reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 22 - ADMINISTRATOR › Rule 15-16-1-46.22.2 - Designee

Current through June 25, 2024
In order to provide administrative direction at all
						times, the agency's governing body or administrator shall designate in writing
						an individual to act for the administrator in his absence.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 23 - SUPERVISING NURSE › Rule 15-16-1-46.23.1 - Qualified Supervising Nurse

Current through June 25, 2024
Each Home Health Agency shall employ a qualified
						supervising nurse on a full-time basis. The supervising nurse shall be a
						registered nurse licensed to practice in Mississippi, who shall be readily
						available through the agency office to advise the professional and patient care
						staff. The supervising nurse shall be employed full-time in home health
						activities. A qualified alternate is designated in writing to serve in his/her
						absence. The supervising nurse shall:
1. Direct, supervise and coordinate the
					 skilled nursing services and other therapeutic services provided by the
					 agency.
2. Be given the authority
					 and responsibility to:
a. Develop and revise
					 written patient care objectives policies, and procedure manuals;
b. Assist in development of job
					 description;
c. Assist in
					 recruitment and selection of personnel;
d. Recommend to administrator number of
					 levels of agency staff;
e. Plan and
					 conduct orientation and continuing education for agency staff engaged in
					 patient care;
f. Evaluate agency
					 staff performance;
g. Assist in
					 planning and budgeting for provision of services;
h. Assist in establishing agency criteria for
					 admission and discharge of patients.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 23 - SUPERVISING NURSE › Rule 15-16-1-46.23.2 - Director of Nursing Services

Current through June 25, 2024
Larger agencies should employ a Director of Nursing
						Services on a full-time basis to assume the duties of the supervising nurse
						listed above.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 23 - SUPERVISING NURSE › Rule 15-16-1-46.23.3 - Ratio of Patients

Current through June 25, 2024
The following criteria should be used as a minimum
						standard in developing the ratio of patients to a supervising nurse:
1. The supervising nurse may serve both as
					 the administrator and the supervising nurse until the patient census reaches 25
					 patients, then
2. The supervising
					 nurse may have a regularly scheduled patient load until the patient census
					 reaches 50, then
3. The supervising
					 nurse may not render regularly scheduled patient services when the patient
					 census is over 50, but shall devote full-time to supervisory duties. Those
					 duties may include admission and discharge of patients as well as PRN visits
					 and to fill in when another employee is absent.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 24 - DELETED › Rule 15-16-1-46.24.1 - Deleted

Current through June 25, 2024
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 24 - DELETED › Rule 15-16-1-46.24.2 - Deleted

Current through June 25, 2024
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 24 - DELETED › Rule 15-16-1-46.24.3 - Deleted

Current through June 25, 2024
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 25 - POLICY AND PROCEDURE MANUAL › Rule 15-16-1-46.25.1 - Manual

Current through June 25, 2024
1. The home health agency administrator with
					 advice from the director of nursing/supervising nurse shall develop a policy
					 and procedure manual.
2. Written
					 policies and procedures shall include provisions covering at least the
					 following:
A. Definition of the scope of
					 services offered;
B. Admission and
					 discharge policies;
C. Medical
					 direction and supervision;
D. Plans
					 of treatment;
E. Staff
					 qualifications, assignments and responsibilities;
F. Medication administration;
G. Medical records;
H. Patient safety and emergency
					 care;
I. Administrative
					 records;
J. Agency
					 evaluation;
K. Provisions for after
					 hours emergency care (on call);
L.
					 Patients rights policies and procedures; and
M. Provisions for the proper collection,
					 storage and submission of all referral laboratory samples collected on home
					 health patients.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 26 - FINANCIAL › Rule 15-16-1-46.26.1 - Accounting

Current through June 25, 2024
Accounting methods and procedures shall be carried out in
						accordance with a recognized system of good business practice. The method and
						procedure used should be sufficient to permit annual audit, accurate
						determination for the cost of operation, and the cost per patient
						visit.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 26 - FINANCIAL › Rule 15-16-1-46.26.2 - Financial Structure

Current through June 25, 2024
All home health agencies shall have an annual operating
						budget which assures sufficient resources to meet operating cost at all times
						and to maintain standards required by these regulations.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 26 - FINANCIAL › Rule 15-16-1-46.26.3 - Annual Budget

Current through June 25, 2024
1. The annual
					 operating budget shall include all anticipated income and expenses related to
					 the overall operation of the program.
2. The overall plan and budget shall be
					 reviewed and updated at least annually by the governing body.
3. A budget committee consisting of, but not
					 limited to, the following members shall meet and document in minutes the
					 planning of a yearly budget:
a.
					 Representative of the governing body.
b. Representative of the administrative
					 staff.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 27 - PERSONNEL POLICIES › Rule 15-16-1-46.27.1 - Personnel Policies

Current through June 25, 2024
Each home health agency shall adopt and enforce personnel
						policies applicable requirements of the Civil Rights Act of 1964:
1. Fringe benefits, hours of work and leave
					 time;
2. Requirements for initial
					 and periodic health examinations;
3. Orientation to the home health agency and
					 appropriate continuing education;
4. Job descriptions for all positions
					 utilized by the agency;
5. Annual
					 performance evaluations for all employees;
6. Compliance with all applicable
					 requirements of the Civil Rights Act of 1964;
7. Provision for confidentiality of personnel
					 records.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 27 - PERSONNEL POLICIES › Rule 15-16-1-46.27.2 - Personnel Records

Current through June 25, 2024
Each licensed agency shall maintain complete personnel
						records for all employees on file at each licensed site. Personnel records for
						all employees shall include an application for employment including name and
						address of the employee, social security number, date of birth, name and
						address of next of kin, evidence of qualifications, (including reference
						checks), current licensure and/or registration (if applicable), performance
						evaluation, evidence of health screening, evidence of orientation, and a
						contract (if applicable), date of employment and separation from the agency and
						the reason for separation. Home Health agencies that provide other home health
						services under arrangement through a contractual purchase of services shall
						ensure that these services are provided by qualified personnel; currently
						licensed and\or registered if applicable, under the supervision of the
						agency.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 27 - PERSONNEL POLICIES › Rule 15-16-1-46.27.3 - Criminal History Record Checks

Current through June 25, 2024
1. Pursuant to
					 Section 43-11-13, Mississippi Code of
					 1972, the covered entity shall require to be performed a disciplinary check
					 with the professional licensing agency, if any, for each employee to determine
					 if any disciplinary action has been taken against the employee by the agency,
					 and a criminal history record check on:
A.
					 Every new employee of a covered entity who provides direct patient care or
					 services; and
B. Any individual
					 seeking new employment with a covered entity whose initial criminal history
					 record check is over two years.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 27 - PERSONNEL POLICIES › Rule 15-16-1-46.27.4 - Insurance Coverage

Current through June 25, 2024
For the protection of owner, administrator, and the
						patients served, it is strongly recommended that every home health agency carry
						liability insurance coverage.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 27 - PERSONNEL POLICIES › Rule 15-16-1-46.27.5 - Employee Health Screening

Current through June 25, 2024
Every employee of a home health agency who comes in
						contact with patients shall receive a health screening by a licensed physician
						or nurse practitioner/physician assistant prior to employment and annually
						thereafter.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 27 - PERSONNEL POLICIES › Rule 15-16-1-46.27.6 - Staffing Pattern

Current through June 25, 2024
Each home health agency sub-unit, and branch shall
						maintain on site current staffing patterns for all health care personnel
						including full-time, part-time, contract staff and staff under arrangement. The
						staffing pattern shall be developed at least one week in advance, updated as
						needed, and kept on file for a period of one year. The staffing pattern shall
						indicate the following for each working day:
1. Name and position of each staff
					 member.
2. Patients to be
					 visited.
3. Scheduled supervisory
					 visits.
4. Staff on call after
					 office hours. The staffing pattern shall be updated daily by each home health
					 agency in order to reflect actual staff activities on the previous
					 day.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 28 - CONTRACT SERVICES FOR PART-TIME, HOURLY OR PER VISIT PERSONNEL-SERVICES BY ARRANGEMENT › Rule 15-16-1-46.28.1 - Contract Services

Current through June 25, 2024
Services provided to the agency by contract shall be
						documented by means of a written contract with the individual or organization
						providing the service. The written contract shall include provisions covering
						at least the following:
1.
					 Specification of services covered by the agreement or contract;
2. Effective date and length of the contract
					 and terms of reimbursement;
3.
					 Statement that patients will be accepted for care only by the home health
					 agency;
4. Statement that services
					 are to be provided only in accordance with the patient's plan of treatment and
					 that the patient's plan for treatment will not be altered by the contracted
					 individual or agency;
5. Statement
					 that the quality of services provided and the qualifications of personnel who
					 will provide services shall be consistent with the agency's applicable
					 personnel and program policies and procedures;
6. Identification of parties responsible for
					 supervision of personnel covered by the agreement or contract; and
7. Specification for procedures for, and
					 frequency of, exchanging patient care information between parties to the
					 contract and their agents, including submitting clinical notes, progress notes,
					 scheduling of visits, periodic patient evaluation and participating in
					 developing patient care plans.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 29 - STAFF DEVELOPMENT › Rule 15-16-1-46.29.1 - Orientation

Current through June 25, 2024
Upon employment each employee of the home health agency
						shall receive thorough orientation to his position; the agency's organization,
						policies and objectives; the functions of other agency health personnel and how
						they relate to each other in caring for the patient; relationship of the home
						health agency to other community agencies; standards of ethical practice;
						confidentiality; and patient's rights. Facilities shall comply with
						recommendations from the Centers for Disease Control and/or the Mississippi
						State Department of Health regarding baseline employee TB testing and routine
						serial employee TB testing and education.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 29 - STAFF DEVELOPMENT › Rule 15-16-1-46.29.2 - Home Health Aide Training Program

Current through June 25, 2024
Home Health aides, employed by the home health agency
						shall have previous work experience as a nurses aide or home health aide and/or
						have completed a special program for home health aides. As a part of the
						orientation for home health aides, each home health agency employing
						unqualified home health aides shall develop and implement a training program
						for newly employed home health aides or require that the aide complete a
						program outside the agency that meet Medicare requirements regarding duration
						and subject matter. The aide training program shall be approved by the
						Department of Health. Each home health aide shall complete the basic training
						program prior to the provision of services in the home. Faculty for the
						training program shall consist of: A registered nurse to provide training in
						personal care services, and, as appropriate, physicians, dietitians, physical
						therapists, medical social workers, and other health personnel to provide
						training in the appropriate areas of health care. The following topics shall be
						included in the home health aide training program:
1. The role of the home health aide as a
					 member of the health services team;
2. Instruction and supervised practice in
					 personal care services of the sick at home, including personal hygiene and
					 activities of daily living;
3.
					 Principles of good nutrition and nutritional problems of the sick and
					 elderly;
4. Preparation of meals
					 including special diets;
5.
					 Information on the process of aging and behavior of the aged;
6. Information on the emotional problems
					 accompanying illness;
7. Principles
					 and practices of maintaining a clean, healthy and safe environment;
8. What to report to the supervisor,
					 and
9. Record keeping.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 29 - STAFF DEVELOPMENT › Rule 15-16-1-46.29.3 - In-Service Training

Current through June 25, 2024
The home health agency shall provide an on-going
						in-service education program, which should be directly related to home health
						care and which shall be designed to improve the level of skills of all staff
						members involved in direct patient care. Full-time and part-time nurses and
						home health aides shall participate in a minimum of twelve (12) hours of
						pertinent continuing education programs per year.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 29 - STAFF DEVELOPMENT › Rule 15-16-1-46.29.4 - Documentation of Training

Current through June 25, 2024
A written record of all orientation, basic training, and
						in-service education programs shall be maintained. Records shall reflect
						content of and attendance at all programs, as well as beginning and ending
						times.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 30 - STANDARDS OF ETHICAL PRACTICE › Rule 15-16-1-46.30.1 - General

Current through June 25, 2024
Each home health agency shall maintain the highest level
						of ethical standards in its business practices. The governing body of each home
						health agency shall adopt written standards of ethical practice, which shall be
						strictly adhered to by all employees and owners of the agency. These standards
						shall be posted in each agency office in order to facilitate review by any
						interested individual. At a minimum, every home health agency shall include the
						following items in the agency's standards of ethical practice:
1. Neither the owner nor any home health
					 agency employee shall knowingly mislead a patient, family member or caretaker
					 concerning services, charges, or use of equipment.
2. Neither the owner nor any home health
					 agency employee shall misuse or misappropriate any property-real or
					 personal-belonging to any patient, family member or caretaker.
3. Neither the owner nor any home health
					 agency employee shall knowingly and actively recruit a patient under the care
					 of another home health agency.
4.
					 No employee or patient of a home health agency shall be coerced into
					 participating in agency fund raising activities.
5. The home health agency shall accept
					 patient referrals in a professional manner with no remuneration provided to the
					 referring party.
6. Patient
					 clinical records, administrative records, and financial records shall not be
					 falsified by any individual for any reason.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 31 - PATIENTS' RIGHTS › Rule 15-16-1-46.31.1 - General

Current through June 25, 2024
The agency shall maintain written policies and
						procedures regarding the rights and responsibilities of patients. Written
						policies regarding patients' rights shall be made available to patients and/or
						their guardian, next of kin, sponsoring agency or agencies, or lawful
						representative and to the public. There shall be documented evidence that the
						staff of the agency is trained and involved in the implementation of these
						policies and procedures. In-service on patient's rights and responsibilities
						shall be conducted annually. The patients' rights policies and procedures
						ensure that each patient admitted to the agency:
1. Is fully informed, as evidenced by the
					 patient's written acknowledgment, prior to or at the time of admission, of
					 these rights and of all rules and regulations governing patient conduct and
					 responsibilities;
2. Is fully
					 informed prior to or at the time of admission and during the course of
					 treatment of services available through the agency, and of related charges
					 including any charges for services not covered under titles XVIII or XIX of the
					 Social Security Act, or any other third party.
3. Is afforded the opportunity to participate
					 in the planning of his medical treatment and to refuse to participate in
					 experimental research;
4. Is
					 transferred or discharged only for medical reasons, or for his welfare, or for
					 non-payment (except as prohibited by Titles XVIII or XIX of the Social Security
					 Act), or on the event of an unsafe environment, or should the patient refuse
					 treatment, and is given advance notice to ensure orderly transfer to discharge,
					 and such actions are documented in his clinical record;
5. May voice grievances and recommend changes
					 in policies and services to agency staff and/or to outside representatives of
					 his choice, free from restraint, interference, coercion, discrimination, or
					 reprisal;
6. Is assured
					 confidential treatment of his personal and clinical records, and may approve or
					 refuse their release to any individual outside the agency, except, in case of
					 his transfer to another health care institution or agency or as required by law
					 or third-party payment contract;
7.
					 Is treated with consideration, respect, and full recognition of his dignity and
					 individuality, including privacy in treatment and in care of his personal
					 needs;
8. No person shall be
					 refused service because of age, race, religious preference, sex, marital status
					 or national origin.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 32 - PLANNING FOR PATIENT TREATMENT: PLAN OF TREATMENT › Rule 15-16-1-46.32.1 - Development of Plan of Treatment

Current through June 25, 2024
Each home health agency shall establish policies and
						procedures for assuring that services and items to be provided are specified
						under a plan of treatment established and regularly reviewed by the physician,
						podiatrist, nurse practitioners, physician assistants, or clinical nurse
						specialists, who is responsible for the care of the patient. Other agency
						personnel shall have input into the development of the plan of treatment as
						deemed appropriate by the physician, podiatrist, nurse practitioners, physician
						assistants, or clinical nurse specialists. The original plan of treatment shall
						be signed by the physician, podiatrist, nurse practitioners, physician
						assistants, or clinical nurse specialists, who is responsible for the care of
						the patient and incorporated in the record maintained by the agency for the
						patient. The total plan is reviewed by the attending physician, podiatrist,
						nurse practitioners, physician assistants, or clinical nurse specialists in
						consultation with agency professional personnel at such intervals as the
						severity of the patient's illness requires but, in any instance, at least once
						every two (2) months. The registered nurse, and other health professional shall
						bring to the attention of the physician, podiatrist, nurse practitioners,
						physician assistants, or clinical nurse specialists changes in the patient's
						condition which indicate the need for altering the treatment plan or for
						terminating services. No medication, treatment or services shall be given
						except on signed order of a person lawfully authorized to give such an
						order.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 32 - PLANNING FOR PATIENT TREATMENT: PLAN OF TREATMENT › Rule 15-16-1-46.32.2 - Plan of Treatment Content

Current through June 25, 2024
The plan of treatment shall include:
1. Diagnoses relevant to the provision of
					 home health services;
2. Functional
					 limitations and rehabilitation potential;
3. Prognosis;
4. Services authorized by the physician,
					 podiatrist, nurse practitioners, physician assistants, or clinical nurse
					 specialists including frequency and duration;
5. Medications ordered by the physician,
					 podiatrist, nurse practitioners, physician assistants, or clinical nurse
					 specialists to include dosage, route of administration and frequency;
6. Treatment, if applicable, including
					 modality, frequency and duration; drug and food allergies;
7. Activities permitted;
8. Diet;
9. Specific procedures deemed essential for
					 the health and safety of the patient;
10. The attending physician's, podiatrist's,
					 nurse practitioners, physician assistants, or clinical nurse specialist's
					 signature;
11. Long term goals and
					 discharge plans;
12. Mental status;
					 and
13. Equipment
					 required.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 32 - PLANNING FOR PATIENT TREATMENT: PLAN OF TREATMENT › Rule 15-16-1-46.32.3 - Periodic Review of the Plan of Treatment

Current through June 25, 2024
The professional person responsible for any specific
						treatment shall notify the attending physician, podiatrist, nurse practitioner,
						physician assistant, clinical nurse specialist, or other professional persons,
						and responsible agency staff of significant changes in the patient's condition.
						The plan shall be reviewed by the agency care team at least every sixty (60)
						days. The attending physician, podiatrist, nurse practitioners, physician
						assistants, or clinical nurse specialists shall be consulted to approve
						additions or modifications to the original plan. When a patient is transferred
						to a hospital and readmitted to the agency, the plan of treatment shall be
						reviewed by the physician, podiatrist, nurse practitioners, physician
						assistants, or clinical nurse specialists. If the diagnosis of the patient has
						not changed (as documented in the agency's discharge/transfer summary, the
						hospital's discharge summary and reassessment of the patient), a statement to
						continue previous orders will suffice. At the end of the sixty (60) day period,
						new orders shall be written.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 33 - PATIENT PLAN › Rule 15-16-1-46.33.1 - General

Current through June 25, 2024
A patient care plan shall be written for each patient by
						the registered nurse or other disciplines as needed based upon an assessment of
						the patient's significant clinical findings, resources, and environment. The
						initial assessment for patients requiring skilled nursing services is to be
						made by a registered nurse. Assessments by other care team members shall be
						made on orders of the physician, podiatrist, nurse practitioners, physician
						assistants, or clinical nurse specialists. The patient care plan shall be
						updated as often as the patient's condition indicates at least every sixty (60)
						days and shall be maintained as a permanent part of the patient's
						record.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 33 - PATIENT PLAN › Rule 15-16-1-46.33.2 - Content of Patient Care Plan

Current through June 25, 2024
The patient care plan shall include:
1. Patient problems;
2. Anticipated goals and time
					 frames;
3. Approaches;
					 and
4. The discipline responsible
					 for a given element of service.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 34 - SERVICES PROVIDED: GENERAL › Rule 15-16-1-46.34.1

Current through June 25, 2024
Each agency shall provide skilled nursing service and at
						least one other home health service on a part-time or intermittent basis. The
						skilled nursing service shall be provided directly by agency staff. Other home
						health services may be provided by agency staff directly or provided under
						arrangement through a contractual purchase of services. All services shall be
						provided in accordance with order of the patient's physician, podiatrist, nurse
						practitioners, physician assistants, or clinical nurse specialists, and under a
						plan of treatment established by such physician, podiatrist, nurse
						practitioners, physician assistants, or clinical nurse
						specialists.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 35 - SKILLED NURSING › Rule 15-16-1-46.35.1 - General

Current through June 25, 2024
Skilled nursing services shall be provided by or under
						the supervision of registered nurses currently licensed in the State of
						Mississippi.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 35 - SKILLED NURSING › Rule 15-16-1-46.35.2 - Duties of the Registered Nurse

Current through June 25, 2024
The duties of the Registered Nurse shall include, but not
						be limited to the performance and documentation of the following:
1. Evaluate and regularly reevaluate the
					 nursing needs of the patient;
2.
					 Develop and implement the nursing component of the patient care plan;
3. Provide nursing services, treatments, and
					 diagnostic and preventive procedures requiring substantial specialized
					 skill;
4. Initiate preventive and
					 rehabilitative nursing procedures as appropriate for the patient's care and
					 safety;
5. Observe and report to
					 the physician, podiatrist, nurse practitioner, physician assistant, or clinical
					 nurse specialists when appropriate, signs and symptoms, reaction to treatments
					 and changes in the patient's physical or emotional condition;
6. Teach, supervise, and counsel the patient
					 and family members regarding the nursing care needs and other related problems
					 of the patient at home; check all medications to identify ineffective drug
					 therapies, adverse reactions, significant side effects, drug allergies and/or
					 contraindicated medications. Promptly report any problems to the physician,
					 podiatrist, nurse practitioner, physician assistant, or clinical nurse
					 specialist.
7. Provide supervision
					 and training to other nursing service personnel;
8. Provide direct supervision of the Licensed
					 Practical Nurse in the home of each patient seen by the LPN at least once a
					 month. It is not a requirement for the licensed practical nurse to be present
					 at the supervisory visit by the RN; however, it does not preclude the licensed
					 practical nurse from being present. In addition, the supervising RN must be
					 accessible by telecommunications to the LPN at all times while the LPN is
					 treating patients.
9. Make
					 supervisory visits to the patient's residence at least every other week with
					 the aide alternately present and absent, to provide direct supervision and to
					 assess relationships and determine whether goals are being met; and
10. Ensures that the patient's nursing care
					 and progress is recorded in the clinical record.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 36 - LICENSED PRACTICAL NURSING SERVICES › Rule 15-16-1-46.36.1 - General

Current through June 25, 2024
Licensed Practical Nursing Services shall be provided by
						a trained licensed practical nurse working under the supervision of a
						registered nurse. The duties of the Licensed Practical Nurse shall include, but
						not limited to the following:
1.
					 Observe, record and report to supervisor on the general physical and mental
					 conditions of the patient;
2.
					 Administer prescribed medications and treatments in accordance with the plan of
					 treatment;
3. Assist the physician,
					 podiatrist, nurse practitioner, physician assistant, or clinical nurse
					 specialist, and/or registered nurse in performing specialized
					 procedures;
4. Assist the patient
					 with activities of daily living and encourage appropriate self-care;
					 and
5. Prepare progress notes and
					 clinical notes.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 37 - STUDENT NURSE › Rule 15-16-1-46.37.1 - General

Current through June 25, 2024
When an agency elects to participate with an educational
						institution to provide clinical community health nursing experience for
						students as part of their nursing curriculum, the student nurse shall perform
						skilled nursing functions in the patient's home only under the direct
						supervision of a registered nurse.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 37 - STUDENT NURSE › Rule 15-16-1-46.37.2 - Written Agreement

Current through June 25, 2024
There shall be a written agreement between the agency and
						each educational institution. The agreement specifies the responsibilities of
						the agency and the educational institution. The agreement includes, at minimum
						the following:
1. The agency retains
					 the responsibility for patient care.
2. The educational institution retains the
					 responsibility for student education.
3. The student and facility performance
					 expectations.
4. Faculty
					 supervision of undergraduate students in the field.
5. Ratio of faculty to students.
6. Confidentiality regarding patient
					 information.
7. Required insurance
					 coverage.
8. Provisions for joint
					 agency/facility student program evaluation.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 38 - HOME HEALTH AIDE SERVICES › Rule 15-16-1-46.38.1 - General

Current through June 25, 2024
When an agency provides or arranges for home health aide
						services, the aides shall be assigned because the patient needs personal care.
						The services shall be given under a physician's, podiatrist's, nurse
						practitioners, physician assistants, or clinical nurse specialist's order and
						shall be supervised by a registered nurse. When appropriate, supervision may be
						given by a physical, speech, or occupational therapist.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 38 - HOME HEALTH AIDE SERVICES › Rule 15-16-1-46.38.2 - Responsibilities of the Home Health Aide

Current through June 25, 2024
Responsibilities of the home health aide shall include
						but not be limited to the following:
1. The home health aide shall perform only
					 those personal care activities contained in written assignment by a health
					 professional employee which include assisting the patient with personal
					 hygiene, ambulation, eating, dressing and shaving.
2. The home health aide may perform other
					 activities as taught by a health professional employee for a specific patient.
					 These include, but are not limited to: shampoo, reinforcement of a dressing,
					 assisting with the use of devices for aide to daily living (walker,
					 wheelchair), assisting with prescribed range of motion exercises which the home
					 health aide and the patient have been taught by a health professional employee,
					 doing simple urine tests for sugar, acetone or albumin, measuring and preparing
					 special diets, intake an output.
3.
					 The home health aide shall not be allowed to perform the following and other
					 procedures requiring skilled services: Change sterile dressings, irrigate body
					 cavities such as a colostomy or wound, perform a gastric lavage or gavage,
					 decubitus care, catheterize a patient, administer medications, apply heat by
					 any method, care for a tracheotomy tube, or any personal health service which
					 has not been included by the professional nurse in the aide assignment
					 sheet.
4. The home health aide
					 shall keep records of personal health care activities.
5. The home health aide shall observe
					 appearance and behavioral changes in the patient and report to the professional
					 nurse.
6. The home health aide
					 patient services shall be evaluated by a health professional at least every
					 other week, with the aide alternately present and absent, in the home for those
					 patients receiving skilled services. When only home health aide services are
					 being furnished to a patient, a registered nurse must make a supervisory visit
					 to the patient's residence at least once every 60 days. This supervisory visit
					 must occur while the aide is furnishing patient care.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 39 - PHYSICAL THERAPY SERVICE › Rule 15-16-1-46.39.1 - General

Current through June 25, 2024
Physical therapy services shall be given in accordance
						with the responsible physician's, podiatrist's, nurse practitioners, physician
						assistants, or clinical nurse specialist's written order by a physical
						therapist or physical therapy assistant currently licensed in the State of
						Mississippi to practice as a physical therapist or physical therapist
						assistant. The physician's, podiatrist's, nurse practitioners, physician
						assistants, or clinical nurse specialist's, order shall be specific as to
						modalities to be utilized and frequency of therapy.
Miss.
						Code Ann. §
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 39 - PHYSICAL THERAPY SERVICE › Rule 15-16-1-46.39.3 - Duties of the Physical Therapy Assistant

Current through June 25, 2024
The duties of the physical therapist assistant shall be
						limited to the following:
1. Perform
					 physical therapy procedures and related tasks that have been selected and
					 delegated by the supervising physical therapist with the exception of
					 interpretation of referrals; identification, determination or modification of
					 plans of care (including goals and treatment programs); final discharge
					 assessment/evaluation or establishment of the discharge plan; or establishment
					 of the discharge plan; or therapeutic techniques beyond the skill and knowledge
					 of the physical therapist assistant.
2. Notify the supervising physical therapist
					 of changes in the patient's status, including all untoward patient
					 responses.
3. Discontinue
					 immediately any treatment procedures which in their judgment appear to be
					 harmful to the patient.
4.
					 Preparing clinical notes and progress notes.
5. Participation in staff in-service
					 programs.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 40 - SPEECH PATHOLOGY AND AUDIOLOGY SERVICES › Rule 15-16-1-46.40.1 - General

Current through June 25, 2024
The speech pathologist shall be currently licensed by the
						Mississippi Department of Health. The audiologist shall be currently licensed
						by the Mississippi Department of Health. Speech pathology and audiology
						services shall be given in accordance with the responsible physician's written
						order by a licensed speech pathologist or a licensed audiologist. The frequency
						of service shall be specified in the physician's order.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 40 - SPEECH PATHOLOGY AND AUDIOLOGY SERVICES › Rule 15-16-1-46.40.2 - Duties of the Speech Pathologist and/or Audiologist

Current through June 25, 2024
The duties of the speech pathologist and/or audiologist
						shall include, but not be limited to:
1. Assisting the physician in the evaluation
					 of the patient with speech, hearing, or language disorders; and development of
					 the individual plan of treatment;
2. Developing and implementing a Speech
					 Pathology and/or Audiology Component of the patient care plan;
3. Providing rehabilitative services for
					 speech, hearing, and language disorders;
4. Observing and reporting to the responsible
					 physician the patient's reaction to treatment and any changes in the patient's
					 condition.
5. Instructing other
					 agency personnel, the patient and family members in methods to improve and
					 correct speech, hearing, and language disabilities;
6. Preparing clinical notes, progress notes,
					 and discharge summaries;
7.
					 Participating in agency in-service training programs;
8. Acting as a consultant to other agency
					 personnel; and
9. Developing
					 written policies and procedures for the Speech Pathology/Audiology Services of
					 the Home Health Agency.
Miss. Code Ann.
						§
												41-71-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 46 - MINIMUM STANDARDS OF OPERATION FOR HOME HEALTH AGENCIES › Subchapter 41 - OCCUPATIONAL THERAPY SERVICES › Rule 15-16-1-46.41.1 - General

Current through June 25, 2024
When an agency provides or arranges for occupational
						therapy, services shall be given in accordance with a physician's,
						podiatrist's, nurse practitioners, physician assistants, or clinical nurse
						specialist's written order by a licensed occupational therapist or a licensed
						occupational therapy assistant under the supervision of a licensed occupational
						therapist.
Miss.
						Code Ann. §
												41-71-13