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 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

5. Chapter 51 cont’d 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 user’s 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 1-866-826-3644

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 (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

18. 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

19. 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

20. 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