reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.4 - Personnel

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall ensure that the duties and
				responsibilities of all personnel are described in job descriptions and in the
				policy and procedure manual for each service.
(b) All personnel who require licensure,
				certification, or authorization to provide patients care shall be licensed,
				certified, or authorized under the appropriate laws or rules of the State of New
				Jersey.
(c) All personnel, both directly
				employed and under contract to provide direct care to patients, shall at all times
				wear the employee identification tag required under
8:42-3.1(f)
1i.
(d) The agency shall have policies and procedures
				for the maintenance of confidential personnel records for each employee, including
				at least:
1. His or her name;
2. Previous employment;
3. Educational background;
4. License number with:
i. Effective date and date of expiration, if
				applicable;
5. Certification,
				if applicable;
6. Verification of
				credentials and references;
7. Health
				evaluation records;
8. Job description;
				and
9. Evaluations of job
				performance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.5 - Policy and procedure manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A policy and
				procedure manual(s) for the organization and operation of the agency shall be
				established, implemented, and reviewed at least every three years.
(b) Each review of the manual(s) shall be
				documented, and the manual(s) shall be available in the agency at all times. The
				manual(s) shall include at least the following:
1.
				A written narrative of the program describing its philosophy and objectives, and the
				services provided by the agency;
2. An
				organizational chart delineating the lines of authority, responsibility, and
				accountability, so as to ensure continuity of care to patients;
3. A description of the quality assurance program
				for patient care and staff performance;
4. Definition and specification of full-time
				employment;
5. Policies and procedures
				for complying with applicable statutes and protocols to report child abuse and/or
				neglect, sexual abuse, and abuse of elderly or disabled adults, specified
				communicable disease, rabies, poisonings, and unattended or suspicious deaths. These
				policies and procedures shall include, but not be limited to, the following:
i. The development of written protocols for the
				identification and reporting of children and elderly or disabled adults who are
				abused and/or neglected;
ii. The
				designation of a staff member(s) to be responsible for coordinating the reporting of
				child abuse and/or neglect in compliance with
9:6-1
et seq., recording
				notification of the Department of Children and Families, Division of Child
				Protection and Permanency on the medical/health record, and serving as a liaison
				between the agency and the Division of Child Protection and Permanency;
				and
iii. The provision at least annually
				of education and/or training programs for all staff and subcontracted personnel who
				provide direct patient care regarding the identification and reporting of child
				abuse and/or neglect; sexual abuse; domestic violence; and abuse of the elderly or
				disabled adult.
NOTE: Copies of the law may be obtained from the local district
				  office of the Division of Youth and Family Services (DYFS) or from the Office of
				  Community Education, Division of Youth and Family Services, New Jersey State
				  Department of Human Services, PO Box 717, Trenton, NJ 08625.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.6 - Staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Provision shall be made for staff with
				equivalent qualifications to provide services for absent staff members.
(b) The agency shall implement staffing schedules
				that facilitate continuity of care to patients.
(c) The agency shall maintain staff attendance
				records.
(d) The agency shall develop
				and implement a staff orientation and a staff education plan, including plans for
				each service and designation of the person(s) responsible for training.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.7 - Written agreements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall have a written agreement, or
				its equivalent, for services provided by contract or subcontract. The written
				agreement or its equivalent shall:
1. Be dated and
				signed by a representative of the agency and by the person or entity providing the
				service;
2. Specify each party's
				responsibilities, functions, and objectives, the time during which services are to
				be provided, the financial arrangements and charges, and the duration of the written
				agreement or its equivalent;
3. Specify
				that the agency retains administrative responsibility for services rendered,
				including subcontracted services;
4.
				Require that services are provided in accordance with these rules and that personnel
				providing services meet training and experience requirements and are supervised in
				accordance with these rules; and
5.
				Require the provision of written documentation to the agency, including, but not
				limited to, documentation of services rendered by the person or entity providing the
				service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.8 - Reportable events

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall notify the Department
				immediately by telephone at (800) 792-9770 or by email at CNLapps@doh.nj.gov,
				followed within 72 hours by written confirmation, of the termination of employment
				of the administrator and/or the director of nursing, and the name and qualifications
				of the administrator's or nursing director's replacement.
(b) The written notification, as required pursuant
				to (a) above, shall be forwarded by the agency to the Department.
(c) The agency shall provide statistical data as
				required by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.9 - Notices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall conspicuously post a notice
				that states that the following information is available in the agency to patients
				and the public:
1. All waivers granted by the
				Department;
2. All documents required by
				these rules;
3. A list of deficiencies
				from the last biennial licensure inspection and certification survey report (if
				applicable), and the list of deficiencies from any valid complaint investigation
				during the past 12 months;
4. The names
				of members of the governing authority;
5. The names, and a means to formally contact, the
				owner(s) and/or members of the governing authority; and
6. Policies and procedures regarding patient
				rights.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 3 - GENERAL REQUIREMENTS › Section 8:42-3.10 - Reporting to professional licensing boards

Current through Register Vol. 56, No. 14, July 15, 2024
The agency shall comply with all requirements of the professional
				  licensing boards for reporting termination, suspension, revocation, or reduction of
				  privileges of any health professional licensed in the State of New
				  Jersey.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 4 - GOVERNING AUTHORITY › Section 8:42-4.1 - Responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The governing authority shall assume legal
				responsibility for the management, operation, and financial viability of the agency.
				The governing authority shall be responsible for, but not limited to, the following:
1. Services provided and the quality of care
				rendered to patients;
2. Adoption and
				documented review of written bylaws or their equivalent at least every three
				years;
3. Development and documented
				review of all policies and procedures;
4. Establishment and implementation of a system to
				identify and resolve patient and staff grievances and/or recommendations, including
				those relating to patient rights. This system shall include a feedback mechanism
				through management to the governing authority, indicating what action was
				taken;
5. Determination of the frequency
				of meetings, which shall be at least annually, of the governing authority, holding
				such meetings, and documenting them through minutes, including a record of
				attendance;
6. Delineation of the powers
				and duties of the officers and committees, or their equivalent, of the governing
				authority;
7. Establishment of the
				qualifications of members and officers of the governing authority, the procedures
				for electing, appointing, or employing officers, and the terms of service for
				members, officers, and committee chairpersons or their equivalents; and
8. Development and implementation of a written
				conflict of interest policy, which shall include guidelines for the disclosure of
				existing or potential conflicts of interest and procedures for recusal when a
				conflict exists.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 5 - ADMINISTRATION › Section 8:42-5.1 - Administrator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The governing authority shall appoint an
				administrator who is administratively responsible and available for all aspects of
				agency operations.
1. If the agency has only one
				office, the director of nursing may function as the administrator, provided the
				director of nursing meets the qualifications of an administrator.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 5 - ADMINISTRATION › Section 8:42-5.2 - Administrator's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall be responsible for, but not limited to, the following:
1. Ensuring the development, implementation, and
				enforcement of all policies and procedures, including patient rights;
2. Planning for and administering the managerial,
				operational, fiscal, and reporting components of the agency;
3. Participating in the quality assurance program
				for patient care;
4. Ensuring that all
				personnel are assigned duties based upon their education, training, competencies,
				and job descriptions;
5. Ensuring the
				provision of staff orientation and staff education;
6. Establishing and maintaining liaison
				relationships, communication, and integration with agency staff and services and
				with patients and their families, in accordance with the philosophy and objectives
				of the agency; and
7. Ensuring the
				development, implementation, and enforcement of all emergency preparedness policies
				and procedures, as set forth at 42 CFR 484.102.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 5 - ADMINISTRATION › Section 8:42-5.3 - Director of nursing's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The director of
				nursing shall be responsible for the direction, provision, and quality of patient
				care services provided to patients, including:
1.
				Overall planning, supervision, and administration of nursing services;
2. The coordination and integration of nursing
				services with other home health services to provide a continuum of care for
				patients;
3. Development of protocols
				for regular communication, including case conferencing, between the nursing service
				and other disciplines based on the needs of each patient;
4. Development of written job descriptions and
				performance criteria for nursing personnel, and assigning duties based upon
				education, training, competencies, and job descriptions;
5. Ensuring that nursing services are provided to
				patients as specified in each patient's nursing plan of care; and
6. Ensuring nursing supervision to nursing
				personnel.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.1 - Policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall establish written policies
				and procedures governing patient care that are reviewed at least every three years
				by the agency's governing authority, revised as needed, and implemented. They shall
				include at least the following:
1. Criteria for
				admission and discharge of patients.
i. Admission
				criteria shall be based solely upon the patient's needs and the ability of the
				agency to meet safely the medical, nursing, and social needs of the
				patient.
ii. Discharge policies shall
				preclude punitive discharge;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.2 - Advance directives

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall comply with the requirements
				of the New Jersey Advance Directives for Health Care Act, N.J.S.A. 26:2H-53 through
				78.
(b) An agency shall establish and
				review, at least annually, and more often as needed, revise as needed, and
				implement, written advance directive policies and procedures to effectuate the New
				Jersey Advance Directives for Health Care Act, that include, but are not limited to:
1. The requirements imposed upon health care
				agencies at
26:2H-65
;
2. Evaluation criteria for validating an advance
				directive when a question of validity is indicated, and procedures for assisting in
				the execution of a valid advance directive;
3. A delineation of the responsibilities of
				attending physicians, administration, nursing, social service, and other staff in
				regard to advance directives; and
4. In
				the event the agency is a private, religiously-affiliated health care institution,
				policies for a transfer of a patient in compliance with
				N.J.A.C.
				8:42-6.6(a)3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.3 - Pharmacy and supplies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall establish written policies and
				procedures governing pharmacy and supplies that are reviewed annually, revised as
				needed, and implemented, which include at least the following:
1. Provision for routine supplies, including the
				contents, locations, and frequency of checking (including checking of expiration
				dates) of emergency supplies;
2.
				Requirements for the purchase, storage, handling, safeguarding, accountability, use,
				and disposition of medications in accordance with the New Jersey Board of Pharmacy
				Rules (N.J.A.C. 13:39), the Controlled Dangerous Substances Act of 1970 (Title II,
				P.L.
				91-513), and the New Jersey Controlled Dangerous
				Substances Act of 1970 (24:21-1 et seq.) and amendments
				thereto;
3. Procedures for documenting
				all drug administration; and
4.
				Reporting and documenting medication errors and adverse drug reactions.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.4 - Practitioner Orders for Life-Sustaining Treatment (POLST)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall
				comply with the requirements of the Practitioner Orders for Life-Sustaining
				Treatment Act (POLST Act),
				N.J.S.A.
				26:2H-129 et seq.
(b) An agency shall establish and review, at least
				annually, and more often as needed, revise as needed, and implement, written
				policies and procedures to effectuate the POLST Act, that include, but are not
				limited to:
1. The requirements imposed upon
				agencies at N.J.S.A. 26:2H-134;
2. Procedures in the event of a disagreement
				regarding the POLST Form that are consistent with
				N.J.S.A.
				26:2H-136;
3. A delineation of the responsibilities of
				attending physicians, administration, nursing, social service, and other staff in
				regard to the POLST Forms; and
4. In the
				event the agency is a private, religiously-affiliated health care institution,
				policies for a transfer of a patient in compliance with
				N.J.A.C.
				8:42-6.6(a)4.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.5 - Transfer of a patient

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A patient shall be transferred to another
				agency only for the following reasons:
1. A valid
				medical reason, including the agency's inability to care for the patient.
2. In order to comply with clearly expressed and
				documented patient choice in accordance with applicable laws or rules.
3. In conformance with the New Jersey Advance
				Directives for Health Care Act in the instance of a private, religiously affiliated
				home health agency that establishes written policies defining circumstances in which
				it will decline to participate in the withholding or withdrawal of life-sustaining
				treatment. Such agencies shall:
i. Provide written
				notice of the policy to patients, families, or health care representatives prior to
				or at the time of admission to services; and
ii. Implement a timely and respectful transfer of
				the patient to an agency that will implement the advance directive.
4. In conformance with the POLST Act in
				the instance of a private, religiously affiliated home health agency that
				establishes written policies defining circumstances in which it will decline to
				participate in the withholding or withdrawal of life-sustaining treatment. Such
				agencies shall:
i. Provide written notice of the
				policy to patients, families, or health care representatives prior to or at the time
				of admission to services; and
ii.
				Implement a timely and respectful transfer of the patient to an agency that will
				implement the POLST Form.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.6 - Declaration of death

Current through Register Vol. 56, No. 14, July 15, 2024
An agency shall establish policies and procedures for the
				  declaration of death of patients in accordance with the New Jersey Declaration of
				  Death Act, N.J.S.A. 26:6A-1 et seq., and the rules
				  promulgated pursuant thereto at
				  N.J.A.C.
				  13:35-6A.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 6 - PATIENT CARE SERVICES › Section 8:42-6.7 - Telemedicine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All telehealth services shall be provided in
				accordance with
				N.J.S.A.
				45:1-61 through 66 and
				N.J.A.C.
				13:35-6B.
(b) All telehealth services shall be in addition
				to, and not in lieu of, direct patient care.
(c) Clinical notes of all telehealth services
				shall be incorporated into the patient's medical/health record according to the
				agency's policies and procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 7 - NURSING SERVICES › Section 8:42-7.2 - Nursing organization, policies, and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall
				establish and make available at all times to all nursing personnel of the agency:
1. A written organizational chart and written plan
				that delineates lines of authority, accountability, and communication; and
2. The agency's current clinical and
				administrative nursing policies and procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 7 - NURSING SERVICES › Section 8:42-7.3 - Nursing staff qualifications and responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				governing authority of an agency shall:
1. Appoint
				a full-time director of nursing who shall be available at all times; and
2. Designate in writing, to act in the absence of
				the director of nursing, one or more alternates who are registered professional
				nurses.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 7 - NURSING SERVICES › Section 8:42-7.4 - Nursing entries in the medical/health record

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In accordance with
				written job descriptions and with this chapter, nursing personnel shall document in
				the patient's medical/health record:
1. The
				nursing plan of care in accordance with the agency's policies and
				procedures;
2. Clinical notes and
				progress notes; and
3. A record of
				medications administered. After each administration of medication, the following
				shall be documented by the nurse who administered the drug:
i. Name and strength of the drug;
ii. Date and time of administration;
iii. Dosage administered;
iv. Method of administration; and
v. Signature of the licensed nurse who
				administered the drug.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 7 - NURSING SERVICES › Section 8:42-7.5 - Homemaker-home health aide services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency, in
				providing homemaker-home health aide services, shall ensure that:
1. The homemaker-home health aide that the agency
				retains to provide these services is a CHHA and provides verification of that
				certification to the agency, which the agency maintains in the agency personnel
				record for that CHHA;
2. A CHHA provides
				personal care and/or homemaking services that are within the scope of practice of a
				CHHA, in accordance with
				N.J.A.C.
				13:37-14.3, and under the supervision of a
				registered professional nurse, in accordance with
				N.J.A.C.
				13:37-6.2.
i.
				Prior to a CHHA rendering services to a patient, a registered professional nurse
				shall orient the CHHA to that patient and shall give written instructions to the
				CHHA regarding the home health services to be provided. Copies of the written
				instructions shall be kept in the patient's home and documentation of services shall
				be kept in the patient's medical/health record;
ii. The delegation of tasks to a CHHA by a
				registered professional nurse is consistent with
				N.J.A.C.
				13:37-6.2 and 14.3; and
iii. Dosage administered;
3. The CHHA documents the homemaker-home health
				services provided to a patient in the patient's medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 8 - REHABILITATION SERVICES (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, AND AUDIOLOGY) › Section 8:42-8.1 - Services

Current through Register Vol. 56, No. 14, July 15, 2024
The agency shall provide physical therapy and may provide
				  occupational therapy and speech-language pathology services, directly or through
				  written agreement, to patients who need these services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 8 - REHABILITATION SERVICES (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, AND AUDIOLOGY) › Section 8:42-8.2 - Rehabilitation services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In accordance with written job descriptions
				(and for physical therapy personnel, in accordance also with the State of New Jersey
				Physical Therapy Practice Act,
N.J.S.A. 45:9-37.1 1
et seq.; and
				for occupational therapy personnel, in accordance also with
N.J.S.A.
				45:9-37.5 1
et seq., and for speech-language pathology in accordance also
				with the State of New Jersey Audiology and Speech Language Pathology Practice Act,
45:3B-1
), each physical
				therapist, occupational therapist, and speech-language pathologist shall be
				responsible for, but not limited to, the following:
1. Assessing the physical therapy, occupational
				therapy or speech-language pathology needs of the patient, preparing the
				rehabilitation plan of care based on the assessment, providing rehabilitation
				services to the patient as specified in the rehabilitation plan of care, reassessing
				the patient's response to services provided, and revising the rehabilitation plan of
				care as needed. Each of these activities shall be documented in the patient's
				medical/health record;
2. Participating
				in staff education activities and providing consultation to agency personnel;
				and
3. Communicating and documenting the
				communication with other disciplines and services to provide continuity and
				coordination of patient care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 8 - REHABILITATION SERVICES (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, AND AUDIOLOGY) › Section 8:42-8.3 - Rehabilitation entries in the medical/health record

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each physical
				therapist, occupational therapist, or speech-language pathologist shall document in
				the patient's medical/health record:
1. The
				rehabilitation plan of care, which may be the rehabilitation portion of the
				patient's plan of care. The plan of care shall be reviewed and revised by the
				therapist, or speech-language pathologist; and
2. Clinical notes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 9 - SOCIAL WORK SERVICES › Section 8:42-9.2 - Social worker's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For those patients
				requiring social work services, each social worker shall be responsible for, but not
				limited to, the following:
1. Performing a
				psychosocial assessment of the patient;
2. Preparing the social work plan of care based on
				the assessment;
3. Providing social work
				services to the patient as specified in the social work plan of care.
4. Each of the activities specified in (a)1, 2,
				and 3 above shall be documented in the patient's medical/health record;
5. Communicating and documenting the communication
				with other disciplines and services to provide continuity and coordination of
				patient care;
6. Contacting community
				social service and other resources as needed for information, referrals, and
				services;
7. Providing social work
				counseling to the patient and his or her family; and
8. Participating in staff education activities and
				providing consultation to agency personnel.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 9 - SOCIAL WORK SERVICES › Section 8:42-9.3 - Social work entries in the medical/health record

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The social worker
				shall document in the patient's medical/health record:
1. The social work plan of care, which may be the
				social work portion of the patient treatment plan. The plan of care shall be
				reviewed and revised by the social worker; and
2. Clinical notes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 10 - DIETARY COUNSELING SERVICES › Section 8:42-10.1 - Services

Current through Register Vol. 56, No. 14, July 15, 2024
Dietary counseling services may be provided directly or through
				  written agreement to patients who need these services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 10 - DIETARY COUNSELING SERVICES › Section 8:42-10.2 - Responsibilities of dietitian

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For those patients
				requiring dietary counseling services, each dietitian shall be responsible for, but
				not limited to, the following:
1. Assessing the
				dietary needs of the patient, preparing the dietary plan of care based on the
				assessment and providing dietary counseling services to the patient as specified in
				the dietary plan of care.
i. These activities
				shall be documented in the patient's medical/health record;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 10 - DIETARY COUNSELING SERVICES › Section 8:42-10.3 - Dietary entries in the medical/health record

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The dietitian shall
				document in the patient's medical/health record:
1. The dietary plan of care, which may be the
				dietary counseling portion of the patient's plan of care. The plan of care shall be
				reviewed and revised by the dietitian; and
2. Clinical notes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 11 - MEDICAL/HEALTH RECORDS › Section 8:42-11.1 - Medical/health records organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall
				develop written objectives, policies and procedures, an organizational plan, and a
				quality assurance program for medical/health records services.
1. The quality assurance program shall include
				monitoring of medical/health records for accuracy, completeness, legibility, and
				accessibility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 11 - MEDICAL/HEALTH RECORDS › Section 8:42-11.2 - Medical/health records policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall
				have written policies and procedures for medical/health records that are reviewed
				annually, revised as needed, and implemented, and that include at least:
1. Clinical documentation shall be included in the
				medical/health record within 14 days;
2.
				Procedures for record completion, including review for accuracy and completion,
				which shall occur within 45 days;
3.
				Procedures for the protection of medical record information against loss, tampering,
				alteration, destruction, or unauthorized removal or use;
4. Conditions, procedures, and fees for releasing
				medical information; and
5. Release
				and/or provision of copies of the patient's medical/health record to the patient
				and/or the patient's authorized representative, including, but not limited to, the
				following:
i. Establishment of a fee schedule for
				obtaining copies of the patient's medical/health record; and
ii. Availability of the patient's medical/health
				record to the patient's authorized representative if it is medically contraindicated
				(as documented by a physician in the patient's medical/health record) for the
				patient to have access to or obtain copies of the record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.1 - Infection prevention and control program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall ensure the development and implementation of an infection prevention and
				control program to reduce the risk of the acquisition and transmission of health
				care associated infections.
(b) The
				administrator shall designate a person who shall have education, training, completed
				course work, or experience in infection control or epidemiology, and who shall be
				responsible for the direction, provision, and quality of infection prevention and
				control services.
1. The designated person shall
				be responsible for, but not limited to developing and maintaining in collaboration
				with the committee established pursuant to
8:42-12.2(a)
:
i. Written objectives;
ii. A policy and procedure manual;
iii. A system for data collection; and
iv. A quality assurance program for the infection
				prevention and control service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.2 - Infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall
				have a multidisciplinary committee, which establishes and implements an infection
				prevention and control program.
(b) The
				designated committee, along with the person designated by the administrator pursuant
				to N.J.A.C.
				8:42-12.1(b), shall develop,
				implement, and review, at least annually, written policies and procedures regarding
				infection prevention and control, including, but not limited to, policies and
				procedures regarding the following:
1. Infection
				control and isolation, including Universal Precautions, in accordance with the
				Centers for Disease Control and Occupational Safety and Health Administration
				publication, "Enforcement Procedures for the Occupational Exposure to Bloodborne
				Pathogens," OSHA Instruction C
				PL
				02-02-069, November 27, 2001, incorporated herein by
				reference, as amended and supplemented, which can be found on the OSHA website at
http://www.osha.gov/enforcement/directives/cpl-02-02-069-0
;
2. A system for investigating, reporting, and
				evaluating the occurrence of all infections or diseases that are reportable under
N.J.A.C. 8:57
, as well as conditions that may be related to
				activities and procedures of the agency.
i.
				Records shall be maintained for all patients or personnel having these infections,
				diseases, or conditions;
3.
				Aseptic technique, employee health, and staff training, the prevention of infection,
				and general improvement of patient care as it relates to infection control and
				prevention;
4. Exclusion from work, and
				authorization to return to work, for personnel with communicable diseases;
5. Surveillance techniques to minimize sources and
				transmission of infection;
6.
				Sterilization, disinfection, and cleaning practices and techniques including, but
				not limited to, the following:
i. Care of
				utensils, instruments, solutions, dressings, articles, and surfaces;
ii. Selection, storage, use, and disposition of
				single use and nondisposable patient care items;
iii. Methods to ensure that sterilized materials
				are packaged, labeled, processed, transported, and stored to maintain sterility and
				to permit identification of expiration dates; and
iv. Care of urinary catheters, intravenous
				catheters, respiratory therapy equipment, and other devices and equipment that
				provide a portal of entry for pathogenic microorganisms; and
7. Collection, handling, storage, decontamination,
				disinfection, sterilization, and disposal of regulated medical waste and all other
				solid or liquid waste.
NOTE: Centers for Disease Control publications can be obtained
				  from:
National Technical Information Service
U.S. Department of Commerce
5285 Port Royal Road
Springfield, VA 22161
or
Superintendent of Documents
U.S. Government Printing Office
Washington, DC 20402
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.3 - Infection control measures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall
				follow all Category I recommendations in the current editions of the following CDC
				publications, which are incorporated herein by reference, as amended and
				supplemented:
1. Guideline for Prevention of
				Catheter-Associated Urinary Tract Infections, 2009, which can be found on the CDC
				website at
http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf
;
2. Guidelines for the Prevention of Intravascular
				Catheter-Related Infections, 2011, which can be found on the CDC website at
http://www.cdc.gov/infectioncontrol/guidelines/bsi/index.html
;
3. Guideline for Prevention of Surgical Site
				Infection, 2017, which can be found on the CDC website at
http://www.cdc.gov/infectioncontrol/guidelines/ssi/index.html
;
				and
4. Guideline for Hand Hygiene in
				Health-Care Settings, MMWR/51 (RR-16), October 25, 2002, which can be found on the
				CDC website at
http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.4 - Use, care, and sterilization of sterilizers and patient care items

Current through Register Vol. 56, No. 14, July 15, 2024
Equipment and supplies used for sterilization, disinfection, and
				  decontamination purposes shall be maintained according to the policy and procedure
				  manual, which is referenced at
				  N.J.A.C.
				  8:42-3.5, and according to the manufacturer's
				  directions for use.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.5 - Regulated medical waste

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall ensure that medical waste is
				collected, stored, handled, and disposed of in accordance with applicable Federal
				and State law.
(b) An agency shall
				comply with the Comprehensive Regulated Medical Waste Management Act,
13:1E-48.1
et seq., and all
				rules promulgated pursuant thereto.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.6 - Communicable disease alert

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An agency shall
				comply with CDC guidelines and N.J.S.A. 26:6-8.2, when identifying and handling dead
				bodies.
(b) In accordance with
26:6-8.2
, an agency shall
				complete the New Jersey State Department of Health form LCS-4, "Communicable
				Diseases Alert," available on the Department's website at
http://www.state.nj.us/health/forms/lcs-4.pdf
,
				when applicable, and transmit the form in the manner prescribed therein.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 12 - INFECTION PREVENTION AND CONTROL › Section 8:42-12.7 - Orientation and in-service education

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Orientation for all
				new employees and staff under contract to provide direct patient care shall include
				infection control practices for the employee's specific discipline and the rationale
				for the practices.
(b) The designated
				committee shall coordinate educational programs to address specific problems at
				least annually for staff in all disciplines and patient care services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 13 - PATIENT RIGHTS › Section 8:42-13.1 - Policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The agency shall establish and implement
				written policies and procedures regarding the rights of patients and the
				implementation of these rights.
1. A complete
				statement of these rights, including the right to file a complaint with the New
				Jersey Department of Health, shall be distributed to all patients, staff, and
				contracted personnel.
2. An agency shall
				make a reasonable response to a patient's request for services, including the
				services of an interpreter in a language other than English, if 10 percent or more
				of the population in the agency's service area speaks that language.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 14 - QUALITY ASSURANCE › Section 8:42-14.1 - Quality assurance organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The governing
				authority of the agency shall have ultimate responsibility for the quality assurance
				program.
(b) The agency shall establish
				and implement a written plan for a quality assurance program for patient care.
1. The plan shall include a mechanism to ensure
				participation of all disciplines in quality assurance activities and monitoring, and
				shall specify staff responsibilities for the quality assurance program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Subchapter 14 - QUALITY ASSURANCE › Section 8:42-14.2 - Quality assurance policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The quality
				assurance plan shall be reviewed at least annually and revised as necessary.
1. Responsibility for reviewing and revising the
				plan shall be designated in the plan itself.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42 - LICENSING STANDARDS FOR HOME HEALTH AGENCIES › Appendix - APPENDIX

Current through Register Vol. 56, No. 14, July 15, 2024
Data in
				image
Data in
				image
Data in
				image
Data in
				image
Data in
				image
Data in
				image
Data in
				image
Data in
				image