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Home Care Agency Home Care Registry Licensing. Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health. Background. Act 69 of 2006 Amended the Health Care Facility Act Chapter 51 applicable

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home care agency home care registry licensing

Home Care Agency Home Care Registry Licensing

Melia Belonus, Director

Bureau of Community Program Licensure & Certification

Cindy Boyne, Director

Division of Home Health

background
Background
  • Act 69 of 2006
  • Amended the Health Care Facility Act
  • Chapter 51 applicable
  • Regulations effective 12/12/09
home care licensure
Home Care Licensure
  • Non-Medical Model
  • Consumer protections
    • Criminal Background Checks
    • Child Abuse Clearances
    • Competency Requirements
    • Health Screenings
    • Consumer Rights
    • Financial
chapter 51 requirements
Chapter 51 Requirements
  • Written Notification
    • 60 days written prior to
      • Commencement of a health care service
      • Cessation of a health care service
  • Immediate Notification (ERS)
    • Facility noncompliance -seriously compromises QA or patient safety
    • Situation or occurrence of event
chapter 51 cont d
Chapter 51 cont’d
  • Change in Ownership/Management
    • 30 day written notice prior to
      • Transfer 5%or more of stock or equity
      • Change of Ownership
        • controlling interest
      • Facility name change
      • Change in management
        • Person responsible daily operations
chapter 51 cont d6
Chapter 51 cont’d
  • Identification of personnel
    • Picture ID – full name, professional designation
  • Civil Right Compliance
    • Nondiscrimination Policy – posted
initial license
Initial License
  • Sent via mail
  • Event reporting letter
    • Web address
    • Unique log-in information
  • Password Agreement
    • IDs responsible party for POC
    • Upon receipt, issuance of unique log-in, password and user’s manual
license renewal
License Renewal
  • Email notice 3 months prior to expiration
  • Online completion/submission within 45 days of expiration
  • Required forms
    • Application
    • Disclosure of Ownership
    • Civil Rights survey
    • Written survey (offsite)
licensure renewals
Licensure Renewals
  • December 2010 – April 2011
    • On-Site surveys – 158
    • Written (on-line) surveys - 146
pre survey prep
Pre- Survey Prep
  • Review application package
  • Verify info consistent with prior app
    • Owners, address
  • Review prior survey
  • Review complaints
  • Verify submitted Password agreement
  • Check ERS for event reporting
doh on site inspections
DOH On-Site Inspections
  • Scheduled or unscheduled
  • Complaints – always unscheduled
  • Regular business hours
  • Components:
    • inspection of records,
    • interview office staff, consumers and direct care workers
    • observation of the provision of services to consumers
on site information requested
On-Site - Information Requested

Changes since last survey

Copy of Chapter 611

Awareness of Chapter 51 requirements

List of owners, office staff, direct care workers w dates of hire (Since last approval)

DCW/office staff files (min.10, max 20)

Provisional hires? Process

on site information requested14
On-Site Information Requested

Prohibited offenses (copy or access)

List of consumers served in last 12 months

Consumer files (min 10, max 20)

Phone interviews – 5 consumers

Admission packet given to consumer

plan of correction poc
Plan of Correction (POC)

Email notification of deficiencies

Log onto POC website

Electronic submission of POC

Surveyor accepts/rejects

If rejected, submit revised POC

Follow up survey (on or offsite)

doh on site inspections16
DOH On-Site Inspections
  • Scheduled or unscheduled
  • Regular business hours
  • Components:
    • inspection of records,
    • interview office staff, consumers and direct care workers
    • observation of the provision of services to consumers
plan of correction poc17
Plan of Correction (POC)
  • Email notification of deficiencies
  • Log onto POC website
  • Electronic submission of POC
  • Surveyor accepts/rejects
  • If rejected, submit revised POC
  • Follow up survey (on or offsite)
top 5 hca hcr deficiencies
Top 5 HCA/HCR Deficiencies
  • Information to be Provided (S0820)
  • Consumer Rights (S0800)
  • Health Screening (S0700)
  • Competency Requirements (S0620)
  • Prohibition (S0340)
complaints 4 1 10 3 31 11
Complaints 4/1/10 - 3/31/11
  • Total HCA/HCRs – 1111
  • 41 Facilities with complaints
    • 46 onsite investigations
      • 11 substantiated
      • 35 unsubstantiated
  • % substantiated - 24%
helpful compliancetips
Helpful ComplianceTips
  • Copy of regs onsite/post license
  • Prompt, timely responses
  • Competency requirement – 12/12/11
  • 611.51 Direct Care Worker file
  • 611.57 Consumer Protection documentation
  • Complaint Hotline 1-866-826-3644
bcplc plans
BCPLC Plans
  • Regs FAQs – posted on website (updated May 2011)
    • www.health.state.pa.us
  • July 2011 – staff review of 1st wave of onsite surveys
department of health web site
Department of Health web site
  • www.health.state.pa.us
    • Regulations
    • Health Care Facility Act
    • Title 28 Pa. Code Chapter 51
    • Application package
    • FAQs on Act 179 and Act 73
division of home health
Division of Home Health
  • Harrisburg Field Office

132 Kline Plaza, Suite A      

Harrisburg, PA  17104

(717) 783-1379

  • MontourCountyStateHealthCenter

329 Church Street

Danville, PA 17821 (570) 849-2144

  • ScrantonStateOfficeBuilding

100 Lackawanna Avenue

Room 111, Scranton, PA  18503

(570) 963-4212

division of home health25
Division of Home Health
  • Whitehall Field Office

3730 Lehigh Street, Suite 204

Whitehall, PA  18052

(610) 821-6381

  • Norristown Field Office

1939 New Hope Street  

    Norristown, PA  19401

(610) 270-1707

  • DelawareCountyStateHealthCenter

151 West 5th Street

Chester, PA 19013-4415 (610) 619-3490

division of home health26
Division of Home Health
  • Jackson Center Field Office

(724) 684-2941

19 McQuiston Drive

JacksonCenter, PA 16133

(724) 662-6050

CrawfordCountyStateHealthCenter

847 North Main Street

Meadville, PA  16335

(814) 336-1163 

  • MonValleyHealthCenter

Eastgate 8, Monessen, PA 15062

division of home health27
Division of Home Health
  • PittsburghField Office

11 Stanwix Street, Suite 410

Pittsburgh, PA15222

(412) 770-3991

Home Health Headquarters

132 Kline Plaza, Suite A

Harrisburg, Pa 17104

(717) 783-1379