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Home Care Agency Home Care Registry Licensing

Home Care Agency Home Care Registry Licensing. Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health. Background. Act 69 of 2006 Amended the Health Care Facility Act Chapter 51 applicable

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Home Care Agency Home Care Registry Licensing

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  1. Home Care Agency Home Care Registry Licensing Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health

  2. Background • Act 69 of 2006 • Amended the Health Care Facility Act • Chapter 51 applicable • Regulations effective 12/12/09

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

  4. 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

  5. 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

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

  7. HCA/HCR Applications

  8. 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

  9. 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)

  10. Licensure Renewals • December 2010 – April 2011 • On-Site surveys – 158 • Written (on-line) surveys - 146

  11. Pre- Survey Prep • Review application package • Verify info consistent with prior app • Owners, address • Review prior survey • Review complaints • Verify submitted Password agreement • Check ERS for event reporting

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

  13. On-Site - Information Requested Changes since last survey Copy of Chapter 611 Awareness of Chapter 51 requirements List of owners, office staff, direct care workers w dates of hire (Since last approval) DCW/office staff files (min.10, max 20) Provisional hires? Process

  14. On-Site Information Requested Prohibited offenses (copy or access) List of consumers served in last 12 months Consumer files (min 10, max 20) Phone interviews – 5 consumers Admission packet given to consumer

  15. 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)

  16. 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

  17. 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)

  18. Top 5 HCA/HCR Deficiencies • Information to be Provided (S0820) • Consumer Rights (S0800) • Health Screening (S0700) • Competency Requirements (S0620) • Prohibition (S0340)

  19. HCA/R Hotline

  20. Complaints 4/1/10 - 3/31/11 • Total HCA/HCRs – 1111 • 41 Facilities with complaints • 46 onsite investigations • 11 substantiated • 35 unsubstantiated • % substantiated - 24%

  21. Helpful ComplianceTips • 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

  22. BCPLC Plans • Regs FAQs – posted on website (updated May 2011) • www.health.state.pa.us • July 2011 – staff review of 1st wave of onsite surveys

  23. 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

  24. 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

  25. 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

  26. Division of Home Health • 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  • MonValleyHealthCenter Eastgate 8, Monessen, PA 15062

  27. Division of Home Health • PittsburghField Office 11 Stanwix Street, Suite 410 Pittsburgh, PA15222 (412) 770-3991 Home Health Headquarters 132 Kline Plaza, Suite A Harrisburg, Pa 17104 (717) 783-1379

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