Page 97 - CHHA Binder 2.3.20

4/11/2019

VNSNY Admission Criteria

 The Agency has properly trained,
 Patient resides in one of the 5
boroughs, Nassau, Suffolk, and adequately experienced staff available to
Westchester provide the types and/or level of care
 Patient requires the skill of required by the patient.
professional services, e.g., nursing  Patient/family has a reasonable plan in
and/or rehab therapy in accordance place to assure that essential needs of
with applicable payer guidelines. the patient can be met in an emergency
situation, or in absence of Agency
 Patient is under the care of a physician personnel.
who is willing to develop, approve and
regularly review the medical treatment  Patient/family agrees to be considerate of
plan. those providing care without prejudice or
 The initial patient visit shall be made discrimination.
within 24 hours of receipt of receipt.  The home/environment is safe for the
Agency personnel during the time that
 Patient/family provides VNSNY Home they are providing needed services.
Care with patient’s health insurance
information.  There is a reasonable expectation that the
 Patient/family is notified that they must patient can be cared for at home
adequately and safely based upon the
pay the deductibles, co-pays and co- intake assessment.
insurance as required by patient’s
health insurance.  Medicare patients must meet
HOMEBOUND criteria.
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VNSNY Discharge Criteria

Patients should be discharged from home health services when:

 Physician orders patient to be discharged
 Patient discontinues/refuses service with physician or nurse
 Patient is not compliant with the treatment plan, despite appropriate
provider interventions
 Patient/family requests discharge
 The treatment objectives and stated functional outcome goals have
been attained or are no longer attainable
 The patient is no longer homebound
 Other appropriate discharge protocols, e.g., the patient moves or is
transferring to another agency, etc.
 Upon discharge, establish a maintenance program, if appropriate.

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