{"ref":"GA-HC-SP-02","title":"Coordination of Care and Changes in Client Condition","category":"Service delivery","summary":"Requires every staff member to report the client's needs, changes in condition and observed problems, sets out what is reported, to whom and how fast, how the supervisor responds and coordinates with the client's physician, family, responsible party and other providers, and how those communications are recorded in the client file.","inShort":["Watch for changes at every visit and report them. When in doubt, call.","Emergency: call 911 first, then the office. Suspected abuse: report at once.","A fall, new pain, new confusion, fever or breathing trouble: call the office or on-call line before you leave the home.","Gradual changes and problems in the home: write them on the daily record and tell the office the same day.","Do not give medical advice. Follow the instructions of your supervisor, the nurse or the 911 dispatcher."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-65-.10(1)","citations":["Ga. Comp. R. & Regs. 111-8-65-.10(1)(a)1(i)-(iv)","Ga. Comp. R. & Regs. 111-8-65-.10(1)(b)","Ga. Comp. R. & Regs. 111-8-65-.10(1)(c)","Ga. Comp. R. & Regs. 111-8-65-.10(2)(c)2","Ga. Comp. R. & Regs. 111-8-65-.10(2)(d)","Ga. Comp. R. & Regs. 111-8-65-.11(2)","Ga. Comp. R. & Regs. 111-8-65-.12(2)(k)","Ga. Comp. R. & Regs. 111-8-65-.09(4)(a)7-8","Ga. Comp. R. & Regs. 111-8-65-.09(4)(b)2","Ga. Comp. R. & Regs. 111-8-65-.09(4)(d)","Ga. Comp. R. & Regs. 111-8-65-.09(6)(a)3","Ga. Comp. R. & Regs. 111-8-65-.03(j)","Ga. Comp. R. & Regs. 111-8-65-.03(k)"],"federalCitations":["45 CFR §164.506"],"surveyorAsks":["What would a caregiver do if they noticed this client was more confused than usual today?","Show me a change in condition report and what the supervisor did about it."],"forms":[{"ref":"GA-HC-SP-02-A","title":"Change in Condition Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-65-.10(1))","5. What Staff Report, and How Fast","6. How the Supervisor Responds","7. Reports from the Client or Responsible Party","8. Coordinating with Others","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. Points to Note","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"ga-phc","state":"Georgia","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}