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

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

3. Home Care Licensure Non-Medical Model Consumer protections  Criminal Background Checks  Child Abuse Clearances  Competency Requirements  Health Screenings  Consumer Rights  Financial

4. 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

5. 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

6. Chapter 51 cont’d Identification of personnel  Picture ID – full name, professional designation Civil Right Compliance Nondiscrimination Policy – posted

7. HCA/HCR Applications

8. 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

9. 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)

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

11. 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

12. 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

13. 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

14. 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

15. 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)

16. 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

17. 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)

18. Top 5 HCA/HCR Deficiencies Information to be Provided (S0820) Consumer Rights (S0800) Health Screening (S0700) Competency Requirements (S0620) Prohibition (S0340)

19. HCA/R Hotline

20. Complaints 4/1/10 - 3/31/11 Total HCA/HCRs – 1111 41 Facilities with complaints  46 onsite investigations 11 substantiated 35 unsubstantiated % substantiated - 24%

21. Helpful ComplianceTips 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

22. BCPLC Plans Regs FAQs – posted on website (updated May 2011)  www.health.state.pa.us July 2011 – staff review of 1 st wave of onsite surveys

23. 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

24. 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

25. 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

26. 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 Mon Valley Health Center Eastgate 8, Monessen, PA 15062

27. Division of Home Health Pittsburgh Field Office 11 Stanwix Street, Suite 410 Pittsburgh, PA 15222 (412) 770-3991 Home Health Headquarters 132 Kline Plaza, Suite A Harrisburg, Pa 17104 (717) 783-1379