{"ref":"PA-HH-GOV-01","title":"Governing Body, Bylaws, Organization, and Lines of Authority","category":"Governance","summary":"Sets out how the governing body of the Agency holds full legal authority and responsibility for its operation, adopts and reviews written bylaws, appoints the Administrator, arranges professional advice, oversees management and fiscal affairs, and keeps a written description of the organization, services and lines of authority down to the patient care level, as 28 Pa. Code §601.21 and, for a Medicare-certified agency, 42 CFR §484.105 require.","inShort":["The governing body is legally in charge of the Agency and approves every policy.","Our organization chart shows who you report to, right down to the patient’s home.","No other organization runs or supervises our services for us; we stay in control of all care.","A copy of the Pennsylvania home health rules (28 Pa. Code Chapter 601) is kept at the office.","Department of Health surveyors may visit at any time, with or without notice. Tell the Administrator at once if they arrive."],"primaryCitation":"28 Pa. Code §601.21","citations":["28 Pa. Code §601.3","28 Pa. Code §601.4","28 Pa. Code §601.13(a)","28 Pa. Code §601.13(b)","28 Pa. Code §601.21(a)","28 Pa. Code §601.21(c)","28 Pa. Code §601.22","Health Care Facilities Act, 35 P.S. §448.101 et seq."],"federalCitations":["42 CFR §484.105","42 CFR §484.105(a)","42 CFR §484.65(e)"],"surveyorAsks":["Who is your governing body, and where are its bylaws? When were they last reviewed?","Show me your organization chart. Who does the home health aide report to, and who supervises the nurse?"],"forms":[{"ref":"PA-HH-GOV-01-A","title":"Governing Body Annual Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §601.21)","5. Governing Body","5.1 Meetings and Minutes","5.2 Conflicts of Interest","6. Bylaws","7. Organization Chart and Lines of Authority","8. Administrative Control, Branch Offices, and Subunits","9. Documents Kept for the Department","10. Compliance with Other Standards","11. Annual Review by the Governing Body","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":"pa-hha","state":"Pennsylvania","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}}