Home Care Agency Home Care Registry Licensing

1
Home Care Agency Home Care Registry
Licensing

• Darlene Augustine, Health Quality Administrator
• Department of Health
• Division of Home Health

2
Home Care Licensure

• Non-Medical Model
• Consumer protections
• Criminal Background Checks
• Child Abuse Clearances
• Competency Requirements
• Health Screenings
• Consumer Rights
• Financial

3
Chapter 51 Requirements

• Written Notification
• 60 days written prior to
• Commencement of a health care service
• Cessation of a health care service
• Immediate Notification (ERS)
• Facility noncompliance -seriously compromises QA
  or patient safety
• Situation or occurrence of event

4
Chapter 51 contd

• Change in Ownership/Management
• 30 day written notice prior to
• Transfer 5or more of stock or equity
• Change of Ownership
• controlling interest
• Facility name change
• Change in management
• Person responsible daily operations

5
Chapter 51 contd

• Identification of personnel
• Picture ID full name, professional designation
• Civil Right Compliance
• Nondiscrimination Policy posted

6
HCA/HCR Applications
7
Initial License

• Sent via mail
• Event reporting letter
• Web address
• Unique log-in information
• Password Agreement
• IDs responsible party for POC
• Upon receipt, issuance of unique log-in, password
  and users manual

8
License Renewal

• Email notice 3 months prior to expiration
• Online completion/submission within 45 days of
  expiration
• Required forms
• Application
• Disclosure of Ownership
• Civil Rights survey
• Written survey (offsite)

9
Licensure Renewals

• April 2011 April 2012
• Total number of On-Site surveys Written
  (on-line) surveys- 1124

10
DOH On-Site Inspections

• Scheduled or unscheduled
• Regular business hours
• Components
• inspection of records,
• interview office staff, consumers and direct care
  workers
• observation of the provision of services to
  consumers

11
Plan of Correction (POC)

• Email notification of deficiencies
• Log onto POC website
• Electronic submission of POC
• Surveyor accepts/rejects
• If rejected, submit revised POC
• Follow up survey (on or offsite)

12
Top 5 HCA/HCR Deficiencies

• Information to be Provided (S0820)
• Prohibitions (S0810)
• Consumer Rights (S0800)
• Hiring or Rostering Prerequisites (S0200)
• Health Screening (S0700)

13
HCA/R Hotline Complaints 4/1/2011 to 4/1/2012

• Total number of hotline complaints 51
• Thirty-two relating to care and services
• Forty-two percent substantiated

14
Helpful Compliance Tips

• Copy of regs onsite/post license
• Prompt, timely responses
• Competency requirement 12/12/11
• 611.51 Direct Care Worker file
• 611.57 Consumer Protection documentation
• Complaint Hotline [phone]

15
Division of Home Health-update

• Regs FAQs posted on website (updated April
  2012)
• www.health.state.pa.us

16
Department of Health web site

• www.health.state.pa.us
• Regulations
• Health Care Facility Act
• Title 28 Pa. Code Chapter 51
• Application package
• FAQs on Act 179 and Act 73

17
Division of Home Health

• Harrisburg Field Office
• 132 Kline Plaza, Suite A      
• Harrisburg, PA  17104
• [phone]
•   
• Montour County State Health Center
• 329 Church Street
• Danville, PA 17821 [phone]
• Scranton State Office Building
• 100 Lackawanna Avenue
• Room 111, Scranton, PA  18503
• [phone]

18
Division of Home Health

• Whitehall Field Office
• 3730 Lehigh Street, Suite 204
• Whitehall, PA  18052
• [phone]
• Norristown Field Office
• 1939 New Hope Street  
•     Norristown, PA  19401
• [phone]
•  Delaware County State Health Center
• 151 West 5th Street
• Chester, PA 19013-4415 [phone]

19
Division of Home Health Offices

• Jackson Center Field Office
• [phone]
• 19 McQuiston Drive
• Jackson Center, PA 16133
• [phone]
• Crawford County State Health Center
• 847 North Main Street
• Meadville, PA  16335
• [phone] 

20
Division of Home Health Offices

• Pittsburgh Field Office
• 11 Stanwix Street, Suite 410
• Pittsburgh, PA 15222
• [phone]
• Mon Valley Health Center (Vacant)
• Eastgate 8
• Monessen, PA 15062
• [phone]
• Home Health Headquarters
• 132 Kline Plaza, Suite A
• Harrisburg, Pa 17104
• [phone]