Page 68 - 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 4 of 6
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12. There is a reasonable expectation 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.

To determine whether a patient can be cared for safely in the home, the patient
must meet at least one of the following criteria:
a. Is self-directing; is able to call for help; can be left alone OR
b. Has an informal supports or other community supports who lives near
(within one hour travel) and is willing and able to provide care and
support for the patient in addition to services being provided by the
agency and agrees to enter into a mutual caregiver agreement with
VNSNY Home Care,

Conditions under which the agency is not required to admit or readmit a
patient:

1. When a patient does not meet the admission criteria.
2. When conditions are known to exist in or around the home that would
imminently threaten the safety of personnel, including but not limited to:
a. Actual or likely physical assault which the individual threatening such
assault has the ability to carry out,
b. Presence of weapons, criminal activity or contraband material which
creates in personnel a reasonable concern for personal safety, or
c. Continuing severe verbal threats which the individual making the threats
has the ability to carry out and which create in personnel a reasonable
concern for personal safety.
3. When the agency has valid reason to believe that agency personnel will be
subjected to continuing and severe verbal abuse, which will jeopardize the
agency’s ability to secure sufficient personnel resources or to provide care
that meets the needs of the patient.
4. When a patient based on previous experience with the delivery of care from
the agency, is known to repeatedly refuse to comply with a plan of care or
others interfere with the patient’s ability to comply with a plan of care agreed
upon, as appropriate by: the patient, the patient’s family, any legally
designated patient representative, the patient’s physician, agency personnel
and /or case management entity, and such non-compliance will:
a. Lead to an immediate deterioration in the patient’s condition serious
enough so that home care will no longer be safe and appropriate, or
b. Make the attainment of reasonable therapeutic goals impossible

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