Home Care Newbanner-txt

MAJOR SITE SECTIONS:

IN THIS SECTION:

Home Care in the 21st Century Manual sample passage and table of contents - $395.

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HOME HEALTH CARE AGENCY VS. PRIVATE DUTY HOME CARE

The first decision to make in setting up a Home Care Division is to determine what type of Agency or service to set up:

Home Health Care Agency? Private Duty Home Care Service? Combination Service?

A Home Health Care Agency (HHCA) is generally defined as an organization that provides skilled home care services and is certified to accept Medicare and Medicaid patients.

Becoming Medicare/Medicaid approved is voluntary (optional) rather than mandatory. To service clients who are eligible and plan to pay for services through Medicare or Medicaid, the Agency must be licensed and approved for payment reimbursement by Medicare and Medicaid. To be approved, an Agency must apply through the HCFA/CMS (Centers For Medicare and Medicaid Services) and the application forms can be downloaded from their web site: www.hcfa.gov/medicare/enrollment.

  • A HHCA is licensed by the State, but must also adhere to Federal regulations.
  • For a HHCA to be reimbursed for a patient's care through Medicare and Medicaid, the following needs to apply to the patient:
  • Medicare eligibility required
  • Physician orders required
  • Patient must be homebound
  • Patient must require skilled, medically necessary, intermittent home visits

A Private Duty Home Care Service is generally defined as a service providing homecare not reimbursed by Medicare or Medicaid. Private Duty Services may range from non-medical home aid support to highly skilled nursing care. A client or patient can purchase private duty care with or without a physician's order. Private Duty Home Care Services are generally paid for by client (patient), their insurance company or Workers Compensation. Etc.

Table of Contents from the Home Care in the 21st Century Manual

SECTION 1 – START UP BASICS FOR HOME CARE DIVISION

  • Home Health Care Vs. Private Duty
  • Who Needs Home Care?
  • Glossary Of Home Care Terms
  • The History, Evolution & Status Of Home Care
  • How Clients (Patients) Pay For Home Care
  • Insurance For Home Care
  • Resources For Home Care/Private Duty
  • Licenses, Accreditation & Associations
  • Home Care: Defined
  • Services To Offer
  • Office Set Up: Office Layout & Software
  • Start Up: Internal Staffing Basics
  • Start Up: Field Staff Classification, Recruiting & Hiring
  • Start Up: Competitive Shopping, Pricing & Pay Rates
  • Start Up: Sample Rates For Home Care Services
  • Start Up: Obtaining Clients
  • Start Up: Working With Clients/Patients (Basics)

SECTION II – JOB DESCRIPTIONS FOR HOME CARE DIVISION

  • Administrator
  • Director of Nursing (Supervising Nurse)
  • Staffing Coordinator
  • Payroll/Billing/Receivables Manager
  • Receptionist
  • Homemaker
  • 24 Hour Live-In
  • Personal Care Attendant
  • Home Health aid
  • SECTION III– PERSONNEL POLICIES FOR FIELD STAFF EMPLOYEES
  • Field Staff Employee Qualifications
  • EEO Statement/Interview Guidelines
  • Personnel Records/References
  • Field Staff Employee Orientation
  • Competency Assessment Program
  • Health Requirements
  • Back Safety
  • Drug Testing Policy
  • Personal Appearance & Other Work Condition Policies
  • Disciplinary Action
  • Work Place Safety
  • Harassment Policies/Issues
  • In Service Training For Field Staff
  • Supervision Of Field Staff

SECTION IV– CLIENT/PATIENT CARE

  • Provision of Services/On-Call Policy
  • Scope of Services
  • Referral/Request for Service and Acceptance of Clients
  • Service Policy
  • Discharge Policy
  • Physician's Plan of Treatment/Change Orders
  • Professional/Ancillary Care Plans
  • Assessment/Reassessment
  • Nutritional Risk Assessment
  • Medical Supervision
  • Treatment Policies and Procedures
  • Incident Reports
  • Medication Administration
  • Drugs Approved for Administration
  • Medication Administration Guidelines
  • Controlled Substances/Intrav. Fluids.
  • Adverse Drug Reactions
  • Medication Errors
  • Emergency/Resuscitation Policy
  • Advance Medical Directives
  • Sensory Impaired Clients
  • Foreign Speaking Clients/Cultural Considerations
  • Client/Caregiver Education
  • Clinical Record Contents
  • Record Policies/Confidentiality/Release of Information
  • Terminally Ill Clients
  • Ethical Issues
  • Ethical Issues For Employees
  • Abuse
  • Transfers
  • Use of Restraints

SECTION V - INFECTION CONTROL, EQUIPMENT AND SAFETY MANAGEMENT

  • OSHA Regulations/Infection Control/Exposure Control Plan
  • Bloodborne Pathogens
  • Infection Control Program
  • Employee Infection Control Log
  • Client Infection Control Log
  • Diseases Usually Considered Reportable
  • Infection Control Education/Training
  • Universal Precautions for All Health Care Workers
  • Latex Allergy
  • Employee Health Requirements/Hepatitis B Vaccination
  • Employee Exposure to an Infectious Disease
  • High Risk Employees
  • Medical Laboratory Services
  • Employee Protective Equipment
  • Disposal of Needles, Syringes and Sharp Items
  • Hazardous Waste Disposal
  • Safety Management
  • Personnel Safety
  • Equipment and Supplies
  • Occupational Exposure to Tuberculosis
  • Fire Safety Plan: Administrative and Office Staff
  • Home Fire Safety Plan
  • Safety Committee

SECTION VI – HOME CARE BILLING & REIMBURSEMENT ISSUES

  • Billing
  • Medicare Billing
  • Charge Determination
  • Insurance Cases & Private Pay Billing
  • Transportation Reimbursement
  • Accounts Receivables
  • SECTION VII – SAMPLES, FORMS & ADDENDUM’S
  • Client/Patients Bill Of Rights
  • Client/Patients Bill Of Rights & Responsibilities
  • Referral Intake Form
  • Initial Visit Assessment Form
  • Billing Information Form
  • Non-Medical Staff Can/Cannot Do List (Agreement)
  • Supportive Care Service Agreement (Sample)
  • Supportive Care Fee Schedule (Sample)
  • Medical Abbreviations
  • Basic Sales/Marketing/Recruiting Tips
  • Request for Background Information
  • Licensed Nurses Skills Checklist
  • Application for Employment
  • Contract/Agreement
  • Service Worksheet
  • To Verify Licenses
  • Alzheimer's Association Home Companion Tips for Hiring
  • Caregiver Contract/Service Agreement
  • State Home Health Agency Application for Licensure
  • Request for Proposal
  • State Licensing Requirements
  • Private Duty Form Resource

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