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Governing Body, Organization, and Lines of Authority

Sets out how the governing body of the Agency holds full legal authority and responsibility for the Agency's management and operation, services, fiscal operations, budget and quality program, how it adopts and reviews bylaws and policies, and how the Agency keeps a written organizational structure with lines of authority down to the staff member in the patient's home, as 42 CFR §484.105 and §484.65(e) require of every Missouri-licensed agency through 19 CSR 30-26.010(1)(A).

Preview: full text with a package
About this policy
Policy number
MO-HH-GOV-01
Version
1.0
Main rule
42 CFR §484.105(a) (adopted by 19 CSR 30-26.010(1)(A))
Library
Missouri home health · 57 policies
Category
Governance
Sections
22

In short

  • 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.
  • Missouri adopts the federal home health rules (42 CFR Part 484) for every licensed agency, so they apply to all our patients.
  • Department surveyors may visit without notice. Tell the Administrator at once if they arrive.

What's inside

22 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; 19 CSR 30-26.010(1)(A))
  • 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. Legal Name and Public Identity
  • 10. Documents Kept Ready for the Department
  • 11. Compliance with Other Laws
  • 12. Annual Review by the Governing Body
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Who is your governing body, and where are its bylaws and the minutes of its last meetings?
  • Show me your organization chart. Who does the home health aide report to, and who supervises the nurses and therapists?

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