{"ref":"OH-HH-CC-02","title":"After-Hours Care, On-Call, and Back-Up Staffing","category":"Service delivery","summary":"Keeps the Administrator (or the pre-designated alternate) and a clinical manager available during all operating hours, runs an on-call system so that patients can reach a registered nurse at any hour, sets how after-hours calls are handled, and keeps back-up staff available so that scheduled visits are made when regularly scheduled staff cannot make them, including the back-up plan and case manager notices for waiver patients.","inShort":["Patients and staff can reach a registered nurse at any hour at (614) 555-0199.","The on-call nurse calls back within 15 minutes of being paged and documents every call.","If you cannot make a scheduled visit, tell the scheduler or on-call nurse as early as possible, before the visit time.","Back-up staff cover missed visits; the clinical manager tells the practitioner if a missed visit could affect the patient.","For waiver patients, the back-up plan is used and the case manager is told about the absence."],"primaryCitation":"42 CFR §484.105(b)(3)","citations":["OAC 5160-12-03(B)(6)","OAC 5160-44-31(B)(8)","ORC 121.36"],"federalCitations":["42 CFR §484.105(b)(1)(iii)","42 CFR §484.105(b)(3)","42 CFR §484.105(b)(2)","42 CFR §484.50(c)(5)"],"surveyorAsks":["Who is available today if the Administrator or the clinical manager is out?","Call your after-hours number. Who answers, and how quickly does a nurse call back?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.105(b))","5. Availability of the Administrator and Clinical Manager","6. The On-Call System","7. Handling an After-Hours Call","8. Back-Up When Assigned Staff Are Not Available","9. Waiver Patients","10. Testing the System","11. Visit Monitoring","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","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}}