Skilled Nursing and Respite Care Agency- Policies and Procedures- Georgia State Licensure

Introducing our comprehensive Skilled Nursing and Respite Care Agency Policies and Procedures package designed specifically for Georgia State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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Table of Contents

Introduction
Statement of Purpose
Statement of Policy
Document Control & Approvals
State Compliances
Skilled Nursing Services
2901 General
2902 Waiver Individual Eligibility
2902.1 Eligibility for Nursing Services
2902.2 Determination of Approved Hours
2903 Nursing Services Provider Qualifications and Scope of Services
2903.1 Qualifications for Registered Professional Nurse
2903.2 Services by a Registered Nurse include (but are not limited to):
2903. 3 Qualifications for Licensed Practical Nurse
2903.4 Services which may be provided by Licensed Practical Nurse include:
2903.5 Duties of the RN providing oversight (include but are not limited to):
2903.6 Contracted Services
2903.7 Subcontracting
2903.8 Care That May Not Be Delegated Under This Policy
2904 Provider Policy and Procedure Requirements
2905 Documentation
2905.1 On–Site Record Review
2905.2 Record Management and Maintenance of Clinical Records
2905.3 The Clinical Record
2905.4 Clinical Notes
2905.5 Summary Report
2905.6 Healthcare Plan
2906 Non-covered Services
2907 Basis for Reimbursement
2908 Client-Direction Options
2909 Essential Elements of Healthcare Plan

Respite Care Services
3101 General Description of Respite Services
3102 Special Requirements of Participation
3102.1 In-Home Respite Services Provider
3102.2 Out-of-Home Respite Services Provider
3103 Special Eligibility Conditions
3104 Prior Approval
3105 Covered Services
3106 Non-Covered Services
3107 Documentation
3108 Basis for Reimbursement
3109 Client-Direction Options

Service Criteria
Policy:
Admission Criteria
Discharged/ Termination Criteria

Pre-Scanning and Discharge Planning
Policy:
Procedures:

Confidentiality and Privacy Policy
Policy:
Procedures:

Fiscal Accountability (Internal Controls)
Policy:
Procedures:
Framework for Internal Control
Internal Controls
Petty Cash/Funds Control
Purchasing Controls
Purchasing Review

Policy on Funds of Individuals Receiving Services
Policy:
Procedures:

Criminal Background Check and Drug-Free Workplace
Policy:
Procedures:
Drug-Free and Non-Smoking Policies
Employee Verification
Background Check
Recruitment

Job Descriptions
Skilled Nurse
Respite Care Provider
Direct Support Professional (DSP)
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Administrative Assistant
Case Manager

Employee Training and Development
Policy:
Procedures:
Medication Administration
Behavioral Management
Emergency Preparedness
Record Keeping in Employee Personnel Records

Employee Notification of Policy Changes
Policy:
Procedures:

Employee or Contractor Performance Evaluation
Policy:
Procedures:
What is good performance?
Periodical reviews
Rewards
Training
Frequent communication
Managers’ responsibilities

Grievance Policy
Policy:
Procedures:
Grievance Handling
Filing Complaints

Risk Management
Policy:
Procedures:
Designated Risk Management Specialist
Intervention for The Agitated or Dangerous Client
Personal Injury and Illness Prevention Plan
Preventing Missing clients Incidents
Raising the Alarm
Risk of Property Damage
Procedure for Searching Missing/Loss Clients
Records and Documentation

Emergency Preparedness and Response Plan
Policy:
Procedures:
Emergency Preparedness Plan
Emergency Plan
Emergency Preparedness
Responsibilities of the Management
Risk Management
Emergency Management Procedures
Obtains Written Authorization to seek Emergency Treatment
Record Keeping in Employee Personnel Records
Emergency Communications

Access to Telephone in Emergencies
Policy:
Procedures:

Staffing Plan
Policy:
Procedures:
Types of Services Provided and Service Descriptions
Daily Staffing
Adjustments in Staffing
Floating

Monitoring and Evaluating Quality
Policy:
Procedures:

Individualized Services Plan (ISP)
Policy:
Procedures:

Orientation
Policy:
Procedures:

Crisis or Emergency Interventions
Policy:
Definitions and Procedures:
Crisis intervention
Designated Person
Crisis Receiving and Stabilization Services
Minimum Expectations to Operate a Crisis Receiving and Stabilization Service
Documenting Crisis Intervention and Clinical Emergency Services

Healthcare Policy
Policy:
Procedures:
Medical Necessity
Individual Services Plan
Medical Care and Identification for Treatment
Patient Identification Policy

Physical Examination
Policy:
Procedures:

Medical Equipment
Policy:
Procedures:

Medication Management
Policy:
Procedures:

Behavior Interventions and Support
Policy:
Procedures:
Procedural Requirements for Behavior Interventions
Positive Behavior Support Strategies Include
Manipulation of Rewards
Planning for Behavior Supports
Functional Assessment
Consent
Monitoring On-going Progress

Record Management Policy
Policy:
Procedures:
Storage, processing, and handling of active and closed records
Storage, processing and handling of electronic records
Strategies for service continuity and record recovery
Designation of person responsible for records management
Disposition of records

Documentation Policy
Policy:
Procedure:
Legibility
Patient Identification
Time Documentation
Record Procedures
Correction of documentation
Physician Orders
Documentation
Filing of Records
Security of Records/Documents

Review Process for Records
Policy:
Procedure:

List of Forms/Annexures:
Annexure 01: Financial Information Form – Expenditure and Disbursement of Client Funds
Annexure 02: Staff Orientation Form for Employees, Contractors, Volunteers and Students
Annexure 03: Staff Training and Development Form
Annexure 04: Performance Evaluation Form
Annexure 05: Grievance Procedure Form
Annexure 06: Facility Inspection Checklist Form
Annexure 07: Fire Safety Drill Form
Annexure 08: Emergency Preparedness Numbers
Annexure 09: Daily Schedule of Services
Annexure 10: Daily Nutrition Monitoring Form
Annexure 11: Client Screening Form
Annexure 12: Initial Assessment Form
Annexure 13: Comprehensive Assessment Form
Annexure 14: ISP Requirements Form
Annexure 15: Reassessments and ISP Quarterly Review Form
Annexure 16: Sample Daily Progress Notes
Annexure 17: Client Orientation Form
Annexure 18: Transfer Form
Annexure 19: Discharge Form
Annexure 20: Crisis Intervention and Emergency Services
Annexure 21: Fall Assessment Form
Annexure 22: Client Physical Examination Form
Annexure 23: Emergency (ER) Medical Information Form
Annexure 24: Monitoring, Behavior Intervention & Supports Form
Annexure 25: Abuse/ Neglect Reporting Form
Annexure 26: Seclusion and/ or Restraint Documentation Form
Annexure 27: Client Face Sheet Form
Annexure 28: Individual’s Service Record Form
Annexure 29: Therapies – Individual/ Group Form
Annexure 30: Release of Information Form
Annexure 31: Record Review Form