Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 119 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF HOME HEALTH CARE SERVICES › Chapter 5 - ADMINISTRATION

Current through 2024-29, July 17, 2024
5.A. Organizational Structure and Lines of
				Authority
All Home Health Care Services Providers will identify in
				  writing the services provided, administrative control, and lines of authority
				  for the delegation of responsibility down to the patient/client care level. A
				  policy and procedure manual(s), including patient care protocols, for the
				  organization and operation of the facility shall be established implemented and
				  reviewed at least annually. Each review of the manual(s) shall be documented
				  and dated. This written material shall be maintained at the home health care
				  agency's main office so that Department staff can examine it during monitoring
				  visits. This material will include:
5.A.1. A statement describing the
				organizational goal(s) of the home health care agency, its philosophy and
				objectives and the services provided by the agency,
5.A.2. An organizational diagram clearly
				outlining the relationship between personnel having responsibility and
				accountability within the organization including any sub units of the
				provider,
5.A.3. Job description of
				the Administrator. The administrator is a person having the authority and
				responsibility for the operation of the home health care services agency and
				for staff performance in accordance with applicable requirements and policies
				of the agency. The administrator is a licensed physician, registered nurse, or
				a individual who has training and experience in a health services
				administration, with at least one (1) year of supervisory or administrative
				experience in home health care services or related health programs.
5.A.4. Job descriptions of employees. These
				job descriptions shall include the qualifications necessary for the position,
				an outline of the scope of duties, competencies, responsibilities and
				accountability required of employees in that position;
5.A.5. A description of the orientation
				programs provided for employees directly employed by the home haft care agency.
				This orientation information shall indicate:
a. The organization goals of the
				agency,
b. The review of the
				agency's policies and procedures;
c. Ongoing inservice programs and staff
				training;
d. Other community
				resources related to the delivery of home health care services;
e. Job duties to be performed by the
				employees;
f. Job duties to be
				performed by other Home Health Care Services Provider personnel and a
				description of the relationship of these duties to patient/client
				care
g. Patient/chat care
				protocols; and
h. A review of the
				agency's written protocols for the identification and reporting of abuse,
				neglect, or misappropriation of client's/patient's
				property.
5.A.6. If the
				organization has an advisory or governing body a set of by-laws specifying the
				following will be required:
a.
				Membership;
b. Authority;
c. Administration's role,
d. Frequency of meetings, and
e. Recorded minutes.
The by-laws shall be adopted and updated as deemed necessary
				  by the advisory or governing body.