{"ref":"MO-HH-CC-02","title":"After-Hours Care, On-Call, and Clinical Manager Availability","category":"Service delivery","summary":"Sets out the Agency's operating hours at its business location, how it makes sure the Administrator (or the pre-designated person) and a clinical manager are available during all operating hours, and the Agency's own 24-hour on-call registered nurse service: the after-hours number, call-back and triage, after-hours visits, contacting practitioners, hand-off to the clinical manager, and monthly testing.","inShort":["A registered nurse is on call 24 hours a day at (573) 555-0199.","The on-call nurse calls back within 30 minutes. In an emergency, patients call 911.","Log every after-hours call: who called, why, what you advised and what was done.","Report all after-hours calls to the clinical manager by the start of the next business day.","A clinical manager and the Administrator, or their alternates, are available during all office hours."],"primaryCitation":"42 CFR §484.105(b)(1)(iii) and (b)(3) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","19 CSR 30-26.010(2)(B)2"],"federalCitations":["42 CFR §484.105(b)(1)(iii)","42 CFR §484.105(b)(2)","42 CFR §484.105(b)(3)","42 CFR §484.105(c)","42 CFR §484.60(c)(1)","42 CFR §484.102(c)"],"surveyorAsks":["What are your operating hours, and who is the clinical manager on duty today?","Who acts for the Administrator when the Administrator is away, and where is that written down?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.105(b), (c); 19 CSR 30-26.010(2)(B)2)","5. Operating Hours and the Business Location","6. Availability of the Administrator and Clinical Manager","7. The On-Call Service","8. Handling After-Hours Calls","9. After-Hours Visits","10. Contacting Practitioners After Hours","11. Hand-Off to the Next Business Day","12. Emergencies Affecting Many Patients","13. Testing the On-Call System","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"mo-hha","state":"Missouri","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}}