 |
1. |
Referral is made to agency. Referral source
has 24 hours to forward necessary information for admission to
the agency. |
| 2. |
Agency receives referral information and
insurance benefits are verified. |
| 3. |
Agency admitting RN will complete patient
admission in the home within 48 hours of obtaining referral
information, including ordering medical supplies if necessary
and ancillary support staff. |
| 4. |
Skilled nurse visits and/or home health aide
and ancillary support visits will be coordinated. |
| 5. |
LVN supervisory visits will be made every 30
days. |
| 6. |
Home health aide supervisory visits will be
made every 14 days. |
| 7. |
Changes in the plan of care will be discussed
with the primary care physician immediately by the skilled
nurse. |
| 8. |
Beginning on the 56th to the 60th day of
service, the patient will be reassessed, the plan of care will
be reevaluated by the Medical Director and Registered Nurse. If
the patient has met the goals outlined on the plan of care, the
patient will be discharged. If the goals have not been met and
the patient requires continued home health services, the patient
will be recertified for another 60 day period. |
