Fla. Admin. Code Ann. R. 59A-8.002 - Definitions
(1) "Accrediting organization" means the
Community Health Accreditation Partner, The Joint Commission, or Accreditation
Commission for Health Care.
(2)
"AHCA" means Agency for Health Care Administration.
(3) "Assistance with activities of daily
living" means a certified nursing assistant or a home health aide provides to
the patient individual assistance with activities of daily living, including
the following:
(a) Ambulation. Providing
physical support to enable the patient to move about within or outside of the
patient's place of residence. Physical support includes holding the patient's
hand, elbow, under the arm, or holding on to a support belt worn by the patient
to assist in providing stability or direction while the patient
ambulates.
(b) Bathing. Helping the
patient in and out of the bathtub or shower being available while the patient
is bathing. Can also include washing and drying the patient.
(c) Dressing. Helping patients, who require
assistance in dressing themselves, put on and remove clothing.
(d) Eating. Helping with feeding patients who
require assistance in feeding themselves.
(e) Personal hygiene. Helping the patient
with shaving. Assisting with oral, hair, skin and nail care.
(f) Toileting. Reminding the patient about
using the toilet, assisting him to the bathroom, helping to undress,
positioning on the commode, and helping with related personal hygiene,
including assistance with changing of an adult brief. Also includes assisting
with positioning the patient on the bedpan, and helping with related personal
hygiene.
(g) Assistance with
physical transfer. Providing verbal and physical cueing, physical assistance,
or both while the patient moves from one position to another, for example
between the following: a bed, chair, wheelchair, commode, bathtub or shower, or
a standing position. Transfer can also include use of a mechanical lift, if a
home health aide is trained in its use.
(h) Assistance with self-administered
medication, as defined in subsection
59A-8.0095(5),
F.A.C.
(4) "Caregiver"
means a person who has been entrusted with or has assumed the responsibility
for frequent and regular care of or services to a disabled adult or an elderly
person on a temporary or permanent basis and who has a commitment, agreement,
or understanding with that person or that person's guardian that a caregiver
role exists. Caregivers include, for example, relatives, household members,
guardians, friends, neighbors, and employees and volunteers of
facilities.
(5) "Case management"
means the initial assessment of the patient and caregiver for appropriateness
of and acceptance for home health services; establishment and periodic review
of a plan of care; implementation of medical treatment when ordered; referral,
follow-up, provision of, evaluation of and supervision of care; coordination of
services given by other health care providers; and documentation of all
activities and findings.
(6)
"Dietetics and nutrition practice" means assessing nutrition needs and status
using appropriate data; recommending dietary regimens, nutrition support, and
nutrient intake; improving the patient's health status through nutrition
counseling and education.
(7)
"Dietitian/Nutritionist" means a person licensed to engage in dietetics and
nutrition practice pursuant to Chapter 468, F.S.
(8) "Drop-off site" means any location in any
county within the geographic service area of the main office, pursuant to
subsection 59A-8.003(7),
F.A.C.
(9) "Emergency Management
Plan" means a comprehensive plan developed by the home health agency describing
how the agency will prepare for and respond in an emergency, pursuant to Rule
59A-8.027, F.A.C.
(10) "Employee leasing company" means a
company licensed and regulated under Chapter 468, Part XI, F.S. An employee
leased to a home health agency by an employee leasing company shall be deemed
to be an employee of the home health agency for licensure purposes pursuant to
Section 468.534, F.S.
(11) "Full-time equivalent" means when an
employee works between 37 to 40 hours per week.
(12) "Geographic service area" means one or
more counties within a health service planning district defined in Section
408.032(5),
F.S., as specified on the license, in which the home health agency may send its
personnel to provide home health services to patients in their places of
residence.
(13) "Home infusion
therapy services" means teaching, assessment, evaluation and clinical services
related to the administration of intravenous substances provided by a
professional licensed under Chapter 464, 458 or 459, F.S.
(14) "Main office" means the primary office
established in the county which houses all components of the home health agency
including the administration, fiscal management, service provision and
supplies.
(15) "Nursing care" means
treatment of the patient's illness or injury by a registered nurse or a
licensed practical nurse that is ordered as required in Section
400.487(2),
F.S. and included in the plan of care.
(16) "Nutrition assessment" means the
evaluation of the nutrition needs of the patient using appropriate data to
determine nutrient needs or status and make nutrition recommendations for the
patient.
(17) "Nutrition counseling"
means advising and assisting the patient on appropriate nutrition intake by
integrating information from the nutrition assessment.
(18) "Occupational therapist" means a person
licensed to practice occupational therapy pursuant to Chapter 468,
F.S.
(19) "Occupational therapy
assistant" means a person licensed to assist in the practice of occupational
therapy pursuant to Chapter 468, F.S.
(20) "Patient" means an individual who
receives home health services in one's place of residence.
(21) "Plan of Care" means a coordinated plan,
which includes the treatment orders, prepared by the case manager in
collaboration with each professional discipline providing service to the
patient and caregiver.
(22)
"Physical therapist" means a person licensed to practice physical therapy
pursuant to Chapter 486, F.S.
(23)
"Physical therapy assistant" means a person licensed to assist in the practice
of physical therapy pursuant to Chapter 486, F.S.
(24) "Physician" means a doctor of medicine,
osteopathy, podiatry, or chiropractic legally authorized to practice in the
state pursuant to Chapter 458, 459, 460 or 461, F.S. Physicians working in
Veterans Administration hospitals and clinics are exempt from state licensure
according to Chapter 458, F.S.
(25)
"Quality assurance plan" means a plan which is developed and implemented by a
home health agency to review and evaluate the effectiveness and appropriateness
of service provision to patients and, upon identification of problems, requires
specific action to correct the problems and deficiencies.
(26) "Respiratory therapist" means a person
licensed to practice respiratory therapy pursuant to Chapter 468,
F.S.
(27) "Satellite office" means a
related office established in the same geographic service area as the main
office, pursuant to subsection
59A-8.003(5),
F.A.C.
(28) "Social Worker" means a
person who has a degree in social work and who works with patients and families
to help them adjust to the social and emotional factors related to the
patient's health problems.
(29)
"Special needs patients" pursuant to Section
252.355, F.S., means those
persons who have physical or mental conditions that require limited medical and
nursing oversight during emergency evacuations. They are medically dependent
individuals who are not acutely ill.
(30) "Special needs registry" pursuant to
Section 252.355, F.S., means a registry
maintained by the local emergency management agency of persons who need
assistance during evacuations and sheltering because of physical or mental
handicaps.
(31) "Speech pathologist"
means a person licensed to practice speech pathology or audiology pursuant to
Chapter 468, F.S.
(32) "Treatment
orders" means written orders signed by a physician, physician assistant, or
advanced practice registered nurse, acting within his or her respective scope
of practice, which authorizes the provision of care or treatment to a patient
in his place of residence by registered nurses, licensed practical nurses,
physical therapists, occupational therapists, speech therapists, or
dietitians/nutritionists.
Notes
Rulemaking Authority 400.497 FS. Law Implemented 400.462, 400.487 FS.
New 4-19-76, Formerly 10D-68.02, Amended 4-30-86, 8-10-88, 5-30-90, 5-27-92, Formerly 10D-68.002, Amended 4-27-93, 10-27-94, 1-17-00, 7-18-01, 9-22-05, 8-15-06, 3-29-07, 7-11-13, 7-27-16, 1-5-21.
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