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Administrator, Alternate Administrator, and Clinical Manager

Sets the qualifications, duties and availability of the Administrator, the pre-designated alternate who acts when the Administrator is not available, and the clinical manager who oversees all patient care services and personnel, and records each appointment and written authorization on one designation form.

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About this policy
Policy number
OH-HH-GOV-02
Version
1.0
Main rule
42 CFR §484.105(b)
Library
Ohio home health · 59 policies
Category
Governance
Sections
18

In short

  • Pat Sample runs the Agency day to day. When the Administrator is away, Jo Sample has the same authority.
  • The clinical manager, Robin Sample, RN, oversees all patient care and assigns your patients.
  • If the clinical manager is not available, contact Casey Sample, RN.
  • Someone in charge and someone overseeing care can always be reached during operating hours. Call (614) 555-0100.
  • Check the office notice for who is acting when a manager is away.

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))
  • 5. Qualifications
  • 6. Duties of the Administrator
  • 7. Duties of the Clinical Manager
  • 8. Written Designation of the Alternates
  • 9. Availability During Operating Hours
  • 10. Vacancies
  • 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 that person meet the qualifications in 42 CFR §484.115(a)?
  • Show me the written authorization, signed by the Administrator and the governing body, for the person who acts when the Administrator is not available.

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