Contents of
HME Accreditation Simplified!™
Accreditation Manual...
After you order online, you will fill out a company profile so
that we have all of the necessary information needed to tailor
your accreditation manual to your specific company operations.
This will ensure that you will have all of the policies/procedures,
corresponding forms, and other content that will be required for
your accreditation survey.
Complete
POLICIES AND PROCEDURES
(Tailored to your specific company operations)
Note: Policies/Procedures included in your manual depend on
1) the scope of services your company offers,
2) the accreditation agency your company will use to get accredited,
3) the add-on modules you optional choose.
LEGAL AUTHORITY
NOTIFICATION POLICY OF ORGANIZATION CHANGES
GOVERNING BODY
GOVERNING BODY STRUCTURE
GOVERNING BODY ORIENTATION
PROFESSIONAL ADVISORY COMMITTEE
ADVISORY COMMITTEE ORIENTATION
CONFLICT OF INTEREST AND DISCLOSURE
PRESIDENT
ABSENCE OF PRESIDENT
ORGANIZATION CHART
MISSION AND PHILOSOPHY STATEMENT
STRATEGIC PLANNING
COMPLIANCE WITH FEDERAL, STATE AND LOCAL LAWS
REPORTING OF OUTCOMES
SERVICE DESCRIPTION
CLIENT BILL OF RIGHTS AND RESPONSIBILITY
CLIENT GRIEVANCE / COMPLAINT
CONFIDENTIALITY OF CLIENT INFORMATION
CLIENT ABUSE OR NEGLECT
ETHICAL ISSUES
CODE OF ETHICS
CULTURAL BACKGROUND AND BELIEFS
COMMUNICATION BARRIERS
COMPLIANCE PROGRAM
BUDGET PLANNING
ACCOUNTING ACTIVITIES
FINANCIAL RECORD RETENTION
REIMBURSEMENT DISCLOSURE
PERSONNEL MANAGEMENT
PERSONNEL RECRUITMENT AND INTERVIEW
JOB DESCRIPTIONS
PERSONNEL CREDENTIALS
EMPLOYEE REQUIREMENTS
PERSONNEL RECORDS
ORIENTATION PROGRAM
COMPETENCY ASSESSMENT/SUPERVISOR VISITS
INSERVICE/ CONTINUING EDUCATION
SUPERVISION
EMPLOYEE PERFORMANCE EVALUATIONS
CONTRACTED AND PURCHASED SERVICES
CLIENT RECORD DOCUMENTATION
CLIENT RECORD MANAGEMENT
CLIENT REFERRALS
ELIGIBILITY ASSESSMENT AND GUIDELINES
GEOGRAPHIC AREA SERVED
ANTI DISCRIMINATION COMPLIANCE
UNMET NEEDS
QUALITY OUTCOME IMPROVEMENT PLAN
INFECTION CONTROL
TUBERCULOSIS INFECTION CONTROL PLAN
HEPATITIS B INFECTION CONTROL PLAN
INFECTIOUS DISEASE REPORTING
SAFETY MANAGEMENT
EMERGENCY PREPAREDNESS
UTILITIES MANAGEMENT
FIRE SAFETY
HAZARDOUS WASTE MANAGEMENT
IDENTIFICATION, HANDLING AND DISPOSAL OF HAZARDOUS MATERIALS
HAZARD COMMUNICATION PROGRAM
INCIDENT REPORTING
HME REGULATIONS AND QUALIFICATIONS
HME SCOPE OF SERVICES
AFTER HOURS CALLS
ASSESSMENT OF NEED AND PLAN OF SERVICE
EQUIPMENT SERVICES FOLLOW UP
CLIENT EDUCATION
HME CLIENT TRANSFER AND DISCHARGE
CLEANING AND TESTING OF EQUIPMENT PROCEDURE
EQUIPMENT SET UP AND DELIVERY
HOME SAFETY EDUCATION
EQUIPMENT MAINTENANCE AND REPAIR
VENDOR REPAIR SERVICE PROCEDURE
PRODUCTS TRACKING
HME EQUIPMENT TRACKING
PRODUCT INCIDENTS
PRODUCT INCIDENT REPORTING
PRODUCT RECALL
VEHICLE INFECTION CONTROL
HME EQUIPMENT CLEANING AND INFECTION CONTROL
EQUIPMENT BACK UP
MANUFACTURER MANUALS/ INSTRUCTION SHEET PROCEDURE
VEHICLE MAINTENANCE/REPAIRS
MATERIALS MANAGEMENT QUALITY CONTROL MEASURES
OXYGEN CONCENTRATOR PROCEDURE
OXYGEN TANK PROCEDURE
OXYGEN CONSERVING DEVICE PROCEDURE
REVIEW OF OXYGEN POLICIES AND PROCEDURES
OXYGEN DEFINITIONS
QUALITY CONTROL UNIT (QCU)
RESPONSIBLE PERSONS LIST
OXYGEN: EQUIPMENT STANDARDS
OXYGEN: LABELING
RECORD KEEPING: COMPRESSED MEDICAL GASES
RECORD KEEPING: MANIFESTS
RECORD KEEPING: RETENTION
STORAGE AND HANDLING: COMPRESSED GASES
OXYGEN CYLINDER INVENTORY
TESTING: AFTER REPAIR
VERIFICATION OF SUPPLIERS ANALYSIS
PRESCRIPTION TRACKING AND ROTATION
CALIBRATION: DIAGNOSTIC EQUIPMENT
BATH AND SHOWER AIDS PROCEDURE
CANE, QUAD CANE, AND CRUTCHES PROCEDURE
WALKER PROCEDURE
WHEELCHAIR PROCEDURE
COMMODE CHAIR PROCEDURE
HOSPITAL BED PROCEDURE
SIDE RAILS PROCEDURE
DECUBITUS PAD PROCEDURE
TRAPEZE BAR PROCEDURE
PATIENT LIFT PROCEDURE
CPAP, BILEVEL AND NPPV
MEDICATION COMPRESSOR PROCEDURE
SUCTION MACHINE PROCEDURE
HOME BLOOD GLUCOSE METER PROCEDURE
ENTERAL FEED PUMP PROCEDURE
HOME HEALTHCARE SUPPLIES
ENTERAL FORMULA
REFERENCE LIBRARY
(add-on module)
CLINICAL RESPIRATORY CARE REGULATIONS AND QUALIFICATIONS
CLINICAL RESPIRATORY CARE SCOPE OF SERVICES
CLINICAL RESPIRATORY CARE SUPERVISION
CLINICAL RESPIRATORY CARE ADMISSION
CLINICAL RESPIRATORY CARE PLAN OF CARE
CLINICAL RESPIRATORY CARE ASSESSMENT
CLIENT REASSESSMENT
COMMUNICATION
CLIENT EDUCATION
CLINICAL RESPIRATORY CARE CONTINUING EDUCATION
CLINICAL RESPIRATORY CARE TRANSFER / DISCHARGE
CLINICAL RESPIRATORY CARE EQUIPMENT
DRUG ADMINISTRATION
ADVERSE DRUG REACTIONS
MEDICATION ACCOUNTABILITIES
AIRWAY MANAGEMENT
EMERGENCY BACKUP
PULSE OXIMETRY
CHEST PHYSIOTHERAPY AND POSTURAL DRAINAGE
MANUAL RESUSCITATION
MEDICATION ADMINISTRATION
OXYGEN ADMINISTRATION
SPUTUM COLLECTION
SUCTIONING
TRACHEOSTOMY TUBE CHANGING
APNEA MONITOR
VENTILATOR MANAGEMENT
RESPIRATORY CARE REFERENCE LIBRARY
(add-on module)
LIQUID OXYGEN PROCEDURE
EDUCATION: OXYGEN SERVICES/SUPPORT STAFF
CERTIFICATE OF ANALYSIS
FILLING LOX UNITS FROM PG 45 LOX UNIT
FILLING LOX UNITS FROM MDX 119 LOX UNIT
OXYGEN: PRODUCT REJECTION
RECORD KEEPING: LOT NUMBERS
RECORD KEEPING: CRYOGENIC HOME VESSELS
(add-on module)
FITTER SERVICES REGULATIONS AND QUALIFICATIONS
FITTER SERVICES SCOPE OF SERVICES
PUBLISHED SCHEDULE AND AFTER HOURS CALLS
FITTER SERVICES ASSESSMENT OF NEED AND PLAN OF SERVICE
FITTER SERVICES CLIENT EDUCATION
FITTER SERVICES CLIENT TRANSFER AND DISCHARGE
FITTER SERVICES CONTINUED COMPETENCY
FITTER SERVICES PROVISION
ON SITE FITTER SERVICES
FITTER SERVICES PRODUCTS
FITTER SERVICES REFERENCE LIBRARY
(add-on module)
PHARMACY REGULATIONS AND QUALIFICATIONS
PHARMACY SCOPE OF SERVICES
AFTER HOURS CALLS
PHARMACY SUPERVISION
PHARMACY PRESCRIPTION AND ASSESSMENT
CLIENT EDUCATION
COUNSELING OF PATIENTS
PATIENT DISCHARGE
DISPENSING OF MEDICATIONS
LABELING OF MEDICATIONS
PHARMACIST EDUCATION REQUIREMENTS
ADVERSE DRUG REACTION
PHARMACY RECORDS
MEDICATION ERRORS AND ADVERSE REACTIONS
PHARMACEUTICAL RECALL
ASEPTIC ROOM
MEDICATION COMPOUNDING
MEDICATION STORAGE
MEDICATION DELIVERY
MEDICAL PRODUCTS
PHARMACY REFERENCE LIBRARY
(add-on module)
MEDICAL SUPPLY PROVIDER REGULATIONS AND QUALIFICATIONS
MEDICAL SUPPLY PROVIDER SCOPE OF SERVICES
AFTER HOURS CALLS
PLAN OF SERVICE AND ASSESSMENT OF NEED
CLIENT EDUCATION
MANUFACTURER MANUALS/ INSTRUCTION SHEET PROCEDURE
CLIENT TRANSFER AND DISCHARGE
MATERIALS MANAGEMENT QUALITY CONTROL MEASURES
PRODUCT DELIVERY
PRODUCTS TRACKING
PRODUCT INCIDENTS
PRODUCT INCIDENT REPORTING
PRODUCT RECALL
HOME BLOOD GLUCOSE METER PROCEDURE
HOME HEALTHCARE SUPPLIES
MEDICAL SUPPLY PROVIDER REFERENCE LIBRARY
(add-on module)
RTS REGULATIONS AND QUALIFICATIONS
RTS SCOPE OF SERVICES
AFTER HOURS CALLS
PLAN OF SERVICE AND ASSESSMENT OF NEED
RTS EQUIPMENT SERVICES FOLLOW UP
CLIENT EDUCATION
RTS HOME SAFETY EDUCATION
RTS MANUFACTURER MANUALS/ INSTRUCTION SHEET PROCEDURE
RTS CLIENT TRANSFER AND DISCHARGE
EQUIPMENT SET UP AND DELIVERY
RTS EQUIPMENT MAINTENANCE AND REPAIR
RTS EQUIPMENT TRACKING
RTS EQUIPMENT CLEANING AND INFECTION CONTROL
VEHICLE INFECTION CONTROL
PRODUCT INCIDENTS
PRODUCT INCIDENT REPORTING
PRODUCT RECALL
RTS ONSITE SERVICES
QUALITY ASSURANCE OF RTS EQUIPMENT
WHEELED MOBILITY
SEATING AND ALTERNATIVE POSITIONING
AMBULATION SUPPORT EQUIPMENT
ENVIRONMENTAL CONTROLS
AIDS TO DAILY LIVING
ACCESS RAMPS
REHABILITATION TECHNOLOGY SUPPLIES
RTS REFERENCE LIBRARY
(Tailored to your specific company operations)
(Forms correspond to all Policies & Procedures purchased)
GOVERNING BODY ORIENTATION
AGAINST MEDICAL ADVICE
CLIENT/PATIENT HANDOUTS
CLIENT/PATIENT BILL OF RIGHTS AND RESPONSIBILITIES
SUPPLIER STANDARDS
HOW TO MAKE YOUR HOME SAFE FOR MEDICAL CARE
HIPAA Notice of Privacy Practices
EMERGENCY PLANNING FOR THE HOME CARE CLIENT/PATIENT
ADVANCE DIRECTIVES
MAKING DECISIONS ABOUT YOUR HEALTH CARE
CLIENT/PATIENT CALL-BACK FORM
CLIENT/PATIENT DATA SHEET
CLIENT/PATIENT NOTES
CLIENT/PATIENT REFERRAL FORM
CLIENT/PATIENT SERVICE AGREEMENT
CLIENT/PATIENT SATISFACTION SURVEY
CLIENT VISIT REPORT
CLINICAL RESPIRATORY CARE PLAN OF CARE
CLINICAL RESPIRATORY CARE ADMISSION ASSESSMENT
CLINICAL RESPIRATORY CARE CLIENT/PATIENT VISIT AND PLAN OF CARE REVIEW
CLINICAL RESPIRATORY CARE PATIENT TREATMENT DOCUMENTATION
CLINICAL SERVICES TRANSFER / DISCHARGE SUMMARY
PULSE OXIMETRY REPORT
COMPETENCY EVALUATION
RESPIRATORY CARE PRACTITIONER
COMPETENCY EVALUATION
HME TECHNICIAN
CONCERN FORM
CONFLICT OF INTEREST AND DISCLOSURE STATEMENT
DRIVER COMPLIANCE STATEMENT
EQUIPMENT MANAGEMENT ADMISSION ASSESSMENT AND PLAN OF SERVICE
FITTER SERVICES ADMISSION ASSESSMENT AND PLAN OF SERVICE
HOME BLOOD GLUCOSE METER ASSESSMENT AND PLAN OF SERVICE
EMPLOYEE COUNSELING FORM
EMPLOYEE INFORMATION SHEET
EMPLOYEE ORIENTATION
EMPLOYEE SATISFACTION SURVEY
EMPLOYMENT CONDUCT AGREEMENT
EMPLOYMENT REFERENCE REQUEST
EQUIPMENT SET UP AND MAINTENANCE LOG
RESPIRATORY CARE EQUIPMENT CLEANING AND MAINTENANCE LOG
FINANCIAL HARDSHIP INFORMATION FORM
HEPATITIS-B IMMUNIZATION RELEASE: ACCEPTANCE
HEPATITIS-B IMMUNIZATION RELEASE
HHS-TIPS HOTLINE
HIPAA Notice of Privacy Practices
Protected Health Information Privacy Agreement
INCIDENT REPORT
INFECTION CONTROL REPORT
INSERVICE DOCUMENTATION
INTERVIEW DATA COLLECTION
LOT NUMBER TRACKING LOG
MEDICAL QUESTIONNAIRE
PERFORMANCE APPRAISAL
POLICY COMPLIANCE STATEMENT
REFERRAL SATISFACTION SURVEY
SAFETY EVALUATION
TRAINING DOCUMENTATION
VAN DAILY SAFETY CHECKLIST
VERBAL ORDER FORM
WAIVER OF LIABILITY
WORKER'S COMPENSATION PROCEDURES
UTILITIES MANAGEMENT ASSESSMENT LOG
TEMPERATURE LOG
PRESCRIPTION SOLUTIONS TRACKING FORM
LOX SCALE CALIBRATION LOG
OXYGEN ANALYZER CALIBRATION LOG
SERVOMEX CALIBRATION LOG
CERTIFICATE OF ANALYSIS
ANNUAL OXYGEN SUPPLIER AUDIT FORM
OXYGEN SERVICES POLICY AND PROCEDURE REVIEW
OXYGEN SERVICES IDENTIFICATION LIST
MANIFEST FOR HAZARDOUS MATERIALS
OXYGEN LABEL TRACKING LOG
OXYGEN LABEL VESSEL TRACKING LOG
QUALITY CONTROL LOG
OXYGEN TANK TRACKING LOG
PRODUCT RECALL REPORT
PHYSICIAN VERIFICATION LOG
REFERRAL LOG
OXYGEN CYLINDER INVENTORY LOG
LOX FILL RECORD
ON CALL LOG
(Tailored to your specific company operations)
MISSION STATEMENT
COMPANY HISTORY
GENERAL EMPLOYMENT PRACTICES
EMPLOYEE CONDUCT
HARASSMENT POLICY
CRIMINAL BACKGROUND CHECK
TYPES OF EMPLOYEES
HOURS OF OPERATION
WAGES
PROBATIONARY PERIOD
ATTENDANCE
PAYDAY
OVERTIME
WORKERS' COMPENSATION
DRESS CODE
PERSONAL PHONE CALLS
EMAIL AND INTERNET USE POLICY
CONTROLLED SUBSTANCE ABUSE
GRIEVANCE PROCEDURE
JOB ABANDONMENT
DISCIPLINE / TERMINATION
RESIGNATION
DRIVER QUALIFICATIONS
PERFORMANCE EVALUATION
COMPETENCY EVALUATION
VACATION
SICK LEAVE
PAID TIME OFF (PTO)
BEREAVEMENT PAY
HOLIDAYS
EMPLOYEE HANDBOOK COMPLIANCE
(Tailored to your specific company operations)
(Tailored to your specific company organization structure)
(Tailored to your specific company operations)
PERFORMANCE MANAGEMENT PLAN for 2006
PURPOSE
GOAL
OBJECTIVES
ACCOUNTABILITY
QI COMMITTEE
DATA COLLECTION/EVALUATION OF CARE/FOLLOW-UP ACTIONS
CONFIDENTIALITY
QUALITY IMPROVEMENT ACTIVITIES
QUALITY IMPROVEMENT MEETING FORMAT
QI SUMMARY REPORT
ANNUAL QUALITY IMPROVEMENT REPORT
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