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Administrator, Alternate Administrator, and Clinical Manager

Sets out how the governing body appoints a qualified Administrator, how a qualified pre-designated person is authorized in writing to act when the Administrator is not available, how one or more qualified clinical managers oversee all patient care services and personnel, and how the Agency makes sure the Administrator or alternate and a clinical manager are available during all operating hours, as 42 CFR §484.105(b) and (c) and §484.115(a) and (c) require.

Preview: full text with a package
About this policy
Policy number
MI-HH-GOV-02
Version
1.0
Main rule
42 CFR §484.105(b) and (c)
Library
Michigan home health · 57 policies
Category
Governance
Sections
18

In short

  • The Administrator runs the Agency day to day and reports to the governing body.
  • When the Administrator is away, Jo Sample takes over with the same authority.
  • The clinical manager, Robin Sample, RN, oversees all patient care and makes patient and staff assignments.
  • A clinical manager is always available during office hours. Check the daily schedule to see who is covering.
  • If you cannot reach the Administrator or the alternate, call the clinical manager.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.105(b) and (c))
  • 5. Qualifications
  • 6. Duties of the Administrator
  • 7. Duties of the Clinical Manager
  • 8. Written Designations
  • 9. Availability During Operating Hours
  • 10. Change of Administrator or Clinical Manager
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Who is your Administrator, and how does the person meet the qualifications for the date they started?
  • Who acts when the Administrator is out? Show me the written authorization signed by the Administrator and the governing body.

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