{"ref":"MI-HSP-AIDE-01","title":"Hospice Aide and Homemaker Services","category":"Clinical tasks","summary":"Sets out who may work as a hospice aide or homemaker for the Agency, the 75-hour training program and RN competency evaluation, at least 12 hours of in-service training every 12 months, RN assignment and written care instructions, what aides may and may not do, RN supervisory visits at least every 14 days, the annual onsite RN observation of each aide that Michigan requires to be documented in the aide's personnel file, and coordination with Medicaid Home Help.","inShort":["Do only the tasks on your written care instructions from the RN.","Report a fall, new pain, breathing trouble, skin problems or a caregiver who cannot cope to the RN at once. Report other changes the same day.","An RN checks your patient's care at least every 14 days and watches you give care at least once a year.","You need at least 12 hours of in-service training every 12 months.","Never give injections, handle or dispose of controlled substances, or change equipment settings."],"primaryCitation":"Mich. Admin. Code R 325.45365","citations":["Mich. Admin. Code R 325.45365","Mich. Admin. Code R 325.45349(3)","Mich. Admin. Code R 325.45181","Mich. Admin. Code R 325.45145(2)","Mich. Admin. Code R 325.45345(1)(e)","MCL 333.16215","MCL 333.20173a","MCL 333.21418(4)(b)","Michigan Medicaid Provider Manual, Hospice, Sections 6.7.D and 6.10"],"federalCitations":["42 CFR §418.76","42 CFR §418.114(b)(2)","42 CFR §418.202(g)","42 CFR §418.204(a)","42 CFR §418.100(g)"],"surveyorAsks":["Show me how this aide is qualified and the competency evaluation done before the aide worked alone.","Show me the written care instructions for this aide and this patient."],"forms":[{"ref":"MI-HSP-AIDE-01-A","title":"Hospice Aide Competency Evaluation"},{"ref":"MI-HSP-AIDE-01-B","title":"Aide Supervisory Visit and Annual Onsite Observation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45365; 42 CFR §418.76)","5. Who May Work as an Aide","6. Training Program","7. Competency Evaluation","8. In-Service Training","9. Assignment and Written Care Instructions","10. What Aides Do and Do Not Do","11. Reporting by Aides","12. Supervision of Aides","12.1 Supervisory visit at least every 14 days","12.2 When there is a concern","12.3 Annual onsite observation","12.4 What the supervising nurse assesses","13. Homemakers","14. Periods of Crisis","15. Medicaid Personal Care and Home Help","16. Aides Provided Under a Written Agreement","17. Responsibilities","18. Records and Compliance Monitoring","19. Staff Training","20. References","21. Related Policies and Forms","22. Approval","23. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}