Coordination of Services and Referral to Community Resources
Sets how the Agency coordinates each client's services with the client's physician, other providers, programs and family caregivers, keeps evidence of coordination when a client receives more than one in-home service, refers clients to other agencies and community resources when it cannot meet a need, and manages a client's hospital stay and return home.
About this policy
- Policy number
- NC-HC-COR-01
- Version
- 1.0
- Main rule
- 10A NCAC 13J .1001(a)(11)
- Library
- North Carolina home care · 50 policies
- Category
- Service delivery
- Sections
- 18
In short
- Tell the office at once if a client goes to the hospital.
- Visits stop during a hospital stay. The nurse decides when they restart.
- Tell your supervisor about any need we do not meet. The supervisor makes referrals.
- Do not share client information with other agencies unless your supervisor asks you to.
- Tell your supervisor about other providers who come to the home.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (10A NCAC 13J .1001(a)(11))
- 5. Who the Agency Coordinates With
- 6. Coordinating at Admission
- 7. Coordination During Services
- 8. Referral to Other Agencies and Community Resources
- 9. Hospital Stays and Return Home
- 10. Coordination at Transfer and Discharge
- 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
- This client also receives services from another agency. Show me the evidence that you coordinate with them.
- What do you do when an aide reports that a client needs help your Agency does not provide?
See Cura Core with your agency's name on it.
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