{"ref":"PA-HH-GOV-04","title":"Group of Professional Personnel, Annual Policy Review, and Annual Program Evaluation","category":"Governance","summary":"Sets up the group of professional personnel that Pennsylvania requires, with at least one physician and one registered nurse, to establish and review the Agency’s core policies every year, meet at least once a year with dated minutes, and take part in a written overall evaluation of the Agency’s total program at least once a year.","inShort":["A group of professionals, including a physician and a registered nurse, advises the Agency and reviews its key policies every year.","Every year the Agency also evaluates its whole program to see whether care is appropriate, adequate, effective and efficient.","The data you record, such as visits, discharges and referrals, are used in that evaluation, so record them accurately.","Ideas for improving our policies are welcome; give them to the Administrator before the yearly review."],"primaryCitation":"28 Pa. Code §601.22","citations":["28 Pa. Code §601.21(c)","28 Pa. Code §601.21(d)","28 Pa. Code §601.22(a)","28 Pa. Code §601.22(b)","28 Pa. Code §601.22(c)"],"federalCitations":["42 CFR §484.65"],"surveyorAsks":["Who is on your group of professional personnel? Which member is the physician and which is the registered nurse?","Show me the dated minutes of the group’s last meeting."],"forms":[{"ref":"PA-HH-GOV-04-A","title":"Professional Personnel Group Minutes and Annual Policy Review Record"},{"ref":"PA-HH-GOV-04-B","title":"Annual Program Evaluation Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §601.22)","5. Membership","6. Meetings and Minutes","7. Annual Policy Review","8. Annual Program Evaluation","8.1 Who Carries It Out","8.2 Data Collected","8.3 Content of the Evaluation","8.4 Reporting and Action","9. Community Liaison","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. 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}}