Accrediting Agencies
Home Health CareAdriana Benson, Annette Cavazos, Angelica Ortiz,
Tonya WilliamsGroup 1
IntroductionTypes of Care:Long term care Short term careAcute
care and hospital patientsCaregivers/Staff:CNAs, RNs, LVNs,
Medication AidesAdministrators, Social Workers, Physical
Therapists, Occupational Therapists, Speech TherapistsThree Medical
Directors and 50+ Medical Doctors
Health Record FormatHealth Records are filed in chronological
orderAdmission records in biographical orderFormats: Integrated
Problem OrientedSource OrientedMost home health care organizations
are hybridized2015: Providers without meaningful use of EHR will
have reduced reimbursement2017: Reductions will reach 97% of the
fee scheduleBriarcliff: Paper based EHRIntegrated health record
formatStrict, chronological order Mixed forms from different
departments
Documentation & Accuracy GuidelinesData quality is evaluated
by the following
characteristics:QuantitativeQualitativeLegalSafeguarding:
Caregivers must sign and initial all the documentsNational and
state agencies have documentation mandatesMedicare requires
Conditions of ParticipationFacilities can implement additional
policiesDocumentation begins with nurses and ends with HIT
departmentPatient records must be created within the first 24
hoursPatient records are updated on a regular basis (weekly &
monthly)Errors are documented and reported to the director of
nurses
Health and Record Flow and ProcessingConcerns about
confidentiality Proper security measuresUnique username with
activity trackingEHR users are assigned minimum accessProtection:
server firewalls and anti-virus software Secured off-site
backupsPasswords expire every 90-120 daysLog in attempts are
monitored for auditingBriarcliff patients are protected by
HIPAA
PHRs, PIN, & Patient EngagementPHRs:An electronic
application used by patients to manage their health information
PHRs are controlled by the patient or a family memberPIN:Gives
patients limited access to their EHRReceived from the health care
organizationRegistered online by the patient Patient Portal:Allow
patients to view test results Help the patient or family members
stay informedBriarcliff:Sends patients request form to Legal
DepartmentAfter approval, patient is provided with copies of their
medical record
AccreditationAccrediting Agencies for Home Health Care
facilities:Joint CommissionComprehensive Accreditation Manual for
Home CareVary by stateBriarcliff:Comprehensive Accreditation Manual
for Home CareNo other accreditationsNearby Locations with Joint
Commission:Cleveland Health Care, LLCDulce Esperanza Home Health
Care, LLC
AccreditationLocal, State, and Federal Input:Briarcliff follows
state regulationsStaff must be state certified and CPR
certifiedState nursing licenses required by RNs, LVNs, and
CNAsAdditional licensure depends on the level of skilled care: -
Assisted Living- Independent Living Facility - Life Care Centers-
Nursing Facility - Residential- Swing BedsRequired Memberships:No
required membership
ReferencesAbdelhak, M. (2012). Health information: Management of
a strategic resource (4th ed.). St. Louis, MO: Elsevier Saunders.
Clark, J. (2004, January 1). Documentation for Acute Care.
Retrieved February 27, 2015.Dimick, C. (2009, April 29). Defining
Meaningful Use in ARRA. Retrieved February 27, 2015.Gjevjon, E. R.,
& Helles, R. (2010). The quality of home care nurses
documentation in new electronic patient records. Journal Of
Clinical Nursing, 19(1/2), 100-108. Kern, L. M., Edwards, A., &
Kaushal, R. (2014). The Patient-Centered Medical Home, Electronic
Health Records, and Quality of Care. Annals Of Internal Medicine,
160(11), 741-749.Resnick, H. E., & Alwan, M. (2010). Use of
health information technology in home health and hospice agencies:
United States, 2007. Journal Of The American Medical Informatics
Association, 17(4), 389-395. Wells, S., Park, A., Dunn, M., &
Bates, D. (2014). Organizational strategies for promoting patient
and provider uptake of personal health records.Journal of the
American Medical Informatics Association,22(1).Quality Check -
Consumer Search. (n.d.). Retrieved March 2, 2015, from
http://www.qualitycheck.org/consumer/searchResults.aspx?zip=78501&Select1=2&dist=2&careId=59&careIdtracker=59
Briarcliff Nursing and Rehabilitation Center. 3201 N. Ware Rd.
McAllen TX, 78501
