Community Retail Pharmacy – Table of Contents

1. Policy & Procedure Document (ACHC Compliant) Table of Contents

Legal Authority
Governing Body
President
Compliance With Federal, State And Local Laws
Reporting Of Outcomes
Service Description
Patient Bill Of Rights And Responsibilities
Patient Abuse Or Neglect
Patient Grievance / Complaint
Confidentiality Of Patient Information
Communication And Cultural Background Barriers
Compliance Program
Budget Planning
Accounting Activities
Reimbursement Disclosure
Billing Procedures
Personnel Records
Employee Requirements
Personnel Management
Employee Performance Evaluations
Orientation Program
Competency
In-Service Education
Pharmacy Direction And Supervision
Patient Record Documentation
Patient Record Management
Evaluation Of Need And Service Plan
Patient Education
Physician License Verification
Product Referral And Delivery
Product Distribution
Blood Glucose Monitor Procedure
Cane, Quad Cane, And Crutches Procedure
Walker Procedure
Ostomy Supplies Procedure
Nebulizer And Supplies Procedure
Unit Dose Respiratory Medications
Performance Improvement Plan
Incident Reporting
Infection Control
Tuberculosis Infection Control Plan
Hepatitis B Infection Control Plan
Infectious Disease Reporting
Safety Management
Emergency Preparedness Plan
Product Tracking And Recall

2. Complete Set of Forms Table of Contents

(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
Pulse Oximetry Report
Competency Evaluation
Concern Form
Conflict Of Interest And Disclosure Statement
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
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

3. Employee Handbook Table of Contents

(Tailored to your specific company operations)

4. Job Descriptions Document Table of Contents

(Tailored to your specific company operations)

5. Company Organizational Chart Table of Contents

(Tailored to your specific company operations)

6. Quality Improvement Plan Table of Contents

Performance Management Plan
Purpose
Goal
Objectives
Accountability
QI Committee
Data Collection/Evaluation Of Care/Follow-Up Actions
Confidentiality
Quality Improvement Activities
Quality Improvement Meeting Formal
QI Summary Report
Annual Quality Improvement Report