Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart H - Home Care Agencies and Home Care Registries › Chapter 611 - HOME CARE AGENCIES AND HOME CARE REGISTRIES › GENERAL › Section 611.5 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
Act
-The Health Care Facilities Act
						(35
						P. S. §§
												448.101-448.904b).
ChildLine
-An organizational unit of the
						Department of Public Welfare which operates a State-wide toll-free system for
						receiving reports of suspected child abuse established under
						23 Pa.C.S. 6332 (relating
						to establishment of Statewide toll-free telephone number), refers the reports
						for investigation and maintains the reports in the appropriate file.
ChildLine verification
-Confirmation
						regarding whether an applicant for employment or referral by a home care agency
						or home care registry is named in the Department of Public Welfare's Statewide
						Central Register as the perpetrator of a founded or indicated report of child
						abuse (as defined in 55 Pa. Code §
											3490.4 (relating to
						definitions)).
Companionship services
-Socialization,
						support and assistance with instrumental activities of daily living.
Consumer
-An individual to whom services
						are provided.
Consumer control
-Control and direction
						by the consumer in identifying, exercising choice of, and managing home care
						services in accordance with the consumer's needs and personal
						preferences.
Criminal history report
-A State Police
						criminal history record or a Department of Aging letter of determination of
						eligibility for hire or roster based on a review of a Federal criminal history
						record.
Department
-The Department of Health of
						the Commonwealth.
Department of Aging letter of
						determination
-A written decision supplied by the Department of Aging
						regarding whether, based on the criminal history report from the Federal Bureau
						of Investigation, the applicant for employment by a home care agency or
						referral by a home care registry may be employed or rostered.
Direct care worker
-The individual
						employed by a home care agency or referred by a home care registry to provide
						home care services to a consumer.
Direct consumer contact
-Face-to-face
						interaction with the consumer in the consumer's place of residence or other
						independent living environment.
Financial management services
-One or
						more of the following services:
(i)
					 Managing payroll including Federal, State and local employment taxes for direct
					 care workers recruited and retained by the consumer.
(ii) Processing the payment of workers'
					 compensation, health and other insurance benefits for the direct care
					 worker.
(iii) Assisting consumers
					 in calculating and managing individual budgets for Medicaid Waiver and other
					 publicly funded home and community based services.
(iv) Monitoring the consumer's spending of
					 public funds and any underage or overage in accordance with the consumer's
					 approved budget.
(v) Collecting,
					 processing and maintaining time sheets for direct care workers.
(vi) Providing training to consumers related
					 to employer-related tasks (for example, recruiting, hiring, training, managing
					 and discharging direct care workers and managing payroll and bill paying).
Home care agency
-An organization that
						supplies, arranges or schedules employees to provide home care services, as
						directed by the consumer or the consumer's representative, in the consumer's
						place of residence or other independent living environment for which the
						organization receives a fee, consideration or compensation of any kind.
Home care registry
-An organization or
						business entity or part of an organization or business entity that supplies,
						arranges or refers independent contractors to provide home care services, as
						directed by the consumer or the consumer's representative, in the consumer's
						place of residence or other independent living environment for which the
						registry receives a fee, consideration or compensation of any kind.
Home care services
-The term encompasses
						the following activities:
(i) Personal
					 care.
(ii) Assistance with
					 instrumental activities of daily living.
(iii) Companionship services.
(iv) Respite care.
(v) Specialized care.
Independent living philosophy
-A system
						of beliefs, concepts and attitudes that emphasize self-direction, control, peer
						support and community integration for individuals with disabilities.
Inspection
-A scheduled or unscheduled
						examination or assessment of a home care agency or home care registry during
						regular business hours, to determine compliance with requirements for licensure
						using one or more of the following means: inspection of records, interviews
						with office staff, consumers and direct care workers, and observation of the
						provision of services to consumers who have consented in advance to
						observation.
Instrumental activities of daily
						living
-As defined in section 802a of the act (35 P. S. §
												448.802a).
Nurse
-A registered nurse or a licensed
						practical nurse.
Personal care
-The term includes, but is
						not limited to, assistance with self-administered medications, feeding, oral,
						skin and mouth care, shaving, assistance with ambulation, bathing, hair care
						and grooming, dressing, toileting and transfer activities.
Respite care
-Personal care and
						assistance with instrumental activities of daily living provided on a short
						term basis because of the absence or need for relief for those persons normally
						providing the services.
Roster
-To place an individual on a list
						of individuals eligible to be referred by a home care registry to provide home
						care services to an individual in the individual's place of residence or other
						independent living environment; or the list of individuals eligible to be
						referred by a home care registry to provide home care services to an individual
						in the individual's place of residence or other independent living
						environment.
Specialized care
-Nonskilled services
						unique to the consumer's care needs that facilitate the consumer's health,
						safety and welfare, and ability to live independently.
Statewide central register
-A register
						of child abuse established in the Department of Public Welfare, which consists
						of founded and indicated reports of child abuse.
Supports coordination services
-Services
						to consumers of home and community-based services through Medicaid Waiver or
						other publicly funded programs including intake services, needs assessment, and
						advocacy to ensure coordination of medical, social, educational and other
						services and maximum consumer independence.