The patient must be entitled to receive covered home health services under his/her health insurance and/or as CASH basis.
The patient must be essentially homebound (having condition such that leaving the place of residence requires a taxing effort or is medically contraindicated), requires intermittent skilled nursing, physical therapy or occupational therapy and is under the care of a physician, who authorizes the plan of care.
2. When a telephone referral is received by the Company, a referral form is completed by a the Company’s HAAD licensed nurse. Referrals may also be received by in person or by email, fax or telephone. The referral form includes at least the following information:
Physician’s name, address and telephone number.
Patient’s identification information, e.g., name, address, telephone number, date of birth, gender, insurance information, emergency contact and telephone number.
Primary and other diagnosis(es).
Medications and treatments required.
Date of hospital discharge, if applicable.
Care or treatments to be provided, including frequency and duration.
Any other information reported by the referral source.
3. Each referral is evaluated by the Company’s Charge Nurse and/or Chief Medical Officer to determine the appropriateness of home care.
4. Pre-admission assessment must be made before accepting the patient for home care services.
5. All initial evaluation visits are made by a Registered Nurse, Physical Therapist or Occupational Therapist.
6. If the patient served is found ineligible for services:
The patient is informed as to the reasons;
In accordance with the choice of the patient:
- The family/support system is informed as to the reasons;
- The referral source is informed as to the reasons;
Recommendations are made for alterative services.
7. During the initial visit, the admitting professional will:
Review the plan of care with the patient/caregiver and discuss any reasonable risk associated with the proposed treatment or alternatives.
Provide information relevant to referring and treating physician orders and services to be provided so that patient/caregiver can give consent.
Obtain the patient’s signature on the consent for treatment and other required forms.
Verify the information on the referral form.
Explain and provide a copy of the Patient’s Bill of Rights/Responsibilities.
Explain the visit procedures to the patient and the patient’s family.
Provide a copy of the company’s scope of services, mission statement, office hours and how to access the on-call system.
Implement a comprehensive assessment of the patient, including safety and environmental assessment.
Develop and implement with input from the patient and family a plan of care based on the initial assessment and the physician’s orders.
Refer patient to other disciplines (PT, OT), as appropriate.
Obtain past medical information, as appropriate.
Obtain and implement the physician’s orders.
Submit the completed admission paperwork to the Charge Nurse and/or Chief Medical Officer for review.
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