIES
4. REPORTING AND INVESTIGATING ABUSE AND NEGLECT
5. REPORTING AND INVESTIGATING ABUSE AND NEGLECT
6. PATIENT CONFIDENTIALITY AND PROTECTED HEALTH INFORMATION
7. ADVANCE DIRECTIVES
8. EMERGENCY CARE AND RESUSCITATION
9. EMERGENCY CARE AND RESUSCITATION
10. COMMUNICATION AND LANGUAGE BARRIERS
11. CULTURAL AWARENESS AND RESPECT
12. AGENCY COMPLIANCE PROGRAM
13. SUPERVISOR AND NURSING AVAILABILITY
14. APPROVED TREATMENTS AND PROCEDURES
16. ATTACHMENT
17. PATIENT RIGHTS AND RESPONSIBILITIES
18. SAMPLE COMPLAINT LOG
19. SAMPLE COMPLAINT REPORT
20. NOTICE OF PRIVACY PRACTICES
21. COMPLIANCE REPORTING POSTER
SECTION III – FISCAL MANAGEMENT
1. POLICY
2. AGENCY BUDGET PLAN
3. CAPITAL EXPENDITURE PLAN
4. FINANCIAL MANAGEMENT AND BUSINESS PRACTICES
5. FINANCIAL RECORDS RETENTION AND REVIEW
6. DISCLOSURE OF RATES FOR CARE AND SERVICES
8. ATTACHMENT
9. CARE AND SERVICE RATES
SECTION IV – HUMAN RESOURCE MANAGEMENT
1. POLICY
2. PERSONNEL FILE MANAGEMENT
3. VERIFICATION OF CREDENTIALING
4. TB SCREENING AND VACCINATION POLICIES
5. JOB DESCRIPTION
6. DRIVER’S LICENSE AND MVR CHECKS
7. BACKGROUND CHECKS
8. EMPLOYEE HANDBOOK AND PERSONNEL POLICIES
9. EMPLOYEE HANDBOOK AND PERSONNEL POLICIES
10. ORIENTATION
11. COMPETENCY ASSESSMENT
12. CONTINUING EDUCATION AND IN-SERVICE REQUIREMENTS
13. HOME HEALTH AIDE TRAINING, COMPETENCY, AND SUPERVISION
  REQUIREMENTS
14. PERSONAL CARE ATTENDANTS
15. TRAINING FOR WAIVED TESTING
16. SPECIALTY TRAINING AND CERTIFICATION FOR NURSES
18. ATTACHMENT
19. PERSONNEL FILE CHECKLIST
21. SAMPLE JOB DESCRIPTIONS
22. ADMINISTRATOR
23. CLINICAL MANAGER
24. REGISTERED NURSE
25. LICENSED PRACTICAL/VOCATIONAL NURSE
26. PHYSICAL THERAPIST
27. PHYSICAL THERAPIST ASSISTANT
28. OCCUPATIONAL THERAPIST
29. OCCUPATIONAL THERAPIST ASSISTANT
30. SPEECH-LANGUAGE PATHOLOGIST
31. MEDICAL SOCIAL WORKER
32. HOME HEALTH AIDE
33. QUALITY ASSURANCE COORDINATOR/QAPI COORDINATOR
34. ACKNOWLEDGEMENT OF RECEIPT OF EMPLOYEE HANDBOOK
36. SAMPLE PERFORMANCE EVALUATIONS
37. ADMINISTRATOR
38. CLINICAL MANAGER
39. REGISTERED NURSE
40. LICENSED PRACTICAL/VOCATIONAL NURSE
41. PHYSICAL THERAPIST
42. PHYSICAL THERAPIST ASSISTANT
43. OCCUPATIONAL THERAPIST
44. OCCUPATIONAL THERAPIST ASSISTANT
45. SPEECH-LANGUAGE PATHOLOGIST
46. MEDICAL SOCIAL WORKER
47. HOME HEALTH AIDE
48. QUALITY ASSURANCE COORDINATOR/QAPI COORDINATOR
49. SAMPLE COMPETENCY ASSESSMENTS
50. REGISTERED NURSE
51. LICENSED PRACTICAL/VOCATIONAL NURSE
52. PHYSICAL THERAPIST
53. PHYSICAL THERAPIST ASSISTANT
54. OCCUPATIONAL THERAPIST
55. OCCUPATIONAL THERAPIST ASSISTANT
56. SPEECH-LANGUAGE PATHOLOGIST
57. MEDICAL SOCIAL WORKER
58. HOME HEALTH AIDE
59. SAMPLE ANNUAL EDUCATION/INSERVICE AGENDA
SECTION V – PROVISION OF CARE AND RECORD MANAGEMENT
1. POLICY
2. PATIENT RECORD REQUIREMENTS
3. STORAGE AND ACCESS OF PATIENT RECORDS
4. INITIAL ASSESSMENT AND PLAN OF CARE DEVELOPMENT
5. COMPREHENSIVE ASSESSMENTS
6. THERAPY AND MEDICAL SOCIAL WORK SERVICES ASSESSMENTS
7. THERAPY AND MEDICAL SOCIAL WORK SERVICES ASSESSMENTS
8. FIRST DOSE IN THE HOME SETTING
9. PLAN OF CARE REQUIREMENTS
10. WRITTEN INSTRUCTIONS FOR PATIENTS AND CAREGIVERS
11. CARE COORDINATION
12. TRANSFER/DISCHARGE CRITERIA AND PROCESS
13. VERBAL ORDERS
14. CHANGES IN PATIENT CONDITION
15. SKILLED PROFESSIONAL SERVICES
16. HOME HEALTH AIDE SERVICES
17. PATIENT AND CAREGIVER EDUCATION
18. REFERRAL AND ACCEPTANCE PROCESS
19. FACE-TO-FACE ENCOUNTER AND CERTIFICATION
20. CREDENTIAL VERIFICATION FOR PHYSICIANS AND
  ALLOWED PRACTITIONERS
21. OUTPATIENT SERVICES
23. ATTACHMENT
24. PHYSICIAN AND ALLOWED PRACTITIONER LICENSE VERIFICATION
SECTION VI – QUALITY OUTCOMES AND PERFORMANCE IMPROVEMENT
1. POLICY
2. QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT
  (QAPI) PLAN
3. OVERSIGHT AND APPROVAL OF THE QAPI PROGRAM
4. INCIDENTS AND OCCURRENCES REPORTING AND DOCUMENTATION
5. SAFE MEDICAL DEVICE REPORTING
6. OASIS DATA REPORTS
8. ATTACHMENT
9. AGENCY QAPI PLAN
10. ANNUAL QAPI REPORT
11. SAMPLE INCIDENT/OCCURRENCE REPORT
12. SAMPLE INCIDENT LOG
SECTION VII – RISK MANAGEMENT: INFECTION CONTROL, SAFETY AND EMERGENCY PREPAREDNESS
1. POLICY
2. INFECTION CONTROL PROGRAM
3. EXPOSURE CONTROL AND STANDARD PRECAUTIONS
4. TUBERCULOSIS SCREENING AND PREVENTION PLAN
5. COVID-19 STANDARD
6. EMPLOYEE AND PATIENT INFECTION CONTROL TRAINING
7. EMPLOYEE AND PATIENT INFECTION CONTROL TRACKING
8. BLOODBORNE PATHOGENS STANDARD
9. EMPLOYEE PERSONAL SAFETY EDUCATION
10. BASIC HOME SAFETY
11. OFFICE AND WORKPLACE SAFETY PLAN
12. HAZARDOUS WASTE AND MATERIALS USE, STORAGE, AND DISPOSAL
13. HAZARD COMMUNICATION STANDARD
14. INCIDENT AND OCCURRENCE REPORTING FOR PERSONNEL
15. POINT-OF-CARE LABORATORY TESTING: PT/INR
16. POINT-OF-CARE LABORATORY TESTING: BLOOD GLUCOSE MONITORS
17. EMERGENCY PREPAREDNESS
18. SAFE USE OF EQUIPMENT AND SUPPLIES
19. EXPERIMENTAL THERAPIES AND CLINICAL RESEARCH
21. ATTACHMENT
22. AGENCY TB SCREENING ASSESSMENT
23. EMPLOYEE TB SCREENING ASSESSMENT
24. PATIENT INFECTION LOG
25. EMPLOYEE INFECTION LOG
26. FIRE DRILL LOG
27. ANNUAL OFFICE ENVIRONMENT ASSESSMENT
28. INCIDENT/OCCURRENCE LOG
29. INCIDENT/OCCURRENCE REPORT
30. EMERGENCY PREPAREDNESS PLAN

Home Health Skilled Nursing Competency

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$145 per nurse per competency session

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Home Care Performance Improvement (PI) Program

(Includes a 1-hour orientation to the manual)

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$270 per copy

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Home Health QAPI Program

(Includes a 1-hour orientation to the manual)

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$295 per copy

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Home Care Emergency Preparedness Plan

(Includes a 1-hour orientation to the manual)

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$270 per copy

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Home Health Emergency Preparedness Plan

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$295 per copy

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Home Care Admission Packet

(Includes a 1-hour orientation to the manual)

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$150 per copy

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Home Health Admission Packet

(Includes a 1-hour orientation to the manual)

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$175 per copy

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CHAP Certified Product

Wound Management Policy and Procedure Manual

(Includes a 1-hour orientation to the manual)

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$450 per copy

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PRODUCT DISCLOSURE STATEMENT
WOUND MANAGEMENT PROGRAM POLICY CROSSWALK
P&P ADOPTION
1. Wound Management Program Adoption and Approval
2. Governing Body Review Wound Management Program

SECTION I
1. Program Plan and Description
2. Attachment 1. A Wound Management Program Coordinator Job Description
3. Attachment 1. B Wound Management Program Interdisciplinary Team
4. Attachment 1. C Wound Management Committee Monthly Meeting Minutes
5. Attachment 1. D Monthly Wound Assessment and Care Summary
6. Attachment 1. E Wound Management Program Log
7. Attachment 1. F Monthly Wound Audit Tool
8. Attachment 1. G Annual Wound Management Program Review
SECTION II
1. Clinical Guidelines
2. Selection and Approval of Clinical Practice Guidelines
3. Attachment 2. A Clinical Guidelines Review and Approval
4. Attachment 2. B Wound Management Program Educational Modules and Competency Quizzes
5. Attachment 2. B Module 1
  Wound Care Basics
  Common Terms and Concepts in Wound
  Assessment
  Wound Healing Basics
  NPIAP Pressure Injury Stages
  Module 1 Quiz
6. Attachment 2. B Module 2
  Wound Assessment
  Wound Assessment Guidelines
  The Wound Bed Preparation Paradigm
  Pressure Injury Assessment and Management
  Wound Assessment Procedure
  Bates-Jensen Wound Assessment Tool
  Module 2 Quiz
7. Attachment 2. B Module 3
  Wound Cleansing, Irrigation, and Product
  Selection
  Wound Cleansing, Irrigation, and Product Selection
  Wound Products Overview and Selection
  Wound Dressing Application Procedure
  Wound Irrigation Procedure
  Module 3 Quiz
8. Attachment 2. B Module 4Negative Pressure Wound Therapy
  Negative Pressure Wound Therapy
  Module 4 Quiz
9. Attachment 2. B Module 5
  Nutritional Strategies for Wound Healing
  Nutritional Strategies for Wound Healing
  Mini Nutritional Assessment
  Module 5 Quiz
  Patient Education Handouts and Teaching Tools
10. Attachment 2. B Module 6
  Comprehensive Assessment (RN’s only)
  Comprehensive Assessment Policy Wound
  Wound Management Program Comprehensive
  Assessment Checklist
  Patient Education and Health Literacy Assessment
  Wound Management Program Policy
  Module 6 Quiz
  OASIS References for Agencies Completing
  OASIS Assessment
  OASIS E Section M: Skin Conditions Guidelines
11. Attachment 2. B Module 7
  Infection Control
  Infection Control Policy Wound Management Program Addendum
  Bag Technique Policy and Procedure
  Module 7 Quiz
12. Attachment 2. B Module 8
  Patient Education
  Patient Education and Health Literacy
  Assessment Policy
  Patient Education and Self-Management Plan
  Disease Management Policy
  Patient Lifestyle Education Handouts
  Module 8 Quiz
13. Attachment 2. B Module 9
  Additional Wound Management Program Policies
  Wound Management Program Reassessment Policy
  Wound Management Program Reassessment Checklist
  Plan of Care Policy Wound Management Program Addendum
  Coordination of Care Policy Addendum
  Discharge and Transfer Policy Addendum
  Module 9 Quiz
14. Attachment 2. C Wound Management Program Nursing Competency Evaluation
15. Attachment 2. D Wound Management Competency Evaluation Form
16. Attachment 2. E Wound Management Program In-Service Agenda
17. Attachment 2. F Policy W2.10 Infection Control Policy Wound Management Program Addendum
18. Attachment 2. G Bag Technique Policy and Procedure
19. Attachment 2. H Clinical Practice Guidelines and References
20. Attachment 2. I Wound Management Program Orientation Checklist
SECTION III
1. Assessment of Patients and Risk Factors
2. Initial Comprehensive Assessment
3. Reassessments of Patients and Wounds
4. Attachment 3. A Policy W3.01 Comprehensive Assessment Policy
5. Attachment 3. B Wound Management Program Comprehensive
  Wound Management Program Comprehensive
6. Attachment 3. C Policy W3.02 Wound Management Program
  Reassessment Policy
7. Attachment 3. D Wound Management Program Reassessment
  Checklist
  Bates-Jensen Wound Assessment Tool
SECTION IV
1. Provision and Coordination of Care
2. Attachment 4. A Policy W4.01 Plan of Care Policy
3. Attachment 4. B Policy W4.02 Coordination of Care Policy
4. Attachment 4. C Discharge and Transfer Policy
SECTION V
1. Patient and Family Education
2. Patient and Family Education Regarding Disease Management
3. Attachment 5. A Policy W4.01 Plan of Care Policy
  Assessment Policy
4. Attachment 5. B Patient Education and Self-Management Plan
SECTION VI
1. Disease Management
2. Attachment 6. A Wound Management Program Disease Management Policy
3. Patient Education Handouts and Teaching Tools
SECTION VII
1. Performance Measurement and Improvement
2. Attachment 7. A PI/QAPI Policy
3. Attachment 7. B Wound Management Program Performance
  Improvement Project (Blank form)
4. Attachment 7. C Wound Management Program Performance
  Improvement Project (Samples 1 and 2)
SECTION VIII
1. Information Management
SECTION IX
1. Safety and Emergency Planning

+ – Frequently Asked Questions (FAQs)

1. What is ACHC Product Certification?

ACHC Product Certification builds understanding of accreditation requirements among healthcare vendors and validates that their products meet requirements of some or all relevant standards for home health and home care organizations accredited by ACHC. Certification is not endorsement of a product by ACHC, but verification that the product is in compliance with ACHC requirements for that section of the standards.

2. What is the primary purpose of Amity’s Home Health Admission packet?e

Amity’s 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. A home health admission packet typically contains consent forms, patient rights, patient handbook, etc. We offer customizable admission packets tailored to your agency's needs.

3. What is the primary purpose of Amity’s Home Care Admission packet?

Amity’s 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.

4. What is the primary purpose of Amity’s Home Health Emergency Preparedness Plan?

Amity’s 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. A home health emergency preparedness plan includes protocols for natural disasters, pandemics, and other emergencies.

5. What is the primary purpose of Amity’s Home Care Emergency Preparedness Plan?

Amity’s 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.

6. How does Amity’s Home Health Policy and Procedure Manual support home health organizations, and what features does it include to ensure compliance and adaptability?

The 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.

7. What is the primary purpose of Amity’s Home Health QAPI program?

Amity’s Home Health Quality Assessment and Performance Improvement (QAPI) 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. QAPI programs focus on enhancing the quality of care and operational efficiency.

8. What is the primary purpose of Amity’s Home Care Performance Improvement program?

Amity’s 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.

9. How can I implement wound management program in home health care?

Amity’s manual helps guide organizations seeking CHAP Wound Care Disease Program Certification to adopt suggested policies and procedures to their specific circumstances and to provide staff members with training, education, and competency related to the standards.

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