Home Care Agency Home Care Registry Licensing Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health

Background Act 69 of 2006 Amended the Health Care Facility Act Chapter 51 applicable Regulations effective 12/12/09

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 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 December 2010 – April 2011  On-Site surveys – 158  Written (on-line) surveys - 146

Pre- Survey Prep Review application package Verify info consistent with prior app  Owners, address Review prior survey Review complaints Verify submitted Password agreement Check ERS for event reporting

DOH On-Site Inspections Scheduled or unscheduled Complaints – always unscheduled Regular business hours Components:  inspection of records,  interview office staff, consumers and direct care workers  observation of the provision of services to consumers

On-Site - Information Requested Changes since last survey Copy of Chapter 611 Awareness of Chapter 51 requirements List of owners, office staff, direct care workers w dates of hire (Since last approval) DCW/office staff files (min.10, max 20) Provisional hires? Process

On-Site Information Requested Prohibited offenses (copy or access) List of consumers served in last 12 months Consumer files (min 10, max 20) Phone interviews – 5 consumers Admission packet given to consumer

Plan of Correction (POC) 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)

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

Plan of Correction (POC) 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) Consumer Rights (S0800) Health Screening (S0700) Competency Requirements (S0620) Prohibition (S0340)

HCA/R Hotline

Complaints 4/1/10 - 3/31/11 Total HCA/HCRs – Facilities with complaints  46 onsite investigations 11 substantiated 35 unsubstantiated % substantiated - 24%

Helpful ComplianceTips Copy of regs onsite/post license Prompt, timely responses Competency requirement – 12/12/ Direct Care Worker file Consumer Protection documentation Complaint Hotline

BCPLC Plans Regs FAQs – posted on website (updated May 2011)  July 2011 – staff review of 1 st wave of onsite surveys

Department of Health web site  Regulations  Health Care Facility Act  Title 28 Pa. Code Chapter 51  Application package  FAQs on Act 179 and Act 73

Division of Home Health Harrisburg Field Office 132 Kline Plaza, Suite A Harrisburg, PA (717) Montour County State Health Center 329 Church Street Danville, PA (570) Scranton State Office Building 100 Lackawanna Avenue Room 111, Scranton, PA (570)

Whitehall Field Office 3730 Lehigh Street, Suite 204 Whitehall, PA (610) Norristown Field Office 1939 New Hope Street Norristown, PA (610) Delaware County State Health Center 151 West 5th Street Chester, PA (610) Division of Home Health

Jackson Center Field Office (724) McQuiston Drive Jackson Center, PA (724) Crawford County State Health Center 847 North Main Street Meadville, PA (814) Mon Valley Health Center Eastgate 8, Monessen, PA 15062

Division of Home Health Pittsburgh Field Office 11 Stanwix Street, Suite 410 Pittsburgh, PA (412) Home Health Headquarters 132 Kline Plaza, Suite A Harrisburg, Pa (717)