Home Care Policy Manual - .NET Framework

1 Home Care Policy Manual September 2015 PURPOSE OF THE SASKATCHEWAN MINISTRY OF HEALTH HOME CARE Policy Manual As the Home Care Program is administered and delivered by the Regional Health Authorities and funded by the Saskatchewan Ministry of Health, this Manual is designed to ensure consistency of home care services and home care standards throughout the province. The program expectations in the delivery of home care are addressed in this Saskatchewan Ministry of Health Home Care Policy Manual . This Manual provides direction and guidance to regional health authorities.

2 The policies represent a statement of required course of action. Guidelines, on the other hand, are provided as recommendations to assist in meeting the expectations of policies. Adherence to the policies is one of the conditions under which funding is provided to the Regional Health Authorities by the Minister of Health. It should be noted that this Manual does not address in any detail, requirements which home care programs must meet as established by other legislation. Home Care is an integral part of the continuum of care that includes both community and institutional services necessary to ensure the best possible quality of life for people with varying degrees of short and long-term illness or disability and support needs.

3 An effective continuum of care requires strong community and institutional support sectors so that appropriate services can be accessed when and where they are needed. The Board of each Regional Health Authority is vested with full legal authority and responsibility for the home care program. Though not limited to the following, the board is responsible for the observance of, and compliance with, The Regional Health Services Act and Regulations and provincial Policy pertaining to the delivery of home care. The exception to this is the Athabasca Health Authority, which is responsible for the observance of, and compliance with, the Service Agreement between the Athabasca Health Authority and the Minister of Health and any policies pertaining to the delivery of home care.

4 The Regional Health Authority is accountable: a) through the Minister of Health to the Legislature for the proper expenditure of public funds to provide home care services; b) for planning, administrating and delivering home care services in the region; and c) for adhering to program policies established by the Community Care Branch of the Saskatchewan Ministry of Health. The Saskatchewan Ministry of Health provides global funding to the Regional Health Authorities for the day-to-day delivery of health programs and services, including home care services. The regions have the flexibility to use the global funds to provide a full range of home care services to help people remain healthy and independent.

5 The regions strive to ensure that appropriate care is provided to clients in their regions. However, when considering the delivery of health care services, the Regional Health Authority must take into consideration the needs of the entire region, within available resources. The Saskatchewan Ministry of Health would like to acknowledge the contribution to the Manual by the staff of the Regional Health Authorities. September 2006 (Updated October 2007) (Updated September 2009) (Updated November 2010) (Updated November 2012) (Updated March 2013) (Updated September 2013) (Updated December 2015) Home Care Policy Manual September 2015 Page 1 of 4 1.

6 INTRODUCTION Purpose of Home Care Objectives Philosophy Board Responsibilities 2. CONTINUUM OF CARE Maintaining Continuity of Service 3. CLIENT ACCESS TO SERVICE Coordinated Access Eligibility Criteria Acceptance Criteria Restrictions on Acceptance to the Home Care Program Priorities Accessing Service for Unpredicted Needs after Hours Referrals to Other Agencies if Unable to Meet Needs Non-Acceptance 4. CONSENTS Consents 5. CLIENT RIGHTS AND RESPONSIBILITIES Client Rights Client Abuse Client Responsibilities 6. ASSESSMENT PROCESS Assessment Tool Assessment Requirements Clients Rights Regarding Assessments Assessment and Approval Process Clients Right to Appeal Appeal Process 7.

7 CASE COORDINATION/MANAGEMENT Case Coordination/Management 8. CARE PLAN Development of Care Plans Care Plan Participants Implementation of Service Reassessment/Revision of Care Plans Authority and Requirements for Discharge Re-admission Home Care Policy Manual September 2015 Page 2 of 4 9. CLIENT RECORDS Client Records Documentation Requirements Incident Reports and Investigation Reportable Critical Incident Review Retention of Client Records 10. TYPES OF CARE Types of Care Acute Care Long Term Supportive Care Rehabilitation Maintenance Palliative Care/End of life References 11.

8 HOME CARE SERVICES Home Care Services Primary Home Care Services Assessment Case Management and Care Coordination Nursing Services Homemaking Services Meal Service Additional Home Care Services Home Maintenance Services Volunteer Service Therapy Services 12. SERVICE PROVIDERS Assessor/Case Manager/Care Coordinator Nursing Service Providers Home Care Aide/Continuing Care Assistant Service Providers Meal Service/Restaurant and Institutional Providers Private Meal Service Providers Home Maintenance Service Providers Volunteers Occupational Therapy and Physiotherapy Providers Family Care Providers 13.

9 SPECIAL PROGRAMS Individualized Funding Collective Funding Children with Highly Complex Care Needs Home Care Policy Manual September 2015 Page 3 of 4 14. NURSING PRACTICE Nursing Practice Nursing Procedures by Transfer of Medical Functions Special Nursing Procedures Licensure of Nurses Delegation of Nursing Procedures Evidence-Based Practices and Outcomes 15. HOME CARE CLIENT FEES AND CHARGES Basic Home Care Client Fee Policy Short-term Acute Home Care Calculation of Client Fees for Regional Health Authorities Charges to Temporary Residents Third Party Payers Home Care Nursing Supplies Home Parenteral Medication Program Coverage Programs Covering Drug and Supply Costs Palliative Care Supplies and Charges Benefits/Payment Policy for Saskatchewan Residents Out of Province (OOP) 16.

10 quality MONITORING AND IMPROVEMENT quality Monitoring and Improvement Assessment and Care Coordination Standards Assessment and Care Coordination: Structure Standards Assessment and Care Coordination: Process Standards Assessment and Care Coordination: Outcome Standards Nursing Service Standards Nursing Service: Structure Standards Nursing Service: Process Standards Nursing Service: Outcome Standards Homemaking Service Standards Home Care Aide/Continuing Care Assistant: Structure Standards Home Care Aide/Continuing Care Assistant: Process Standards Home Care Aide/Continuing Care Assistant: Outcome Standards Meal Service Standards Meal Service: Structure Standards Meal Service: Process Standards Meal Service: Outcome Standards Home Maintenance Service Standards Home Maintenance Service: Structure Standards Home Maintenance Service: Process Standards Home Maintenance Service: Outcome Standards Home Care Policy Manual September 2015 Page 4 of 4 Volunteer Service Standards Volunteer Service Standards: Structure Standards Volunteer Service Standards.