Policies and Procedures
Probe Questions
Admissions
Performance Improvement
The Business End
100
The number of hours of supervised training the HHA must complete on an annual basis.
What is 12 hours?
100
The frequency of LPN supervisory visits.
What every 30 days?
100
The method used to inform patients of their rights.
What is written in the patient information booklet, reviewed at SOC before initial delivery of care, and periodically reviewed on subsequent visits?
100
The education clinicians have received about PI.
What is evidence of staff involvement in the evaluation process (quality assessment activities, evaluate findings, recommend action plans and recieve report of the findings)? Staff must be informed of the results of quality improvement activities that directly impact the service/care they provide.
100
The location of current TB testing and auto insurance information on clinicians.
What is the clinician's electronic HR file? It should be scanned into the system and the BOM has the responsibility to go into PeopleSoft to change the dates.
200
The location of the Policy and Procedure manual.
What is the learn center or the POC tablet on the clinical services site?
200
The method used by employees to recieve annual learning.
What is the learn center?
200
The number of hours after facility discharge an infection becomes "ours".
What is 48 hours after facility discharge? Infection/illness onset in less than 48 hours of discharge are reported back to the discharging facility.
200
Those responsible for PI.
What is all clinical staff? Quality assessment activities, evaluating findings, recommending action plans, and reciving report of the findings.
200
The location of documentation showing oversight of the parent company.
What is a Branch Supervision binder in the Parent office?
300
The location of stored patient information if the clinician does not go to the office daily.
What is a security bag with a lock on it?
300
The methods used to ensure coordination of care.
What are weekly care team conferences, the coordination of care form, and documenting communication between disciplines and physicians.
300
The patient requires a service our care center can't provide.
What is referring the patient to a provider than can meet the patient's needs?
300
The things other than chart audits done for PI.
What is tracking infection reports, complaints, occurences and patient falls, patient satisfaction surveys, investigation of potentially avoidable events, root cause analysis, trend and review of non-admissions?
300
The OASIS reporting process.
What is transmitted to the state within 7 days of completing the OASIS data set? OASIS is transferred from POC to CM Dashboard within 24 hrs of completion. The QCC or CM then reviews for accuracy and flags it as ready to be transmitted. OASIS assessments are transmitted to the state every 2nd business day.
400
The method used to protect equipment from MRSA.
What is using disposable equipment and not taking any other equipment into the home of known MRSA infection?
400
How a clinician handles suspected abuse of a patient in the home.
What is reporting listed violations to the administrator or designee within 24 hours of the discovery of the incident?
400
The method used to communicate patient information to the admitting clinician.
What is the admission sheet and any subsequent verbal orders written on this form by the clinical manager? Copies of this form should be given to the other clinicians.
400
The patient complaint process.
What is initiate an investigation within 10 days of receipt of complaint (DOO or designee), document investiation, and determine necessary action and communication for resolution with involved parties within 30 calendar days? Explained to the patient at SOC and throughout the episode of care as indicated and tracked and trended quarterly as part of th PI plan.
400
The location of state practice acts.
What is state regulatory websites?
500
The number of disciplines per care center that are TB fit tested.
What is two of each discipline in teams, on hire and annually?
500
The method used to notify clinicians that a supervisory visit is due.
What is the scheduling system? The visit code, comments on the activity sheet and a report used to monitor weekly compliance.
500
The information required for a referral.
What is an order from a licensed physician? The physician must agree to review the case at least every sixty days and to provide medical supervision of care.
500
The frequency of PI and PAG meetings.
What is quarterly?
500
The frequency of organization review and budget updates.
What is monthly budget/financial statements (DOO), and annual operating budget and capital expenditure plan for each home health agency (the Governing Body)?
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