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의료기관 컴플라이언스 13개 항목

Home Health Agency Conditions of Participation Audit

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Survey-readiness checklist for home health agencies covering patient rights, comprehensive assessment, plan of care, and QAPI under 42 CFR 484.

CMS 42 CFR 484SOM Appendix BOASIS

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Patient Rights & Admission

  • Is each patient provided written notice of their rights before care is initiated? *
  • Is the patient informed of the plan of care, expected outcomes, and any changes in advance? *
  • Is a process in place to investigate complaints and communicate resolution to the patient? *

Comprehensive Assessment

  • Is a comprehensive assessment completed within 5 days after the start of care? *
  • Does the assessment incorporate the OASIS data set for applicable patients? *
  • Is the comprehensive assessment updated at required intervals and upon significant change? *
  • Is a drug regimen review performed to identify potential adverse effects and interactions? *

Plan of Care & Coordination

  • Is an individualized plan of care established and reviewed by the physician/allowed practitioner? *
  • Are verbal orders documented, dated, and signed by the physician per policy? *
  • Is care coordinated among all disciplines with communication of changes in the patient's condition? *

QAPI & Personnel

  • Does the agency operate a data-driven QAPI program measuring and improving outcomes? *
  • Are home health aides competency-evaluated and supervised at the required frequency? *
  • Are clinical records maintained and retained for the required period with safeguards for confidentiality? *

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