{"ref":"TX-HH-CS-01","title":"Client Care Policies and Scope of Home Health Services","category":"Service delivery","summary":"States which home health services the Agency provides and how, maps every client care element that 26 TAC §558.281 requires to the policy that covers it, sets the extra standards for intravenous therapy, psychoactive treatments, home dialysis, pediatric care, and terminal illness, and requires the Agency to publish accurate information on its services and review it at least once a year. It also sets out the workplace violence prevention committee, policy, plan, training and incident response that Texas Health and Safety Code Chapter 331 requires while the Agency employs at least two registered nurses.","inShort":["We provide only the home health services the governing body has approved. If a patient needs something we do not offer, tell your case manager.","Intravenous therapy, psychiatric nursing, and pediatric care have extra rules. Only staff checked off for them may provide them.","In a medical emergency, call 911 first, then call the office or on-call nurse at (512) 555-0199.","If you feel unsafe in a home, leave, go somewhere safe, and call the office. You will not be disciplined for leaving.","Teach patients and caregivers at every visit, check they understood, and write down what you taught.","Report any threat, violence or weapon at work the same day on an incident report. You may also call the police. No one may punish you for reporting."],"primaryCitation":"26 TAC §558.281","citations":["26 TAC §558.281","26 TAC §558.2","26 TAC §558.401","26 TAC §558.402","26 TAC §558.405","26 TAC §558.406","26 TAC §558.407","26 TAC §558.245","26 TAC §558.243","Tex. Health & Safety Code ch. 331","Tex. Health & Safety Code §331.001","Tex. Health & Safety Code §331.002","Tex. Health & Safety Code §331.003","Tex. Health & Safety Code §331.004","Tex. Health & Safety Code §331.005","Tex. Health & Safety Code §331.006","HHSC PL 2024-10"],"federalCitations":["42 CFR §484.105(f)","42 CFR §484.105(i)(2)","42 CFR §484.60","42 CFR §484.75"],"surveyorAsks":["Which services do you provide directly and which under arrangement? Show me the list you give the public and when it was last reviewed.","Show me where your written policies cover each of the client care elements in 26 TAC §558.281."],"forms":[{"ref":"TX-HH-CS-01-A","title":"Workplace Violence Prevention Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.281)","5. Services the Agency Provides","6. Client Care Policy Elements (26 TAC §558.281)","7. Specialty Services","7.1 Intravenous therapy (26 TAC §558.407)","7.2 Skilled nursing psychoactive treatments (26 TAC §558.406)","7.3 Home dialysis (26 TAC §558.405)","7.4 Care of pediatric patients","7.5 Patients with a terminal illness or terminal prognosis","8. Public Information About Services","9. Emergencies in the Home and Staff Safety","9.1 Workplace violence prevention: when Chapter 331 applies (Tex. Health & Safety Code §331.001(3)(A))","9.2 Workplace violence prevention committee (Tex. Health & Safety Code §331.002)","9.3 Workplace violence prevention policy (Tex. Health & Safety Code §331.003)","9.4 Workplace violence prevention plan (Tex. Health & Safety Code §331.004)","9.5 Responding to and investigating an incident (Tex. Health & Safety Code §331.004(b)(4) and §331.005)","9.6 Changing assignments after abuse or threats (Tex. Health & Safety Code §331.004(b)(8))","9.7 Annual review, report to the governing body, and copies of the plan (Tex. Health & Safety Code §331.004(d)-(e) and §331.006)","10. Patient and Caregiver Teaching","11. Adding, Changing, or Stopping a Service","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.1","sample":false,"pack":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}