c. Sub-recipients must ensure that services are provided in an inclusively, linguistically, culturally-competent, compassionate, non- judgmental, age appropriate and comprehensible manner. Training/in-service certificates/sign-in sheets Staff interview Consumer satisfaction survey Consumer grievances STANDARD MEASURE Sub-recipients must ensure that staff and contracted service Sub-recipients delivering direct services to consumers must have knowledge of the: HIV/AIDS disease process Effects of HIV/AIDS-related illnesses and co- morbidities on consumers Psychosocial effects of HIV/AIDS on consumers and their families/significant others Provide PrEP Education and Resources Current strategies for the management of HIV/AIDS HIV-related resources and services in Hartford TGA For more information, refer to: . Documentation of this knowledge via formal education, trainings, or other methods. Types of documentation may include, but is not limited to, medical degree, license/certification, training certificates, transcripts. Staff interview e. Sub-recipients must ensure that professional staff and contracted service Sub-recipients follow, at minimum, established codes of conduct for their discipline. For paraprofessional staff, Sub-recipients must ensure that an agency code of conduct is established and that staff follow the code. Codes of Conduct Trainings/in-service certificates/sign-in-sheets Staff interview f. Sub-recipients must ensure that staff and contracted service Sub-recipients receive ongoing supervision that is relevant and appropriate to their professional needs. Supervisory/case conference meeting logs Documentation of supervisory consumer record reviews g. Sub-recipients must ensure that staff and contracted service Sub-recipients conduct business in a manner that ensures the confidentiality of consumers and follows established protocols outlined in the Health Insurance Portability and Accountability Act (HIPAA) and the Connecticut Public Health Code. Policies and procedures Trainings/in-service certificates/sign-in sheets Staff signatures on agency’s Confidentiality/HIPAA statements Staff interview 4. Safety and Emergency Procedures a. Sub-recipients must ensure that services are provided in facilities that are clean, comfortable, handicap accessibility and free from hazards. Site visit observation
Sub-recipients must have policies and procedures for the following Physical Plant Safety Emergency Procedures that include fire, severe weather, and intruder/weapon threat Medical/Health Care Crisis Infection Control and Transmission Risk Policies and procedures Site visit observation Training certificates and/or sign-in sheets Staff interview STANDARD MEASURE Risk Assessment Accident / Incident Reporting Sub-recipients must ensure that staff and contracted service Sub-recipients are trained and following the safety and emergency procedures. c. Sub-recipients must follow recommended Occupational Safety and Health Administration (OSHA) and Connecticut Occupational Safety and Health Administration (CTOSHA) regulations. Policies and procedures Site visit observation Training certificates and/or sign-in sheets Staff interview d. Sub-recipients must follow the Association for Professional in Infection and Epidemiology Guidelines (APIC) and/or Society for HealthCare Epidemiology of America (SHEA) guidelines in caring for individuals. Policies and procedures Site visit observation Training certificates and/or sign-in sheets Staff interview 5. Consumer Eligibility and Recertification Requirements a. Sub-recipients must ensure that Ryan White funds are used as a payer of last resort. Policies and procedures Documentation in consumer records of accessing resources from other payers b. Sub-recipients must verify proof of HIV status, income, residency, and insurance in accordance with the DHHS Ryan White Program Guidance #14-01. Policies and procedures Documentation in consumer records of established eligibility and recertification within specified timeframes c. Proof of HIV status must be established within 30 business days of intake. Policies and procedures Documentation in consumer records of established HIV status within specified timeframe
A discharge from services must occur if any of the following criteria is met: Completion of services Consumer’s death Verification of HIV positive status cannot be obtained within 30 business days of intake Verification of eligibility cannot be obtained The consumer/legal guardian has requested the case be closed Relocation of consumer outside of the Sub-recipient’s geographic service area Inability to contact the consumer for more than 90 calendar days The consumer’s needs are more appropriately addressed through other Sub-recipients The consumer exhibits act of abuse towards staff, property or services Documentation in consumer records that discharge criteria was followed b. Sub-recipients must notify consumers when they are being discharged. Documentation in consumer records of consumers being notified of discharge STANDARD MEASURE 10. Consumer Satisfaction Sub-recipients must establish evaluation methods to assess consumer satisfaction and receive feedback on services using any of the following methods: Consumer Advisory Board Consumer satisfaction survey Suggestion box or other consumer input mechanism Focus groups and/or public meetings Consumer Advisory Board meeting notes/minutes Consumer satisfaction survey/results Visual verification of suggestion box or other consumer input mechanisms during site visit Notes or reports from focus groups and/or public meetings b. Sub-recipients must use results from evaluation methods to improve service delivery. Quality Improvement Plan Modification to service delivery policies and procedures based on feedback Inclusion of consumer feedback in internal training/staff communications