Page 66 - Business Development Orientation Binder

Applies to: VNSNY Certified Home Health Agency
Service: VNSNY Certified Home Health Agency
Policy Section: Provider Services Administration
Number: CP.130
Page 2 of 6
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Representative means the patient’s legal representative, such as a guardian,
who makes health-care decisions on the patient’s behalf, or a patient-selected
representative who participates in making decisions related to the patient’s care
or well-being, including but not limited to, a family member or an advocate for the
patient. The patient determines the role of the representative, to the extent
possible.

Self-directing patient means an individual who is capable of making choices
about his/her clinical care and activities of daily living, understanding the impact
of the choice and assuming responsibility for the results of the choice, or has
informal supports willing and able to provide advice and/or direction on behalf of
the patient, if needed, in accordance with State law.

POLICY STATEMENTS:
1. Patients will be accepted for care without discrimination based on race, color,
creed, sex, age, sexual orientation, disability (mental or physical), disease,
service need intensity and place of national origin, place of residence in the
service area or source of payment.

2. Admission of a patient to VNSNY Home Care takes place after an initial home
visit is made, during which a comprehensive assessment is performed which
indicates that the patient's health and supportive needs can be met safely and
adequately at home and that the patient's condition requires the services of
the agency.

3. The initial patient visit shall be made within 24 hours of receipt and
acceptance of a community referral or return home from institutional
placement unless:
a. The patient’s authorized practitioner orders otherwise
b. There is written documentation that the patient or family refuses the
visit or requests a different start date and physician notification is
documented
c. Patient not found. See Policy: Missed Visits.

4. An individualized plan of care is developed based on comprehensive
assessment in partnership with the patient, caregiver(s), and/or patient
representative, if any, and identifies patient and specific measurable
outcomes and goals.

Approved: SVP, Patient Care Services; Professional Advisory Committee
Revised/Reviewed: 5/2016, 3/2017, 12/2017, 12/2018