Outcome Based Quality Improvement Plan Patient Admission Packet  
 
 

Admitting patients is stressful for everyone involved. Patients need to be provided detailed personal, health and insurance information, and you must track everything while meeting HIPPA requirements. Your quality of care depends on making the admission process as fast and accurate as possible.

Our goal in developing the Patient Admission Packet was not only to save you time and money but also to make your admission process more efficient for both the nurse and patient.  We pay very close attention to the state required procedures and patient requirements.

Every Admission Packet is custom-designed for your agency.

Benefits: After using the Admission Packet, you’ll discover

  • A reduction in the cost of patient admission.
  • A reduction in admission time. The book works like a script for your admission nurse.
  • Compliance with federal, state, CHAP, ACHC, and JCAHO requirements in an easy-to-use format.
  • A happier patient who understands the home health care process and isn’t stressed from signing page after page of confusing forms.

The admission packet includes the following.

  • Patient Admission Packet             (Click here)

 

  • Admission forms                              (Click here)

 

  • Advanced directives                        (Click here)

 

  • Admission Packet Labels

 

 

They are provided in hard copy as well as electronic form.

 
 
Patient Information Booklet
 
 

Service Outline

Non – Discrimination Policy

Patient Rights and Responsibilities / English

Patient Rights and Responsibilities / Spanish

Human Resources Code Sec. 102.003.

Rights of the Elderly Sec. 102.004.

List of Rights Sec. 102.005.

Rights Cumulative

Patient Client Grievance

Abuse, Neglect and Exploitation Policy

Home Health Aid Responsibilities

Preventing Infections at Home

Taking of Medications

Safety Tips

Fire Biomedical Waste

Disposal Home Procedure Client

Instructions in the Event of an Emergency

Community Resources

Hurricane Evacuation Kit

Home Health Aid Advanced Beneficiary Notice (OASIS)

Home Health Agency Outcome and Assessment Information Set / English (OASIS)

Home Health Agency Outcome and Assessment Information Set / Spanish

Privacy Act Statement of Health Care Records

Notice about Privacy / English

Notice about Privacy / Spanish

 
 
 
 
     
 
Patient Admission Forms
 
 

Referral Intake Form

Directions to Patients Home

Patients Emergency Contact Information Form

Consent for treatment and Financial information Form

Authorization, Agreement and Acknowledgments Form

Homebound Determination Questioner

Home Safety Assessment

Skilled Nurses Note

Patient Visit Record

Communication of Care/ Progress notes

Vital signs

Home Health Aide Plan of Care

Home Health Aide Notes

Client Satisfaction Survey

Post Admission Survey 485

 
 
 
 
     
 
Advanced Directives
 
 
         STATE SPECIFIC (meeting all requirements)