Home Care Agency/Home Care Registry Regulations

Report
Home Care Agency
Home Care Registry
Licensing
Melia Belonus, Director
Bureau of Community Program Licensure & Certification
Cindy Boyne, Director
Division of Home Health
Background
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Act 69 of 2006
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Amended the Health Care Facility Act
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Chapter 51 applicable
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Regulations effective 12/12/09
Home Care Licensure
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Non-Medical Model
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Consumer protections
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Criminal Background Checks
Child Abuse Clearances
Competency Requirements
Health Screenings
Consumer Rights
Financial
Chapter 51 Requirements
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Written Notification
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60 days written prior to
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Commencement of a health care service
Cessation of a health care service
Immediate Notification (ERS)
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Facility noncompliance -seriously compromises
QA or patient safety
Situation or occurrence of event
Chapter 51 cont’d
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Change in Ownership/Management
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30 day written notice prior to
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Transfer 5%or more of stock or equity
Change of Ownership
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controlling interest
Facility name change
Change in management
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Person responsible daily operations
Chapter 51 cont’d
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Identification of personnel
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Picture ID – full name, professional designation
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Civil Right Compliance
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Nondiscrimination Policy – posted
HCA/HCR Applications
Initial License
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Sent via mail
Event reporting letter
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Web address
Unique log-in information
Password Agreement
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IDs responsible party for POC
Upon receipt, issuance of unique log-in, password
and user’s manual
License Renewal
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Email notice 3 months prior to expiration
Online completion/submission within 45 days
of expiration
Required forms
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Application
Disclosure of Ownership
Civil Rights survey
Written survey (offsite)
Licensure Renewals
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December 2010 – April 2011
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On-Site surveys – 158
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Written (on-line) surveys - 146
Pre- Survey Prep
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Review application package
Verify info consistent with prior app
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Owners, address
Review prior survey
Review complaints
Verify submitted Password agreement
Check ERS for event reporting
DOH On-Site Inspections
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Scheduled or unscheduled
Complaints – always unscheduled
Regular business hours
Components:
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inspection of records,
interview office staff, consumers and direct care
workers
observation of the provision of services to
consumers
On-Site - Information Requested
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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
On-Site Information Requested
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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
Plan of Correction (POC)
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Email notification of deficiencies
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Log onto POC website
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Electronic submission of POC
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Surveyor accepts/rejects
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If rejected, submit revised POC
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Follow up survey (on or offsite)
DOH On-Site Inspections
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Scheduled or unscheduled
Regular business hours
Components:
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
inspection of records,
interview office staff, consumers and direct care
workers
observation of the provision of services to
consumers
Plan of Correction (POC)
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Email notification of deficiencies

Log onto POC website
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Electronic submission of POC
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Surveyor accepts/rejects
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If rejected, submit revised POC
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Follow up survey (on or offsite)
Top 5 HCA/HCR Deficiencies
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Information to be Provided (S0820)
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Consumer Rights (S0800)
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Health Screening (S0700)
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Competency Requirements (S0620)
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Prohibition (S0340)
HCA/R Hotline
6
Complaint
5
4
3
Misc
2
1
Info
0
2010
Complaints 4/1/10 - 3/31/11
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Total HCA/HCRs – 1111
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41 Facilities with complaints
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46 onsite investigations
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11 substantiated
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35 unsubstantiated
% substantiated - 24%
Helpful ComplianceTips
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Copy of regs onsite/post license
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Prompt, timely responses
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Competency requirement – 12/12/11
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611.51 Direct Care Worker file
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611.57 Consumer Protection documentation
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Complaint Hotline 1-866-826-3644
BCPLC Plans
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Regs FAQs – posted on website (updated
May 2011)
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www.health.state.pa.us
July 2011 – staff review of 1st wave of onsite
surveys
Department of Health web site
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www.health.state.pa.us

Regulations
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Health Care Facility Act
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Title 28 Pa. Code Chapter 51
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Application package
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FAQs on Act 179 and Act 73
Division of Home Health
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Harrisburg Field Office
132 Kline Plaza, Suite A
Harrisburg, PA 17104
(717) 783-1379
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Montour County State Health Center
329 Church Street
Danville, PA 17821
(570) 849-2144
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Scranton State Office Building
100 Lackawanna Avenue
Room 111, Scranton, PA 18503
(570) 963-4212
Division of Home Health
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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
Delaware County State Health Center
151 West 5th Street
Chester, PA 19013-4415
(610) 619-3490
Division of Home Health
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Jackson Center Field Office
(724) 684-2941
19 McQuiston Drive
Jackson Center, PA 16133
(724) 662-6050
Crawford County State Health Center
847 North Main Street
Meadville, PA 16335
(814) 336-1163
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Mon Valley Health Center
Eastgate 8, Monessen, PA 15062
Division of Home Health
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Pittsburgh Field Office
11 Stanwix Street, Suite 410
Pittsburgh, PA 15222
(412) 770-3991
Home Health Headquarters
132 Kline Plaza, Suite A
Harrisburg, Pa 17104
(717) 783-1379

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