If you are Accredited with The Joint Commission or are seeking Accreditation and have Compliance Review Services, Inc. “start up” product you should have this update package.

By inserting  the changes/updates into your already purchased product your agency will be compliant with The Joint Commission 2010 standards .

Replace the revised pages once purchased and remove the original outdated material .

Updates include revisions to the following :  Admit Pack., Application Binder, Incident Binder, Equipment Management, Safety Binder ,Infection Control Binder and policy and procedure manual.

This is the policy that includes the national patient safety goals and the agency’s compliance with such. It is an update policy to the 2012 one previously produced by Compliance Review Services, Inc.

This form allows the client to designate a person who is competent to care for them in the event the agency staff is unavailable. This form can be used for Pediatrics and/or Primary Home Care recipients. It can also be used for any other situation in which the family or friends are providing some of the care to the client outside of the agency staff.

This policy update reflects the DADS requirement Chapter 97,97.301(b) related to Retention of Client Records and will replace your current policies entitled Client Records and Protection of Records.

This home health and hospice form is when the nurse is requesting something of the physician such as permission to get an air-mattress for a patient. When the physician reviews the top portion of the form (the nurse request portion) and then completes his/her section it becomes a physician order. So many nurses document telephone orders when they never spoke to the doctor's office. This tool allows the nurse to truly request orders and document the request legally and within the scope of her practice.

This audit tool enables the agency QA department to audit all discharge charts and make sure that they are compliant in the main component areas prior to closing the chart out or doing final billing.

 December 17, 2012

To: Community Based Alternatives Providers

Community Living Assistance and Support Services Providers

Medically Dependent Children Program Providers

Primary Home Care Program Providers

Community Attendant Services Providers

Family Care Providers

Consumer Directed Services Agencies

Subject: Information Letter No. 12-89

Required use of the Electronic Visit Verification (EVV) System in Regions 5 and 6 Where Participation is Mandatory Effective November 15, 2012

The information contained in this letter is applicable only to providers in Regions 5 and 6 that were placed under the requirement to use the EVV system effective November 15, 2012. The Department of Aging and Disability Services (DADS) has determined for the period November 15, 2012 through January 14, 2013, the agency will accept the use of paper timesheets as a back-up to the use of EVV to document attendant time worked. While DADS expects providers have begun using the EVV system to document service delivery effective November 15, 2012, for the period November 15, 2012 through January 14, 2013 paper timesheets will also be accepted to demonstrate compliance with agency rules and contract provisions. DADS is providing this flexibility to allow providers an opportunity to gain familiarity with the use of the EVV system before being potentially subject to sanctions for being unable to provide required documentation of time worked solely based on records in the EVV system.

While additional flexibility for demonstrating compliance is being provided for this two-month period, providers are strongly encouraged to make diligent efforts to gain proficiency in use of the EVV system. Beginning January 14, 2013, providers placed under EVV requirements effective November 15, 2012, will not be permitted to utilize paper timesheets to document attendant time worked or to support billing activity for attendant services.

Earlier references to EVV as a “pilot” refer to EVV’s phased introduction across the state and should not be construed as meaning provider use of the EVV system is voluntary after any date

This policy, procedure and form has been created to ensure the home health agency is compliant with CMS’ face-to-face encounter requirement effective January 1, 2011.

This product updates your current HIPAA manual with the newest federal requirements. Track breaches to confidential information. Included is: Policy on breaches, investigative form, breach log, and breach risk assessment tool.

This form has been updated from the previous version to include assisting with medications per the COP’s.

 This includes the most recent Conditions of Participation updates, revised 1/2020. 

This policy addresses the use of internet within a business. It also addresses acceptable behavior by employees when using the internet for work and addresses employees using the internet during work hours for personal use. The policy addresses only on break time can an employee access the internet for personal use.

This policy is for all DADS agencies that have a Medicaid contract in place. It is required that all DADS agencies who contract with Medicaid have policies and procedures in place to ensure that their employees/contractors are not on the Medicaid list forbidding them to provide services to Medicaid clients.

Attention All Non-Accredited Home Health and Hospice Agencies.  Make sure that your agency meets the minimum requires related to DADS HCSSA Rule 97.287 Quality Assessment and Performance Improvement (QAPI).  As a part of your QAPI Program refer to HCSSA rule 97.287(a)(1)(A)(ii)(V)(a), you as an agency must ensure effective and safety of all services provided including the competency of the agency's clinical staff.  In order to meet this requirement you must ensure that all your clinical staff are competency evaluated. We now offer Competency Evaluation Forms for Therapy & Social work on our site, bundled together for $50. You’ll find these on our Online Store under General Forms.

Fill your Nurses Notes - This nurses’ note is electronic. It can be loaded onto your nurses laptops, computers at the office, and is easy to complete! This will save your nurses time, energy, and effort and your notes will be legible.

This policy covers the mandatory requirement to check employees to make sure that they are not on the OIG exclusion list prior to hire.

To ensure that the agency follows the State laws regarding the screening of all employees, contractors/entities for exclusion from participation in federal healthcare programs. This requirement for screening extends to include administrative and management services not directly related to patient care

This form for home health or hospice is when the nurse receives actual orders from the physician himself or his representatives.

This is an updated abuse policy based upon the revised Texas DADS rule Chapter 97.249. This policy is for all non-accredited agencies Licensed and Certified, PAS, Licensed Home Health, Hospice and also JCAHO accredited agencies.

This policy is an update to reflect recent changes in the Act.