{"ref":"LA-HH-ADM-02","title":"Initial Visit, Start of Care, and Admission Documentation","category":"Service delivery","summary":"Sets out how the Agency makes the initial visit, by a registered nurse or appropriate therapist, within 24 hours of referral unless otherwise ordered by the authorized healthcare provider; what happens at that visit (assessment, instruction about home care services, rights, consent and orientation); how the initial plan of care is completed by an RN or appropriate therapist and placed in the record within seven days from the start of care; and the documentation that Louisiana requires at admission (LAC 48:I §9123.B.3). If the Agency is Medicare-certified, the visit also meets 42 CFR §484.55(a).","inShort":["The first visit is made within 24 hours of referral unless the provider ordered another date.","Only an RN or the ordered therapist makes the first visit; never an LPN, assistant or aide.","Give rights, advance directive information and consent forms before any care.","Complete every admission item on the checklist, including all ADLs, medications, caregivers and barriers.","The initial plan of care must be in the record within seven days of the start of care."],"primaryCitation":"LAC 48:I §9123.B","citations":["LAC 48:I §9123.B","LAC 48:I §9123.B.1","LAC 48:I §9123.B.2","LAC 48:I §9123.B.3","LAC 48:I §9103.D.3.c","LAC 48:I §9103.D.3.d","LAC 48:I §9103.J.2","LAC 48:I §9103.K.2.b","LAC 48:I §9103.K.3","LAC 48:I §9129.A.5","LAC 48:I §9129.A.8","LAC 48:I §9129.C","LAC 48:I §9125.A.4"],"federalCitations":["42 CFR §484.55(a)","42 CFR §484.50(a)","42 CFR §484.60(e)","42 CFR §489.102(b)(3)"],"surveyorAsks":["When was this patient referred and when was the initial visit made? Who made it?","Show me the admission documentation. Where is the functional assessment listing all ADLs? The caregiver's ability and willingness? The barriers to care?"],"forms":[{"ref":"LA-HH-ADM-02-A","title":"Admission Documentation Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §9123.B)","5. Timing of the Initial Visit","6. Who Makes the Initial Visit","7. What Happens at the Initial Visit","8. Admission Documentation (LAC 48:I §9123.B.3)","9. Initial Plan of Care","10. Clinical Manager Review of Each Admission","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"la-hha","state":"Louisiana","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}