ARCHOICES WORKSHOP
WE WILL BE CONDUCTING ON SITE VISITS TO PROVIDERS
WE THINK IT WOULD BE HELPFUL FOR YOU TO KNOW WHAT WE WILL LOOK FOR AND WHAT WE EXPECT TO FIND IN THE BENEFICIARY’S FILE
EVERYTHING THAT WE WILL LOOK FOR IS IN THE PROVIDER MANUAL. BUT I WANT TO TAKE A BRIEF LOOK AT WHAT INFORMATION WE WILL LOOK FOR IN THE FILES.
· CLASS A OR CLASS B LICENSE
· CERTIFICATION
· LIABILITY INSURANCE
· STAFFING – ADEQUATE TO STAFF THE NEEDS OF THE BENEFICIARIES
· EMPLOYEE RECORDS
· BACKGROUND CHECKS
· SKILLS OR INSTRUCTION TO THEIR JOB
· ORIENTATION
· CODE OF ETHICS
· FREEDOM OF CHOICE PROTECTED
WE EXPECT TO FIND
· PERSON CENTERED POC FROM DAAS RN
· YOUR INDIVIDUALIZED SERVICE PLAN – IT SHOULD INCLUDE ALL SERVICES FOR WHICH THE BENEFICIARY RECEIVES
· DOCUMENTATION REQUIREMENTS – SUCH AS DID YOU PUT A DATE, TIME IN/TIME OUT SIGNATURE/TITLE ON ALL YOUR ENTRIES
· DESCRIPTION OF SERVICE PROVIDED
· TICKLER SYSTEM MONITORING EXPIRATION DATES, REASSESSMENT DUE DATES, ETC
· VISISTS MADE ACCORDING TO POLICY
· WERE 9511’S SENT TO RN NOTIFYING THEM OF CHANGES IN STATUS IF YOU FOUND OUT SOMETHING SUCH AS HOSPITAL STAY, NOT RECEIVED A SERVICES AS ORDERED ON PERSON CENTERED SERVICE PLAN
· 9510’S THAT DOCUMENT WHEN YOU STARTED THE SERVICES. IF THERE WAS A DELAY IN SERVICE WAS THE RN NOTIFIED, ETC
· IF YOU BILLED FOR A DAY IN WHICH THE CLIENT WAS IN THE HOSPITAL THEN YOU SHOULD HAVE A STATEMENT FROM THE HOSPITAL IN THE CHART THAT SHOWS THE TIME OF ADMISSION
· SERVICES DELIVERED SHOULD MATCH PERSON CENTERED SERVICE PLAN
· NO DOCUMENTATION IN PENCIL
· APPROPRIATE BILLING CODES USED
TCM
· LOOKING TO SEE IF VISITS ARE MADE ACCORDING TO POLICY
· ANNUAL ASSESSMENTS
· MONTHLY MONITORING – FACE TO FACE OR TELEPHONE
· FACE TO FACE AT LEAST EVERY 3 MONTHS
· MONITORED EXPIRATION DATE OF PERSON CENTERED SERVICE PLAN
· DID YOU DOCUMENT THAT YOU NOTIFIED THE NURSE AND SUPERVISOR 30-45 DAYS PRIOR TO EXPIRATION
ADULT FAMILY HOMES
· ADMISSION AGREEMENT
· COST FOR ROOM/BOARD
· CONDITION/RULES BETWEEN YOU AND BENEFICIARY
· GROUNDS FOR TERMINATION
· WRITTEN POLICIES
ENVIRONMENTAL MODIFICATION PROVIDERS
· BUILDER, TRADESMAN, CONTRACTOR
· LICENSED FOR ELECTRICAL AND PLUMBING
· COPY OF SUBCONTRACTOR’S LICENSE
· PERMITS REQUIRED
· MET STATE/LOCAL BUILDING CODES
· UNIFORM FEDERAL ACCESSIBILITY STANDARDS
HOME DELIVERED MEALS
· CERTIFICATION
· LICENSES, PERMITS, FOOD HANDLERS CARD
· CURRENT FOOD ESTABLISHMENT PERMIT
· DATE AND TIME MEAL(S) DELIVERED
· LOG SHEETS SIGNED BY THE BENEFICIARY
· DOCUMENTATION TO WHERE MEALS APPROVED BY REGISTERED DIETICIAN
· OBSERVE THE FOOD STORAGE, HANDLING – COMPLIANCE TO LAWS REGULATING FOOD DELIVERY/TRANSPORTATION OF THE FOOD
· 9511 IF THERE WAS A PROBLEM WITH DELIVERY OF THE MEAL SERVICE SUCH AS NOT EATING, CHANGE OF CONDITION, CHANGE OF CIRCUMSTANCE, NOT ABLE TO DELIVER FOR WHAT EVER REASON
HOT MEAL PROVIDER
· DOCUMENTATION TO INDICATE THE BENEFICIARY WAS CONTACTED DAILY M-F UNLESS THEY RECEIVE ATTENDANT CARE (3) TIMES/WEEK. IF THEY ONLY GET FROZEN MEALS THIS DOESN’T APPLY
· DO YOU HAVE AT LEAST 4 WKS OF DIFFERENT MENUS
FROZEN MEAL PROVIDER
· FREEZER LIFE OF THE MEALS – SHOULD BE 3 MONTHS FROM DATE OF DELIVERY
· MEALS PROPERLY LABELED
· EXPIRATION OF MILK 7 DAYS PRIOR TO DELIVERY
· MEALS HAVE INSTRUCTION REGARDING HANDLING AND PREPARTION
· IF MEALS ARE FROZEN QUICKLY
· COOLED TO TEMPERATURES < 40 DEGREES WITHIN 4 HOURS
· INDIVIDUAL TRAYS SEALED/LABELED WITH DATE, CONTENTS, INSTRUCTIONS REGARDING AS TO STORING AND REHEATING
· ARE MEALS BEING FROZEN IN A MANNER THAT ALLOWS CIRCULATION AROUND EACH INDIVIDUAL TRAY
· ARE MEALS KEPT FROZEN THROUGHOUT STORAGE, TRANSPORT, AND DELIVERY
· ARE MEALS DISCARDED AFTER 30 DAYS
· VERIFICATION DOCUMENTED WHERE BENEFICIARY’S HAVE THE CAPACITY TO STORE AND HEAT MEALS AND ARE PHYSICALLY AND MENTALLY ABLE
· CHANGES REPORTED TO DAAS RN VIA 9511
· ONLY 14 MEALS CAN BE DELIVERED IF APPROVED BY RN ON PERSON CENTERED SERVICE PLAN
· IF BENEFICIARY GOES TO ADULT DAY SERVICES OR ADULT DAY HEALTH SERVICES AND ARE SERVED A MEAL THERE THEN THEY ARE NOT ALLOWED TO RECEIVE A MEAL FOR THAT DAY
PERS PROVIDER
· CERTIFICATION
· EQUIPMENT IS FCC APPROVED
· CONTACTS MADE 1 X MONTH
· MAINTAIN A LOG OF TEST CALLS MADE
· DATE AND TIME OF CALL
· RESULTS OF CALL
· IF CORRECTIVE ACTION TAKEN/OUTCOME
· LOG OF BENEFICIARY CALLS INCLUDING DATE, TIME OF CALL, NATURE OF THE CALL, AND THE RESPONSE
· DESIGNATE/OPERATE EMERGENCY RESPONSE CENTER
THE INSTRUCTION AND TRAINING THE RESPONDERS RECEIVE
· HOW THE EQUIPMENT IS INSTALLED AND BY WHOM AND THE TRAINING THEY HAVE TO DO THEIR JOBS
· THE TRAINING THAT IS PROVIDED TO THE BENEFICIARY ON HOW TO USE THE EQUIPMENT
RESPITE
· LICENSE – CLASS A OR B
· CERTIFICATION
· TRAINING/QUALIFICATIONS OF STAFF
· SUPERVISION OF STAFF
· DOCUMENTATION TO SUPPORT THE BILLING
· COPY OF THE PERSON CENTERED POC
· DESCRIPTION OF SERVICE
· SIGNATURE/TITLE ON DOCUMENTATION
· DATE AND TIME SERVICE PROVIDED
· 9510 WHEN SERVICES BEGAN
· 9511 SENT TO DAAS RN IF THERE ARE CHANGES IN SERVICES, CHANGE IN BENEFICIARY’S CONDITION, ETC
ADULT DAY SERVICES/ADULT DAY HEALTH SERVICES
· DAILY LOG
· 2-10 HRS/DAY
· 5(+) HOURS = MEAL
· IF SOMEONE ATTENDS ADS OR ADHS = (0) HDM
· RECERTIFICATION EVERY 3 YEARS