Home Care Agency Home Care Registry Licensing

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

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Home Care Licensure

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

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

Chapter 51 cont’d

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

Chapter 51 cont’d

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

HCA/HCR Applications

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 user’s manual

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)

Licensure Renewals

 April 2011 – April 2012  Total number of On-Site surveys & Written (on line) surveys- 1124

DOH On-Site Inspections

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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

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)

Top 5 HCA/HCR Deficiencies

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

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

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 1-866-826-3644

Division of Home Health-update

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

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

Division of Home Health

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Harrisburg Field Office

132 Kline Plaza, Suite A Harrisburg, PA 17104 (717) 783-1379 

Montour County State Health Center

329 Church Street Danville, PA 17821 (570) 849-2144 

Scranton State Office Building

100 Lackawanna Avenue Room 111, Scranton, PA 18503 (570) 963-4212

Division of Home Health

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Whitehall Field Office

3730 Lehigh Street, Suite 204 Whitehall, PA 18052 (610) 821-6381 

Norristown Field Office

1939 New Hope Street Norristown, PA 19401 (610) 270-1707 

Delaware County State Health Center

151 West 5th Street Chester, PA 19013-4415 (610) 619-3490

Division of Home Health Offices Jackson Center Field Office

(724) 684-2941 19 McQuiston Drive Jackson Center, PA 16133 (724) 662-6050

Crawford County State Health Center

847 North Main Street Meadville, PA 16335 (814) 336-1163

Division of Home Health Offices Pittsburgh Field Office

11 Stanwix Street, Suite 410 Pittsburgh, PA 15222 (412) 770-3991

Mon Valley Health Center (Vacant)

Eastgate 8 Monessen, PA 15062 (724) 684-2941

Home Health Headquarters

132 Kline Plaza, Suite A Harrisburg, Pa 17104 (717) 783-1379