1、Home Care Agency Home Care Registry LicensingMelia Belonus,DirectorBureau of Community Program Licensure&Certification Cindy Boyne,DirectorDivision of Home HealthBackgroundnAct 69 of 2006nAmended the Health Care Facility ActnChapter 51 applicable nRegulations effective 12/12/09Home Care LicensurenNo
2、n-Medical ModelnConsumer protectionsqCriminal Background ChecksqChild Abuse ClearancesqCompetency RequirementsqHealth ScreeningsqConsumer RightsqFinancialChapter 51 RequirementsnWritten Notificationq 60 days written prior tonCommencement of a health care servicenCessation of a health care servicenIm
3、mediate Notification (ERS)qFacility noncompliance-seriously compromises QA or patient safetyqSituation or occurrence of event Chapter 51 contdnChange in Ownership/Managementq30 day written notice prior tonTransfer 5%or more of stock or equitynChange of Ownership qcontrolling interestnFacility name c
4、hangenChange in management qPerson responsible daily operationsChapter 51 contdnIdentification of personnelqPicture ID full name,professional designationnCivil Right CompliancenNondiscrimination Policy postedHCA/HCR ApplicationsInitial LicensenSent via mailnEvent reporting letterqWeb addressqUnique
5、log-in informationnPassword AgreementqIDs responsible party for POCqUpon receipt,issuance of unique log-in,password and users manualLicense RenewalnEmail notice 3 months prior to expiration nOnline completion/submission within 45 days of expirationnRequired formsqApplicationqDisclosure of Ownershipq
6、Civil Rights surveyqWritten survey(offsite)Licensure RenewalsnDecember 2010 April 2011qOn-Site surveys 158qWritten(on-line)surveys-146Pre-Survey Prep nReview application packagenVerify info consistent with prior appqOwners,addressnReview prior surveynReview complaintsnVerify submitted Password agree
7、ment nCheck ERS for event reporting DOH On-Site Inspectionsn Scheduled or unscheduled nComplaints always unscheduledn Regular business hoursnComponents:qinspection of records,qinterview office staff,consumers and direct care workers qobservation of the provision of services to consumers On-Site-Info
8、rmation Requested nChanges since last surveynCopy of Chapter 611nAwareness of Chapter 51 requirementsnList of owners,office staff,direct care workers w dates of hire(Since last approval)nDCW/office staff files(min.10,max 20)nProvisional hires?ProcessOn-Site Information RequestednProhibited offenses(
9、copy or access)nList of consumers served in last 12 monthsnConsumer files(min 10,max 20)nPhone interviews 5 consumersnAdmission packet given to consumer Plan of Correction(POC)nEmail notification of deficienciesnLog onto POC websitenElectronic submission of POCnSurveyor accepts/rejectsnIf rejected,s
10、ubmit revised POC nFollow up survey(on or offsite)DOH On-Site Inspectionsn Scheduled or unscheduled n Regular business hoursnComponents:qinspection of records,qinterview office staff,consumers and direct care workers qobservation of the provision of services to consumers Plan of Correction(POC)nEmai
11、l notification of deficienciesnLog onto POC websitenElectronic submission of POCnSurveyor accepts/rejectsnIf rejected,submit revised POC nFollow up survey(on or offsite)Top 5 HCA/HCR DeficienciesnInformation to be Provided(S0820)nConsumer Rights(S0800)nHealth Screening(S0700)nCompetency Requirements
12、(S0620)nProhibition(S0340)HCA/R HotlineComplaints 4/1/10 -3/31/11nTotal HCA/HCRs 1111n41 Facilities with complaintsq46 onsite investigationsn11 substantiatedn35 unsubstantiatedn%substantiated -24%Helpful ComplianceTipsnCopy of regs onsite/post licensenPrompt,timely responses nCompetency requirement
13、12/12/11n611.51 Direct Care Worker filen611.57 Consumer Protection documentationnComplaint Hotline 1-866-826-3644BCPLC PlansnRegs FAQs posted on website(updated May 2011)qwww.health.state.pa.usn July 2011 staff review of 1st wave of onsite surveysDepartment of Health web sitenwww.health.state.pa.usq
14、RegulationsqHealth Care Facility ActqTitle 28 Pa.Code Chapter 51qApplication packageqFAQs on Act 179 and Act 73Division of Home Health nHarrisburg Field Office132 Kline Plaza,Suite A Harrisburg,PA 17104 (717)783-1379 n Montour County State Health Center 329 Church Street Danville,PA 17821(570)849-21
15、44nScranton State Office Building 100 Lackawanna Avenue Room 111,Scranton,PA 18503 (570)963-4212nWhitehall Field Office 3730 Lehigh Street,Suite 204 Whitehall,PA 18052 (610)821-6381nNorristown Field Office 1939 New Hope Street Norristown,PA 19401 (610)270-1707n Delaware County State Health Center 15
16、1 West 5th Street Chester,PA 19013-4415 (610)619-3490Division of Home HealthDivision of Home Health nJackson Center Field Office (724)684-2941 19 McQuiston Drive Jackson Center,PA 16133 (724)662-6050 Crawford County State Health Center 847 North Main Street Meadville,PA 16335 (814)336-1163 nMon Valley Health Center Eastgate 8,Monessen,PA 15062Division of Home HealthnPittsburgh Field Office 11 Stanwix Street,Suite 410 Pittsburgh,PA 15222 (412)770-3991Home Health Headquarters132 Kline Plaza,Suite AHarrisburg,Pa 17104(717)783-1379
