After-Hours Availability, On-Call, Missed Visits, and Contingency Staffing

Makes sure patients can reach the Agency at all hours: a District office staffed at least eight hours a day Monday through Friday, a registered nurse on call at all other times, named employees and protocols for emergencies in each plan of care, prompt handling of late and missed visits, contingency staffing so a patient is not left without care when an assigned worker cannot come, and reports to DHCF within three business days when an authorized DC Medicaid PCA visit is not delivered.

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About this policy

Policy number: DC-HH-CC-02
Version: 1.0
Main rule: 22-B DCMR §3914.3(l)
Library: Washington, DC home health · 58 policies
Category: Service delivery
Sections: 18

In short

A registered nurse is on call at all hours outside the office day. Patients call (202) 555-0199.
If you will be late or miss a visit, call the scheduler or on-call nurse as soon as you know.
Patients who cannot safely go without a visit are covered the same day. Every missed visit is written up.
DC Medicaid personal care: any service not delivered is reported to DHCF within three business days of the scheduled visit.
A personal care aide reports a big change in a patient’s health to the nurse at once in an emergency, and within 4 hours otherwise.

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 (22-B DCMR §3900.5; §3914.3(l)-(m))
5. Reaching the Agency
6. The On-Call System
7. Emergencies in the Home
8. Late and Missed Visits
9. Contingency Staffing
10. Monitoring
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

How does a patient reach a nurse at 2 a.m.? Show me the on-call schedule for this month.
Show me how the on-call nurse documented last week’s calls.

Washington, DC home health

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Rules it follows

22-B DCMR §3914.3(l)22-B DCMR §3914.322-B DCMR §3900.522-B DCMR §3920.522-B DCMR §3911.229 DCMR §5006.1629 DCMR §5008.329 DCMR §5006.1229 DCMR §5006.1442 CFR §484.105(b)(1)(iii)42 CFR §484.105(b)(2)42 CFR §484.105(b)(3)42 CFR §484.60(e)

Forms included

DC-HH-CC-02-A Missed Visit and Service Failure Report

Read a sample in full

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