Safe Patient Handling in Home Health

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Safe Patient Handling in Home Health

• The Office Of Quality Assurances Role
• April 20, 2007

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Office Of Quality Assurance
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OQAs Role

• Survey for Federal Conditions of Participation 42
  CFR 484 Home Health Conditions of Participation
  (COP).
• Condition Level requirements.
• Standard Level requirements.

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OQAs Role (Continued)

• Survey for State Laws/Rules for HHAs
• Wisconsin Statute, 50.49 (Uniform
  Licensure-Licensing and Regulation of Home Health
  Agencies).
• Wisconsin Administrative Code
• HFS 133-HHAs
• HFS 101 to 108 Wisconsin Medicaid certification
  and covered services.

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Home Visits

• Surveyors choose a sample of patients. seen the
  week of survey.
• Phone permission for home visit.
• Consent to visit form.
• Observation of care.
• Interview patient and/or family.
• Review current medications.
• Review home folder for necessary papers.

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Home Visits (Continued)

• Observe various transfers
• Needed equipment
• Showers vs. baths
• Assessment by the nurse
• Coordination between disciplines
• Coordination with the physician

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Regulations Related to Safety

• Patient Rights
• Plan of Care
• Skilled Nursing
• Home Health Aide
• Physical Therapy

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Maintain Safety

• Staff properly trained to use equipment
• Adequate staff required for use
• Appropriate size for client
• Use of equipment according to manufacture
• Proper working order

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Links to Regulation and OQA

• http//www.legis.state.wi.us/rsb/code/hfs/hfs/110.
  html HFS 133
• http//www.access.gpo.gov/nara/cfr/
• cfr-table-search.html 42 CFR 484
• http//dhfs.wisconsin.gov/rl_DSL/HHAs/HHAintro.htm
  OQA Home Health Web address.

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Summary

• OQAs role is to promote patient safety through
  the regulatory process.
• Certification and Licensure surveys.
• Complaint Investigations.
• Participation in Educational Forums.

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Questions