Administrative Policies and Procedures

Section 1: Emergency Management

  • 1001 Emergency Operations Plan
  • 1002 Disaster Planning- Patient Classification System
  • 1003 Integrated Healthcare Systems- Emergency Preparedness
  • 1004 Hazard Vulnerability Analysis
  • 1005 Emergency Management- Hazard Vulnerability Analysis Worksheet
  • 1006 Command Structure and Staffing
  • 1007 Communication Plan During an Emergency/ Disaster
  • 1008 Emergency Management call-back Tree Sample
  • 1009 Emergency Management Responder List
  • 1010 Patient and Family Education Handout- Individual Emergency Management Plan
  • 1011 Equipment and Supplies
  • 1012 Utilities- Emergency Management
  • 1013 Utility Systems Failure/Disruption- Emergency Procedures
  • 1014 Managing Patients During an Emergency/Disaster
  • 1015 Emergency Response Exercise- Exercises and Improvement Plans
  • 1016 Bomb Incident Plan
  • 1017 Detecting Suspicious Packages/Letters
  • 1018 Bomb Threat Report Form
  • 1019 Natural Disaster Management Plan
  • 1020 Terrorism Responses Plan

Section 2: Environment of Care

  • 2001 Environment Safety
  • 2002 Letter of Appointment- Safety Director
  • 2003 Duties of Safety Director
  • 2004 Duties of Department Manager in Safety Program
  • 2005 Safety- Hazard Surveillance Program
  • 2006 Safety Education
  • 2007 Safety and Security Training for Home Health Staff
  • 2008 Body Mechanics Training
  • 2009 Security Plan
  • 2010 Security Education
  • 2011 Workplace Violence Prevention
  • 2012 Staff Safety Information Form
  • 2013 Employee Photo Identification Badge
  • 2014 Hazardous Materials and Waste Plan
  • 2015 Antineoplastic Waste Management
  • 2016 Chemotherapy Liquid Spills
  • 2017 Fire Safety Plan
  • 2018 Fire Drill Evaluation Form
  • 2019 Utility Systems Management Plan
  • 2020 Emergency Backup for Refrigerated Medications

Section 3: Equipment Management

  • 3001 Medical Equipment Used by Staff
  • 3002 Infusion Pump Safety
  • 3003 Durable Medical Equipment
  • 3004 Equipment Delivery and Set-Up
  • 3005 Safe Medical Devices- Home Health
  • 3006 Medical Device Problem and Recall
  • 3007 Medical Supplies
  • 3008 Medical Supplies Expiration Checklist Licensed Staff
  • 3009 Medical Supply Department Expiration Date Checklist

Section 4: Human Resources

  • 4001 Position Description/Performance Evaluation- Home Health Administrator
  • 4002 Performance Evaluation- Home Health Administrator
  • 4003 Annual Competency Clinical Skills Assessment- Home Health Administrator
  • 4004 Position Description/Performance Evaluation- Home Health Patient Care Services Director
  • 4005 Performance Evaluation- Home Health Patient Care Services Director
  • 4006 Annual Competency Clinical Skills Assessment- Home Health Patient Care Services Director
  • 4007 Position Description/Performance Evaluation- Home Health Clinical Supervisor
  • 4008 Performance Evaluation- Home Health Clinical Supervisor
  • 4009 Annual Competency Clinical Skills Assessment- Home Health Clinical Supervisor
  • 4010 Position Description/Performance Evaluation- Home Health Intake Nurse
  • 4011 Performance Evaluation- Home Health Intake Nurse
  • 4012 Annual Competency Clinical Skills Assessment- Home Health Intake Nurse
  • 4013 Position Description/Performance Evaluation- Home Health Case Manager
  • 4014 Performance Evaluation- Home Health Case Manager
  • 4015 Annual Competency Clinical Skills Assessment- Home Health Case Manager
  • 4016 Position Description/Performance Evaluation- Home Health RN
  • 4017 Performance Evaluation- Home Health RN
  • 4018 Annual Competency Clinical Skills Assessment- Home Health RN
  • 4019 Position Description/Performance Evaluation- Home Health LPN/LVN
  • 4020 Performance Evaluation- Home Health LPN/LVN
  • 4021 Annual Competency Clinical Skills Assessment- Home Health LPN/LVN
  • 4022 Position Description/Performance Evaluation- Physical Therapist
  • 4023 Performance Evaluation- Physical Therapist
  • 4024 Annual Competency Clinical Skills Assessment- Physical Therapist
  • 4025 Position Description/Performance Evaluation- Occupational Therapist
  • 4026 Performance Evaluation- Occupational Therapist
  • 4027 Annual Competency Clinical Skills Assessment- Home Health Occupational Therapist
  • 4028 Position Description/Performance Evaluation- Speech-Language Pathologist
  • 4029 Performance Evaluation- Speech-Language Pathologist
  • 4030 Annual Competency Clinical Skills Assessment- Speech-Language Pathologist
  • 4031 Position Description/Performance Evaluation- Medical Social Worker
  • 4032 Performance Evaluation- Medical Social Worker
  • 4033 Annual Competency Clinical Skills Assessment- Medical Social Worker
  • 4034 Position Description/Performance Evaluation- Home Health Aide
  • 4035 Performance Evaluation- Home Health Aide
  • 4036 Annual Competency Clinical Skills Assessment- Home Health Aide
  • 4037 Annual Competency- Joint Commission National Patient Safety
  • 4038 Employment of Certified Home Health Aides/Nursing Assistants
  • 4039 Home Health Aide Training
  • 4040 Certified Home Health Aide Competency Evaluation Program
  • 4041 Certified Home Health Aide Competency Checklist Form
  • 4042 Home Health Aide assignments and Duties
  • 4043 Patient Care Instructions
  • 4044 Patient Care Instructions Form
  • 4045 Certified Home Health Aide Supervision
  • 4046 Supervision Checklist Form
  • 4047 Monitoring of Home Health Aide and CNA Inservice Hours
  • 4048 Staffing- General
  • 4049 Qualifications and Competency- HHA
  • 4050 Licensure, Certification and Registration Verification and Control Systems
  • 4051 Criminal Background Checks
  • 4052 Criminal Background Check Release of Information Authorization Form- Sample
  • 4053 Reference Checking
  • 4054 Physician Licensure Verification
  • 4055 Orientation Program
  • 4056 Orientation- Certified Home Health Aide Services
  • 4057 Performance Evaluations
  • 4058 Employee Education Programs
  • 4059 Continuing Education/Inservice Attendance Record Form
  • 4060 Equal Opportunity Employment
  • 4061 Applications for Employment
  • 4062 Attendance and Tardiness
  • 4063 Personal Information- Change of
  • 4064 Classification of Employees
  • 4065 BCLS Resuscitation Certification
  • 4066 Disciplinary Action
  • 4067 Discipline Form
  • 4068 Drug-Free Workplace Policy
  • 4069 Dress Regulations
  • 4070 Employee Assistance Program
  • 4071 Employee Communications
  • 4072 Employee Grievance Process
  • 4073 Employee Handbook
  • 4074 Employee Requests for Time Off
  • 4075 Employment of Foreign Applicants
  • 4076 Employment of the Disabled
  • 4077 Employment of Relatives
  • 4078 Exit Interviews
  • 4079 Exit Interview Form- Sample
  • 4080 Garnishment of Wages
  • 4081 Holiday Policy
  • 4082 Payroll Distribution/ Time Verification
  • 4083 Personnel Files- Contents and Originations
  • 4084 Personnel File Log
  • 4085 Procurement of Employees
  • 4086 Personnel Requisition Form- Sample
  • 4087 Re-Employment
  • 4088 Sick Leave Policy
  • 4089 Termination of Employment
  • 4090 Staff Recruitment, Retention, and Educations
  • 4091 Vacation Policy
  • 4092 Workers’ Compensation

Section 5: Infection Prevention and Control

  • 5001 Infection Prevention and Control Committee
  • 5002 Infection Prevention and Control Plan- Home Health
  • 5003 Infection Prevention and Control Committee
  • 5004 Infection Report Form
  • 5005 Infection Surveillance Sheet
  • 5006 Patient Infection Control Log Form
  • 5007 Summary of Monthly Infection Control Data Form
  • 5008 Reporting Patient Infections
  • 5009 National Notifiable Infectious Conditions
  • 5010 Standard Precautions
  • 5011 Hand Hygiene- CDC Guidelines
  • 5012 Hand Hygiene/Glove Use Observation Form
  • 5013 Respiratory Hygiene/Cough Etiquette in Healthcare Settings
  • 5014 Transmission-Based Precautions (Isolation Precautions)
  • 5015 Aseptic Practices
  • 5016 Nursing Bag Techniques
  • 5017 Personal Protective Equipment
  • 5018 Personal Protective Equipment- Training
  • 5019 Multidrug-Resistant Organisms in Non-Hospital Healthcare Settings
  • 5020 AIDS/HIV Positive Guidelines
  • 5021 Guidelines for Prevention of Tuberculosis Transmission in the Home
  • 5022 Tuberculosis Training Program Outlines
  • 5023 Influenza Vaccination- Home Health
  • 5024 HHA Plana and Response to a Potential or Actual Influenza Pandemic Outbreak
  • 5025 Pandemic Risk Assessment Tool for Home Care Organizations
  • 5026 CDC- Home Healthcare Services Pandemic Influenza Planning Checklist
  • 5027 Exposure Control Plan
  • 5028 Sharps Injury Protection Plan
  • 5029 Sharps Injury Log Form
  • 5030 Employee Exposure to Blood and Body Fluids- Sample Form
  • 5031 Infectious Waste Management Plan

Section 5: Infection Prevention and Control- Employee Health

  • 5101 Employee Health Program
  • 5102 Influenza Vaccination Program for Healthcare Staff
  • 5103 Influenza Immunization Program for Healthcare Staff- Monthly Implementation Checklist
  • 5104 Tuberculosis Screening Program
  • 5105 Health Questionnaire for Positive Tuberculosis Skin Test
  • 5106 Employee Health- Immunizations
  • 5107 Hepatitis B Vaccine Program
  • 5108 Informed Consent for Hepatitis B Vaccine Form
  • 5109 Hepatitis B Vaccine Declination Form
  • 5110 Workplace Injury, Illness or Fatality Reporting
  • 5111 Employee Health- Employee Illnesses
  • 5112 Employee Absence Report Form
  • 5113 Exposure to HIV

Section 6: Information Management

  • 6001 Information Management Plan- Home Health
  • 6002 Interruptions to Electronic Health Information
  • 6003 Electronic Signature
  • 6004 Electronic Signature Authorization/Confidentiality Form
  • 6005 Privacy and Confidentially of Information
  • 6006 Confidentiality of the Medical Record
  • 6008 Electronic Health Records
  • 6009 Uses and Disclosures of Protected Health Information- General Rules
  • 6010 Uses and Disclosures for Which an Authorization is Required
  • 6011 Uses and Disclosures of Protected Health Information Subject to an Agreed-Upon Restriction
  • 6012 Restriction Agreement- release of Patient Protected Health Information Consent Form
  • 6013 Release of Medical Information
  • 6014 Release of Patient Information Consent Form
  • 6015 Patient Medical Record Access Form
  • 6016 Release of Patient Identifiable OASIS Information
  • 6017 Reporting OASIS Information
  • 6018 Consent for Uses or Disclosures to Carry Out Treatment, Payment, or Healthcare Operations
  • 6019 Staff Confidentiality Statement Form-Sample
  • 6020 Confidentiality Agreement- Sample
  • 6021 Documentation and the Use of Abbreviations, Acronyms, and Symbols
  • 6022 Unacceptable Abbreviation and Symbol List
  • 6023 Knowledge-Based Information
  • 6024 Utilization of the Facsimile Machine
  • 6025 Guidelines for the Use of Electronic Mall
  • 6026 Internet Access
  • 6027 Safe Internet Access

Section 7: Leadership

  • 7001 CMS Definitions
  • 7002 Organization and Structure
  • 7003 Governance- Governing Body/management Company
  • 7004 Governance- Sole Proprietorship
  • 7005 Organization Chart- Example
  • 7006 Licensure and Compliance with Federal, State, and Local Laws
  • 7007 Mission Statement
  • 7008 Philosophy
  • 7009 Non-Discrimination Policy
  • 7010 Fiscal Planning
  • 7011 Annual Operating Budget
  • 7012 Communication Process- Staff, Patients, and Community
  • 7013 Agency Supervision
  • 7014 Supervision of Care, Treatment, and Services
  • 7015 Supervising Physician or Registered Nurse
  • 7016 Guidelines for Medical Management and Physicians Responsibilities
  • 7017 Scope pf Services
  • 7018 Professional Standards and Principles
  • 7019 Staff Under Hourly or Per Visit Contracts
  • 7020 Contracted Services
  • 7021 Agreement for Services
  • 7022 Services Provided to Residents in Assisted Living Facilities
  • 7023 Facility Contract- Sample
  • 7024 Policies and Procedures
  • 7025 Role of HHA Leadership in Quality Assessment and Performance
  • 7026 Code of Ethics
  • 7027 Code of Ethics (Sample)
  • 7028 Standards of Conduct
  • 7029 Care and Services Rates
  • 7030 Financial Incentives/Clinical Decision Making
  • 7031 Billing Practices
  • 7032 Claims Submission
  • 7033 Cost Reports
  • 7034 medical Necessity
  • 7035 Accepting Assignment
  • 7036 Over-payments
  • 7037 Marketing Practices
  • 7038 Financial Records – Maintenance of
  • 7039 Conflict of Interest
  • 7040 Conflict of Interest Disclosure Letter- Sample
  • 7041 Ethics Committee
  • 7042 Culture of Safety and Quality
  • 7043 Code of Conduct- Sample
  • 7044 Disruptive and inappropriate Behavior
  • 7045 Samples of Survey Tools to Survey a Culture of Safety and Quality
  • 7046 Your Organization’s Culture of Safety and Quality Survey
  • 7047 Survey Assessment Tools
  • 7048 Accrediting Body/ Regulatory Agency- Reporting to
  • 7049 Staff Rights and Ethical Dilemmas in Patient Care
  • 7050 Patient Safety Plan (Pool/Swimming)
  • 7051 Components of a Patient Safety Program- Patient Safety Program Checklist
  • 7052 Sentinel Event
  • 7053 Sentinel event Intensive assessment Flow Chart
  • 7054 Compliance Standards and Procedures
  • 7055 Standards of Conduct Agreement Form
  • 7056 Corporate Compliance Plan
  • 7057 The Organizations Governing Body Resolution establishment of a Corporate Compliance Program
  • 7058 Compliance Education and Training Programs
  • 7059 Compliance Committee
  • 7060 The Organizations Governing Body Resolution establishment of a Corporate Officer and the Corporate Compliance Committee
  • 7061 The OIG Work Plan- 2017- Home Health
  • 7062 Change in Ownership
  • 7063 Referring Specimens for Laboratory Testing

Section 8: Medication Management

  • 8001 Medication patient Information and Reconciliation
  • 8002 HHA Medication Reconciliation/Verification Form-Sample
  • 8003 Medication Form “A”- Sample and Medication Profile Form “B”- Sample
  • 8004 Controlled Substances
  • 8005 Medication Transfer Communication
  • 8006 High Alert Medication Management
  • 8007 Contracted Pharmacy and On-Call Pharmacist
  • 8008 Look –Alike, Sound-Alike Medication Management
  • 8009 Selections of Medications
  • 8010 Safe Storage of Medications in the Patients Home
  • 8011 Emergency Medications
  • 8012 Prescribing/Ordering- General Practices
  • 8013 Telephone/Verbal Orders
  • 8014 Physician Telephone/Verbal Orders Form
  • 8015 Medication Orders and Administration
  • 8016 Patient Self-Administration of Medication
  • 8017 Influenza and Pneumococcal Vaccine Standing Orders
  • 8018 Multiple Dose Vials- Use
  • 8019 Use of Investigational treatment/Trials
  • 8020 First Dose Home IV Antimicrobial Administration and Management of Anaphylaxis
  • 8021 Medication Monitoring
  • 8022 Controlled Drug Disposal
  • 8023 Disposal of controlled Substances Patches in the Home
  • 8024 Decreasing Medications Errors
  • 8025 Medication Errors
  • 8026 Medication Incident Report Form
  • 8027 Quality Assessment and Performance Improvement Analysis- Medication Incident Form
  • 8028 Adverse Drug Reaction Reporting
  • 8029 Adverse Drug Reaction Reporting Form (Internal)
  • 8030 Medication Management Program

Section 8: Medication Management- Medication Compounding

  • 8101 Medication Compounding
  • 8102 Medication Compounding Services

Section 9: Performance Improvement

  • 9001 Organizational Quality Assessment and Performance Improvement (QAPI) Program
  • 9002 Performance Measurement
  • 9003 Performance Improvement Projects
  • 9004 Problem Conclusion
  • 9005 Action Plan Monitoring
  • 9006 Conducting Root Cause Analysis
  • 9007 A Framework for a Root Cause Analysis and Action Plan in Response to a Sentinel Event
  • 9008 Root Cause Analysis Flowchart
  • 9009 Incident Reports
  • 9010 Incident Report Form
  • 9011 Home Health QAPI Monitoring and Evaluation Plan
  • 9012 Home Health QAPI Trending Sheet
  • 9013 Home Health QAPI Outcome Evaluation
  • 9014 Home Health QAPI Volume Measures/Statistics
  • 9015 Health Services Questionnaire
  • 9016 Home Health Service Questionnaire Form
  • 9017 Incident Reporting Staff Questionnaire Form
  • 9018 Employee Safety Information

Section 10: Provision of Care, Treatment, and Services

  • 10001 Acceptance/Admission of Patients
  • 10002 Intake Service
  • 10003 Intake/Referral Form- Sample
  • 10004 Physician Certification of Patient Eligibility- Face-to-Face Encounter
  • 10005 Orders for Service Form- Sample
  • 10006 Initial Assessment
  • 10007 Completion of the Comprehensive Assessment
  • 10008 Comprehensive Assessment
  • 10009 Assessment Form
  • 10010 Sample Acknowledge Form
  • 10011 Interdisciplinary Patient Assessments and Reassessments
  • 10012 Fall Assessments and Prevention
  • 10013 Initial Home Safety Evaluation and Instruction Form
  • 10014 Home Hazard Analysis Checklist Form
  • 10015 Home Oxygen Safety Risk Assessment
  • 10016 Safety Precautions When Using Oxygen in the Home
  • 10017 Patient and Family Education Handout- Oxygen Safety Rules
  • 10018 Pain Assessment, Reassessment and Management
  • 10019 Pain Management Education
  • 10020 Nutritional Assessment
  • 10021 Nutritional Assessment Form
  • 10022 Care Planning- Home Health
  • 10023 Skilled Nursing Plan of Care Form- Sample
  • 10024 Care Plan Implementation
  • 10025 Coordination of Patient Services
  • 10026 Coordination of Care- Physicians
  • 10027 Case Conference Report
  • 10028 Nursing Progress Report Form- Sample
  • 10029 Monthly Medical Update- Sample Form
  • 10030 Latex Sensitive Patient- Care of
  • 10031 Latex Allergy Assessment Form
  • 10032 Latex and Non-Latex Alternatives
  • 10033 Physical Therapy/Speech-language Pathology-Outpatient Services

Section 10:  Provision of Care, Treatment, and Services- Patient Care

  • 10101 Administration of Blood/Blood Components
  • 10102 Blood/Blood Components- Transfusions Reactions
  • 10103 Change in Patient’s Condition- Reporting to the Physician
  • 10104 Emergency Intervention
  • 10105 End-of-Life Care
  • 10106 Patient Identification
  • 10107 Scheduling and Coordination Patient Visits
  • 10108 Visit Log
  • 10109 Visit Log Form
  • 10110 On-Call Coverage
  • 10111 Critical Results of Tests and Diagnostics Procedures
  • 10112 Resumption of Care
  • 10113 Seizure- Nursing Management
  • 10114 RN Supervisory Visits
  • 10115 Home Health Aide- Supervision Form
  • 10116 Licensed Practical/Vocational Nurse Supervision
  • 10117 LPN/LVN Supervisory Visit Note

Section 10:  Provision of Care, Treatment, and Services- Patient/Family Education

  • 10201 Patient/Family Education- Home Health
  • 10202 Interdisciplinary Patient Education
  • 10203 Patient/Family Education Record- Sample Form
  • 10204 Patient Instructions
  • 10205 Anticoagulation Therapy- Patient/Family Education- Home Health
  • 10206 Medical Equipment-Patient/Family Education- Home Health
  • 10207 Patient and Family Education Handout- Home Safety
  • 10208 Patient and Family Education Handout- Hazardous Materials and Waste Disposal
  • 10209 Patient and Family Education handout- Infection Prevention and Control
  • 10210 Patient and Family Education Handout- Use of Restraint Devices
  • 10211 Patient and Family Education Handout- Crutch Ambulation for Stairs- Weight Bearing as Tolerated (WBAT)
  • 10212 Patient and Family Education Handout- Crutch Ambulation for Stairs- Non-Weight Bearing (NWB)
  • 10213 Patient Instruction Sheet- Oxygen Cylinder Set-Up
  • 10214 Patient Instruction Sheet- Oxygen Concentrator
  • 10215 Patient Instruction Sheet- Canes and Quad Canes
  • 10216 Hoja De Instruccion Del Paciente- Los Bastones y Los Bastones de Cuadrangulo
  • 10217 Patient Instruction Sheet- Walker
  • 10218 Hoja de Instruccion Del Paciente- Andador
  • 10219 patient Instruction Sheet- Bedside Commode Procedure
  • 10220 Hoja De Instruccion del Paciente- Procedimiento de la Comoda del Lado de la Cama

Section 10:  Provision of Care, Treatment, and Services- Discharge/ Transfer

  • 10301 Discharge/Transfer/Referral of Patients
  • 10302 Discharge/Transfer Summary
  • 10303 Skilled Nursing Discharge Summary Form
  • 10304 Discharge Summary Plan/Transfer Form
  • 10305 Physicians Discharge Summary Form
  • 10306 Patient Discharge Instructions Form
  • 10307 Transporting Members
  • 10308 Client Property and Fund Management
  • 10309 Siblings/Non-Division Others

Section 11: Record of Care, Treatment, and Services

  • 11001 Medical Records
  • 11002 Medical Record Content Policy
  • 11003 Entries in the Medical Record
  • 11004 Physicians Signature Requirements
  • 11005 Corrections to the Paper Medical Record
  • 11006 Access and Maintenance of the Electronic Health Record
  • 11007 Late Entries to the Electronic Health Record
  • 11008 Addendum to the Electronic Health Record
  • 11009 Amendment to the Electronic Health Record
  • 11010 Legibility of Medical Record Documentation
  • 11011 Maintenance and Retention of Medical Records
  • 11012 Medical Records- Retention of Medical Records
  • 11013 Auditing of Medical Records
  • 11014 Home Health Medical Records Audit Form
  • 11015 Home Health Documentation Form

Section 12: Rights and Responsibilities of the Individual

  • 12001 Notice of Rights
  • 12002 Home Care Patient Rights and Responsibilities
  • 12003 Oasis Privacy Act Statement Policy
  • 12004 CMS Statement of Patient Privacy Rights in English and Spanish
  • 12005 CMS Home Health Beneficiary Notices- Home Health Change of Care Notice and Advance Beneficiary Notice of Noncoverage (ABN)
  • 12006 Patient Information Packet
  • 12007 Communication- Medical Equipment
  • 12008 Advance Directives
  • 12009 Advance Directive Information Form
  • 12010 Patient Information on Advance Directives
  • 12011 Formats for patient Directives
  • 12012 Durable Power of Attorney for Healthcare
  • 12013 Withholding or Withdrawal of Life-Sustaining Measures
  • 12014 Declaration to Withdraw/Withhold Treatment
  • 12015 Do Not Resuscitate/ Do Not Intubate (DNR/DNI)
  • 12016 Do Not Resuscitate and/or Do Not Intubate Request Form
  • 12017 Patient Informed Decision Making
  • 12018 Patient Informed Decision Making
  • 12019 Authorization to Treat/Informed Consent
  • 12020 Patient Consents and Authorizations Form
  • 12021 Authorization/Agreement for Services- Sample Form
  • 12022 Discontinuance of Service Against Medical Advice Form
  • 12023 Discontinuance Notice Form
  • 12024 Consent to Blood/Blood Product Transfusions Form
  • 12025 Recordings, Films or Other Images of Patients- Home Health
  • 12026 Photographing Pressure Ulcers/Suspected Physical Abuse
  • 12027 Authorization and Consent Form- Recordings, Films or Other Images, and Publication
  • 12028 Auxiliary Aids and ervices for Persons with Disabilities
  • 12029 Patients with Special Communication Needs
  • 12030 Conflict Resolution
  • 12031 Sensory Impaired Patients
  • 12032 Non-English Speaking Patient- Cultural Considerations
  • 12033 Patient Abuse, Neglect or Exploitation- Training Program
  • 12034 Child, Adult, Disabled Person or Elderly Abuse- Recognition and Reporting
  • 12035 Patient Concerns/Grievances
  • 12036 Patient Concerns/Grievances Process Flowchart
  • 12037 About the Right to Express Grievances
  • 12038 Patient Compliant Form
  • 12039 Non-Provision of Service/ Gap Reporting

Section 13: Waived Testing

  • 13001 Waived Testing
  • 13002 Glucose Monitor Operator Proficiency Record Form
  • 13003 Glucose Monitor Quality Control
  • 13004 Blood Glucose Monitoring Competency Checklist
  • 13005 Glucose Monitor Quality Log
  • 13006 Fingerstick and Point of Care Blood Testing Devices

Section 14: Residential Care Evaluations

  • CHIEF EXECUTIVE OFFICER
  • CHIEF FINANCIAL OFFICER
  • MEDICAL DIRECTOR
  • ADMINISTRATOR
  • ALTERNATE ADMINISTRATOR
  • HOME HEALTH SERVICE DIRECTOR
  • ALTERNATE HOME HEALTH SERVICE DIRECTOR
  • DIRECTOR OF HUMAN RESOURCES
  • QUALITY IMPROVEMENT MANAGER
  • REGISTERED NURSE
  • PEDIATRIC REGISTERED NURSE
  • PSYCHIATRIC REGISTERED NURSE
  • REGISTERED HI-TECH NURSE
  • NURSING SUPERVISOR
  • LICENSED VOCATIONAL/PRACTICAL NURSE
  • MEDICAL SOCIAL WORKER
  • MEDICAL SOCIAL WORK ASSISTANT
  • REGISTERED PHYSICAL THERAPIST
  • PHYSICAL THERAPY ASSISTANT
  • OCCUPATIONAL THERAPIST
  • OCCUPATIONAL THERAPIST ASSISTANT
  • SPEECH PATHOLOGIST/AUDIOLOGIST
  • NUTRITIONIST
  • PERSONAL CARE WORKER/HOMEMAKER
  • HOME HEALTH AIDE
  • STAFFING COORDINATOR
  • MEDICAL RECORDS MANAGER
  • OFFICE MANAGER
  • PAYROL/BILLING/RECEIVABLES MANAGERS
  • PAYROL/BILLING/ACCOUNTS RECEIVABLES CLERK
  • BUSINESS CLERK
  • COORDINATOR
  • UNLICENSED INTAKE COORDINATOR
  • COMMUNITY LIAISON
  • RECEPTIONIST
  • DATA ENTRY OPERATOR
  • COURIER CLERK