Ariz. Admin. Code § R9-10-1210 - Home Health Services
A. An administrator
shall ensure that an individual admitted to the home health agency has an order
from a physician, registered nurse practitioner, physician assistant, or
podiatrist for home health services.
B. An administrator shall ensure that the
home health services director provides direction for home health services
provided by or through the home health agency.
C. A home health services director shall
ensure that nursing services are provided by a registered nurse or practical
nurse, according to policies and procedures.
D. A home health services director shall
ensure that a registered nurse:
1. Unless a
patient's physician, physician assistant, or registered nurse practitioner
orders only speech therapy, occupational therapy, or physical therapy for the
patient, within 48 hours after the patient begins receiving home health
services provided by or through the home health agency, conducts and document
an initial assessment of the patient to determine:
a. The needs of the patient;
b. Resources available to address the
patient's needs;
c. The patient's
home and family environment;
d.
Goals for patient care;
e.
Medications used by the patient, including non-compliance, drug interactions,
side effects, and contraindications; and
f. Medical supplies or equipment needed by
the patient;
2. Reviews
a patient's health care directives at the time of the initial
assessment;
3. Implements a
patient's care plan, developed as specified in
R9-10-1207;
4. Coordinates patient care with other
individuals providing home health services or other services to the
patient;
5. Immediately informs the
patient's physician or registered nurse practitioner of a change in a patient's
condition that requires medical services; and
6. At least every 60 calendar days until a
patient is discharged:
a. Reassesses the
patient based on the patient's care plan, needs, and medical condition;
and
b. Summarizes the patient's
condition and needs for the patient's physician, registered nurse practitioner,
or podiatrist, as applicable.
E. A home health services director shall
ensure that:
1. A patient's condition and the
services provided to the patient are documented in the patient's medical record
after each patient contact; and
2.
Verbal orders from a patient's physician, registered nurse practitioner, or
podiatrist, as applicable, are:
a. Except as
specified in subsection (F)(2)(d), received by a registered nurse and
documented by the registered nurse in the patient's medical record;
and
b. Authenticated by the
patient's physician, registered nurse practitioner, or podiatrist, as
applicable, with a signature, within 30 calendar days.
F. A home health services director
shall ensure that:
1. A registered nurse:
a. Except as specified in subsection
(F)(2)(b)(i) and (ii):
i. Assigns tasks in
writing to a home health aide or licensed health aide who is providing home
health services to a patient; and
ii. Verifies the competency of the home
health aide or licensed health aide in performing assigned tasks;
b. Except as specified in
subsection (F)(2)(b)(iii), provides direction for the home health aide or
licensed health aide services provided to a patient; and
c. Except as specified in subsection
(F)(2)(e)(ii), meets with a patient who is receiving home health aide or
licensed health aide services to assess the home health services provided by
the home health aide or licensed health aide:
i. At least every two weeks when the patient
is also receiving nursing services or therapy services, and
ii. At least every 60 calendar days when the
patient is only receiving home health aide or licensed health aide
services;
2.
When a patient's physician or registered nurse practitioner orders speech
therapy, occupational therapy, or physical therapy for the patient, an
individual specified in
R9-10-1203(C)(6)(a),
(c), or (d), as applicable:
a. Provides the applicable therapy service to
the patient according to the patient's care plan;
b. If a home health aide or licensed health
aide is assigned to assist the patient in performing activities related to the
therapy service:
i. Assigns tasks in writing
to the home health aide or licensed health aide who is assisting the
patient;
ii. Verifies the
competency of the home health aide or licensed health aide in performing
assigned tasks; and
iii. Provides
direction to the home health aide or licensed health aide in performing the
assigned tasks related to the therapy service;
c. Coordinates the provision of the therapy
service to the patient with the registered nurse providing direction for other
home health services for the patient;
d. Documents in the patient's medical record
any orders by the patient's physician or registered nurse practitioner received
concerning the therapy service; and
e. If the only home health services ordered
for the patient are speech therapy, occupational therapy, or physical therapy:
i. Within 48 hours after the patient begins
receiving home health services provided by or through the home health agency,
conducts an initial assessment of the patient as specified in subsections
(D)(1)(a) through (f); and
ii.
Meets with a patient who is receiving home health services from a home health
aide or licensed health aide every two weeks to assess the home health services
provided by the home health aide; and
3. A home health aide:
a. Is only assigned to provide services the
home health aide can competently perform; and
b. Only performs tasks assigned to the home
health aide in writing by a registered nurse or as specified in subsection
(F)(2)(b)(i).
4. A
licensed health aide:
a. Is only licensed to
provide services the licensed health aide can competently perform,
and
b. Only performs tasks assigned
to the licensed health aide in writing by a registered nurse and as specified
under A.R.S. § 321601(14).
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.