After-Hours Care, On-Call, and Clinical Manager Availability

Sets out the Agency's operating hours at its business location, how it makes sure the Administrator (or the pre-designated person) and a clinical manager are available during all operating hours, and the Agency's own 24-hour on-call registered nurse service: the after-hours number, call-back and triage, after-hours visits, contacting practitioners, hand-off to the clinical manager, and monthly testing.

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About this policy

Policy number: MO-HH-CC-02
Version: 1.0
Main rule: 42 CFR §484.105(b)(1)(iii) and (b)(3) (adopted by 19 CSR 30-26.010(1)(A))
Library: Missouri home health · 57 policies
Category: Service delivery
Sections: 21

In short

A registered nurse is on call 24 hours a day at (573) 555-0199.
The on-call nurse calls back within 30 minutes. In an emergency, patients call 911.
Log every after-hours call: who called, why, what you advised and what was done.
Report all after-hours calls to the clinical manager by the start of the next business day.
A clinical manager and the Administrator, or their alternates, are available during all office hours.

What's inside

21 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), (c); 19 CSR 30-26.010(2)(B)2)
5. Operating Hours and the Business Location
6. Availability of the Administrator and Clinical Manager
7. The On-Call Service
8. Handling After-Hours Calls
9. After-Hours Visits
10. Contacting Practitioners After Hours
11. Hand-Off to the Next Business Day
12. Emergencies Affecting Many Patients
13. Testing the On-Call System
14. Responsibilities
15. Records and Compliance Monitoring
16. Staff Training
17. References
18. Related Policies and Forms
19. Approval
20. Revision History

An inspector may ask

What are your operating hours, and who is the clinical manager on duty today?
Who acts for the Administrator when the Administrator is away, and where is that written down?

Missouri home health

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Rules it follows

42 CFR §484.105(b)(1)(iii) and (b)(3) (adopted by 19 CSR 30-26.010(1)(A))19 CSR 30-26.010(1)(A)19 CSR 30-26.010(2)(B)242 CFR §484.105(b)(1)(iii)42 CFR §484.105(b)(2)42 CFR §484.105(b)(3)42 CFR §484.105(c)42 CFR §484.60(c)(1)42 CFR §484.102(c)

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