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Home Care Agency Home Care Registry Licensing

Home Care Agency Home Care Registry Licensing. Darlene Augustine, Health Quality Administrator Department of Health Division of Home Health . Home Care Licensure. Non-Medical Model Consumer protections Criminal Background Checks Child Abuse Clearances Competency Requirements

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Home Care Agency Home Care Registry Licensing

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  1. Home Care Agency Home Care Registry Licensing Darlene Augustine, Health Quality Administrator Department of Health Division of Home Health

  2. Home Care Licensure • Non-Medical Model • Consumer protections • Criminal Background Checks • Child Abuse Clearances • Competency Requirements • Health Screenings • Consumer Rights • Financial

  3. Chapter 51 Requirements • Written Notification • 60 days written prior to • Commencement of a health care service • Cessation of a health care service • Immediate Notification (ERS) • Facility noncompliance -seriously compromises QA or patient safety • Situation or occurrence of event

  4. Chapter 51 cont’d • Change in Ownership/Management • 30 day written notice prior to • Transfer 5%or more of stock or equity • Change of Ownership • controlling interest • Facility name change • Change in management • Person responsible daily operations

  5. Chapter 51 cont’d • Identification of personnel • Picture ID – full name, professional designation • Civil Right Compliance • Nondiscrimination Policy – posted

  6. HCA/HCR Applications

  7. Initial License • Sent via mail • Event reporting letter • Web address • Unique log-in information • Password Agreement • IDs responsible party for POC • Upon receipt, issuance of unique log-in, password and user’s manual

  8. License Renewal • Email notice 3 months prior to expiration • Online completion/submission within 45 days of expiration • Required forms • Application • Disclosure of Ownership • Civil Rights survey • Written survey (offsite)

  9. Licensure Renewals • April 2011 – April 2012 • Total number of On-Site surveys & Written (on-line) surveys- 1124

  10. DOH On-Site Inspections • Scheduled or unscheduled • Regular business hours • Components: • inspection of records, • interview office staff, consumers and direct care workers • observation of the provision of services to consumers

  11. Plan of Correction (POC) • Email notification of deficiencies • Log onto POC website • Electronic submission of POC • Surveyor accepts/rejects • If rejected, submit revised POC • Follow up survey (on or offsite)

  12. Top 5 HCA/HCR Deficiencies • Information to be Provided (S0820) • Prohibitions (S0810) • Consumer Rights (S0800) • Hiring or Rostering Prerequisites (S0200) • Health Screening (S0700)

  13. HCA/R Hotline Complaints 4/1/2011 to 4/1/2012 • Total number of hotline complaints 51 • Thirty-two relating to care and services • Forty-two percent substantiated

  14. Helpful Compliance Tips • Copy of regs onsite/post license • Prompt, timely responses • Competency requirement – 12/12/11 • 611.51 Direct Care Worker file • 611.57 Consumer Protection documentation • Complaint Hotline 1-866-826-3644

  15. Division of Home Health-update • Regs FAQs – posted on website (updated April 2012) • www.health.state.pa.us

  16. Department of Health web site • www.health.state.pa.us • Regulations • Health Care Facility Act • Title 28 Pa. Code Chapter 51 • Application package • FAQs on Act 179 and Act 73

  17. Division of Home Health • Harrisburg Field Office 132 Kline Plaza, Suite A       Harrisburg, PA  17104 (717) 783-1379 • MontourCountyStateHealthCenter 329 Church Street Danville, PA 17821 (570) 849-2144 • ScrantonStateOfficeBuilding 100 Lackawanna Avenue Room 111, Scranton, PA  18503 (570) 963-4212

  18. Division of Home Health • Whitehall Field Office 3730 Lehigh Street, Suite 204 Whitehall, PA  18052 (610) 821-6381 • Norristown Field Office 1939 New Hope Street       Norristown, PA  19401 (610) 270-1707 • DelawareCountyStateHealthCenter 151 West 5th Street Chester, PA 19013-4415 (610) 619-3490

  19. Division of Home Health Offices Jackson Center Field Office (724) 684-2941 19 McQuiston Drive JacksonCenter, PA 16133 (724) 662-6050 CrawfordCountyStateHealthCenter 847 North Main Street Meadville, PA  16335 (814) 336-1163 

  20. Division of Home Health Offices Pittsburgh Field Office 11 Stanwix Street, Suite 410 Pittsburgh, PA15222 (412) 770-3991 Mon Valley Health Center (Vacant) Eastgate 8 Monessen, PA 15062 (724) 684-2941 Home Health Headquarters 132 Kline Plaza, Suite A Harrisburg, Pa 17104 (717) 783-1379

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