Black Box of Home Care Quality: Hearing Before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, Second Session, July 29, 1986U.S. Government Printing Office, 1987 - 232 lappuses |
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accreditation Administration adv gr American Bar Association assessment beneficiaries bill certification CHAIRMAN client conditions of participation Consumer rights cost Department of Health Dept developed disabled elderly ensure Federal funding HCFA Health Care Financing hearing HH Aide home care agencies home care providers home care quality home care services home health agencies home health aide home health benefit home health care home health services home help homebound homemaker hospital in-home increase individual providers IP mode issue KERKEY licensed Licensure licensure laws long-term Medicaid Medicare home health minimum monitoring MOON nursing home occupational therapy Older Americans Act Ombudsman paraprofessionals patient percent person personnel physical therapy physician Pickering problems professional quality assurance quality of home receive regulations regulatory reimbursement requirements Roybal Sabatino Services Block Grant services provided skilled nursing Social Services Block staff standards supervision Thank therapy visits workers
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69. lappuse - extended care services" means the following items and services furnished to an inpatient of an extended care facility and (except as provided in paragraphs (3) and (6) ) by such extended care facility ( 1 ) nursing care provided by or under the supervision of a registered professional nurse; (2...
73. lappuse - ... (1) secure and maintain maximum independence and dignity in a home environment for older persons capable of self-care with appropriate supportive services; and "(2) remove individual and social barriers to economic and personal independence for older persons. "DEFINITIONS "SEC. 302. For purposes of this title "(1) The term 'social services...
48. lappuse - The National Homecaring Council also developed, under contract to the US Public Health Service, a model curriculum and teaching guide for the instruction of the homemaker-home health aide in 1978.
69. lappuse - Medical supplies (other than drugs and biologicals) and medical appliances. The Medicare law limits payment for home health services to those beneficiaries whose conditions are of such severity that the individuals are under the care of a physician, confined to their...
48. lappuse - Few have paid vacations or holidays, and even fewer have paid health insurance coverage. We have not given adequate attention or recognition to the persons who provide this vital service; in fact, in many respects we have exploited them. We have sown seeds for a potential scandal. We have ignored the escalating human needs of paraprofessionals while we have continued to delegate more care to them, and to place more demands on them. In June, 1985, the Rensselaer County (New York) long-term care coordinating...
102. lappuse - ... (b) Standard: Clinical record review. At least quarterly, appropriate health professionals, representing at least the scope of the program, review a sample of both active and closed clinical records to assure that established policies are followed in providing services (direct services as well as services under arrangement).
47. lappuse - MATERIALS). THE STANDARDS COVER AGENCY STRUCTURE, STAFFING, TRAINING, SUPERVISION, SERVICE, AND COMMUNITY RELATIONS. THE NATIONAL LEAGUE FOR NURSING AND THE JOINT COMMISSION ON ACCREDITATION OF HOSPITALS ALSO ACCREDIT HOME HEALTH PROGRAMS PROVIDED THROUGH SOME COMMUNITY AGENCIES AND HOSPITALS. SUCH ACCREDITATION OR APPROVAL IS ENTIRELY VOLUNTARY, HOWEVER.
46. lappuse - ... The issue of standards for paraprofessionals in home care Is not new. To deal with the problem, the National Homecaring Council has promulgated national standards for homemakerhome health aide services, and has administered an accreditation and approval program based on those standards sine* 1962.
58. lappuse - Is free from mental and physical abuse, and free from chemical and (except in emergencies) physical restraints except as authorized in writing by a physician for a specified and limited period of time, or when necessary to protect the patient from injury to himself or to others...
102. lappuse - If a physician refers a patient under a plan of treatment which cannot be completed until after an evaluation visit, the physician is consulted to approve additions or modifications to the original plan. Orders for therapy services include the specific procedures and modalities to be used and the amount, frequency, and duration. The therapist and other agency personnel participate in developing the plan of treatment.