Volume 2024 | No. 2
SURVEYOR
HOME CARE
SECTION 4: HUMAN RESOURCE MANAGEMENT
HC4-6A
Overview of the requirement:
A Competency Assessment Program is designed and implemented for the care/ service provided by all direct care personnel.. Compliance is assessed through review of policies and procedures, patient records, personnel files, and competency assessments, as well as response to interviews. Most deficiencies were cited because the competencies were not conducted correctly, as well as for incomplete documentation in personnel files.
Comment on deficiencies:
HOME CARE SERVICES AND DISTINCTIONS Services Home Care Aide Home Care Companion Home Care Nursing Home Care Occupational Therapy Home Care Physical Therapy Home Care Social Services Home Care Speech Therapy
Frequency of citation:
18%
Examples of surveyor findings:
n Personnel records did not have evidence of a completed competency assessment: At orientation and annually t hat is specific to the job description. Performed by like disciplines. (The RN performed the PT and PTA competency.) n Competency/training of aides is not performed by or under the general supervision of a registered nurse. n Policies and procedures did not address required elements of the standard. How direct care personnel are assessed for competency. All competency assessments and training are documented. A plan is place for addressing performance and education of personnel when they do not meet competency requirements. Employee was hired/assigned and oriented to the incorrect job role of HCA and checked off on the incorrect skills n Personnel records should contain documentation of competency assessments specific to the job description. n Ensure that competency/training of aides is performed by the appropriate personnel. n Educate staff on the competency process and conduct interviews to ensure compliance.
Distinctions Palliative Care Telehealth
FREQUENT DEFICIENCIES FROM HOME CARE SURVEYS 60%
Tips for compliance:
50%
40%
30%
20%
Develop policies and procedures that incorporate all required elements, including that competency assessments must be conducted initially during orientation and annually.
10%
0%
HC4-6A
HC4-7A
HC5-3F
HC5-3K
HC5-3L
Human Resource Management
Provision of Care and Record Management
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