{"ref":"OH-HC-SP-03","title":"Changes in Condition, Significant Changes, and Coordination with Case Managers","category":"Service delivery","summary":"Sets how aides recognize and report changes in a client's condition, home or circumstances, how the supervisor responds and updates the activity plan, and when and how the Agency notifies ODA's designee (one business day), ODM or its designee (twenty-four hours) or the case manager, and, for private-pay clients, the representative. Covers ongoing coordination with case managers.","inShort":["In an emergency, call 911 first, then the office.","Call your supervisor during the visit about any fall, injury, new confusion, eating less, or other change in the client.","Also report hospital visits, a planned move, repeated refusals, unsafe conditions at home, or feeling unsafe yourself.","Describe what you saw and heard. Do not try to diagnose.","The supervisor decides what to do and tells the case manager in time."],"primaryCitation":"OAC 173-39-02(B)(3)(b)","citations":["OAC 173-39-01(B)","OAC 173-39-02(B)(3)(a), (b)","OAC 5160-45-01","OAC 5160-44-31(B)(8), (9), (16), (17)","OAC 5160-44-05","OAC 5160-46-04(A)(7)(c)(iii)"],"federalCitations":[],"surveyorAsks":["What does an aide do when a client seems more confused than usual or has fallen?","Show me a significant change you reported for a PASSPORT client. When did you learn of it, and when did you notify ODA's designee?"],"forms":[{"ref":"OH-HC-SP-03-A","title":"Change in Condition and Significant Change Notice Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 173-39-02(B)(3)(b))","5. What Aides Watch For and Report","6. The Supervisor's Response","7. Notices to ODA's Designee (if the Agency Is ODA-Certified)","8. Notices to ODM or Its Designee (Clients on an ODM-Administered Waiver)","9. Private-Pay Clients","10. Coordinating With Case Managers","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":"oh-hca","state":"Ohio","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}}