Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GOVERANCE AND MANAGEMENT › Section 601.22 - Agency evaluation and review

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Annual policy review
.
					 Professional personnel, which include at least one physician and one registered
					 nurse with appropriate representation from other professional disciplines,
					 shall establish and annually review the agency's policies governing scope of
					 services offered, admission and discharge policies, medical supervision and
					 plans of treatment, emergency scope of services offered, medical care, clinical
					 records, personnel qualifications and program evaluation.
(b)
Advisory and evaluation
					 function
. The group of professional personnel shall meet at least
					 annually to advise the agency on professional issues, to participate in the
					 evaluation of the agency's program and to assist the agency in maintaining
					 liaison with other health care providers in the community and in its community
					 information program. Its meetings shall be documented by dated
					 minutes.
(c)
Annual program
					 evaluation
. The home health care agency shall have written policies
					 requiring an overall evaluation of the agency's total program at least once a
					 year by the group of professional personnel or a committee of this group, home
					 health care agency staff and consumers; or by professional people outside the
					 agency working in conjunction with consumers. The evaluation shall consist of
					 an overall policy and administrative review and a clinical record review. The
					 evaluation shall assess the extent to which the agency's program is
					 appropriate, adequate, effective and efficient. Results of the evaluation shall
					 be reported to and acted upon by those responsible for the operation of the
					 agency and shall be maintained separately as administrative records. As a part
					 of the evaluation process, the policies and administrative practices of the
					 agency shall be reviewed to determine the extent to which they promote patient
					 care that is appropriate, adequate, effective and efficient. Mechanisms shall
					 be established in writing for the collection of pertinent data to assist in
					 evaluation. The data to be considered may include, but are not limited to:
					 Number of patients receiving each service offered, number of patient visits,
					 reasons for discharge, breakdown by diagnosis, sources of referral, number of
					 patients not accepted with reasons and total staff days for each service
					 offered.
(d)
Clinical
					 record review
. At least quarterly, appropriate health professionals,
					 representing at least the scope of the program, shall review a sample of both
					 active and closed clinical records to assure that established policies are
					 followed in providing services-direct services as well as services under
					 arrangement. There shall be a continuing review of clinical records for each
					 60-day period that a patient receives home health care services to determine
					 adequacy of the plan of treatment and appropriateness of continuation of
					 care.
This section cited in 28 Pa. Code §
													601.21 (relating to organization,
						  services and administration).