Patient Rights

Patient Rights

REVIEW OF THE FEDERAL REGULATIONS

CFR 484.10 PATIENT RIGHTS

QUESTIONS

1. How does the Agency demonstrate it has informed the patient of their rights when the patient is cognitively impaired?

2. The Agency must inform the patient of his or her rights. The Agency does not have to protect and promote the exercise of these rights. T or F

3. If in a particular situation the Agency determines that the patient despite the Agency’s best efforts, is unable to understand these rights, a notation describing the circumstances should be placed in the patient’s clinical record. T or F

4. It is not necessary to document the patient’s diagnosis, general state of physical or mental health, and/or other recorded clinical information, environmental information or observations to support why the patient is unable to understand his/her rights. T or F

5. Does the Patient’s Rights document need to be provided to the patient in writing? Y or N

6. When is the Agency supposed to inform the patients of their “rights”

7. Where does “At Home Health Services, LLC maintain documentation attesting to compliance with CFR 484.10 (a) (1)?

8. Can the family exercise the patient’s rights for the patient if the patient is impaired? Yes No

9. The Hha has provided the patient a sponge bath in the bathroom. The Hha leaves the dirty towels, bath equipment, dirty clothes scattered all over the bathroom. What patient right has the Hha violated?

10. How does the Agency receive, record, investigate, and resolve patient grievances and complaints?

11. What patient right addresses question # 10?

12. Who is the individual at the Agency “ultimately” accountable for receiving and resolving any patient concerns or problems that cannot be resolved at the staff level?

13. The patient does not have to be informed of the visit frequency of the services he/she will be receiving. T or F

14. The Agency must advise the patient in advance of any change in the plan of care before the change is made. T or F

a. If the answer is true where is this documented in the clinical record?

15. It is a legal requirement to provide written information regarding Advance Directives. T or F

16. The Agency has policies regarding Advance Directives. The Agency does not have to provide a copy of their policy on Advance Directives to the patient. T or F

17. The plan of care is developed by the MD and the RN. T or F

18. What questions will the surveyors ask the patients on home visits regarding their participation in the development of the plan of care?

19. The MD writes an order mid-episode decreasing the visit frequency of the Hha visits for the patient. When should the patient be informed of the change in visit frequency?

20. What documentation in the clinical record indicates that the Agency informed the patient of the Agency’s policies and procedures concerning clinical record disclosure?

21. It is acceptable to perform the Initial Comprehensive Assessment, set up the patient’s medication box and then inform him/her of the cost of the service before the clinician leaves the home. T or F

22. What are the patient’s rights regarding the liability for payment? What must the Agency do?

23. When services are paid by 3rd party payers, changes may occur in the spend-down amount or the amount the 3rd party payer is willing to cover. The 3rd party payers sends a notice to the Agency informing the Agency of the change in coverage. By what date MUST the Agency inform the patient of the change in financial coverage for services received?

24. The patient has the right to be informed of the toll free Home Health hotline # used to notify the ISDH of any concerns or complaints the patient has with the Agency. T or F

25. What is this number?

26. The Agency must disclose the name and address of all persons with an ownership or control interest in the Agency. Persons who are officers, directors, or a managing employee must also be disclosed. T or F

27. It is not necessary for the Agency to comply with acceptable professional standards that apply to professionals furnishing services in an Agency. T or F

28. An example of a professional standard is “ complete and effective legible documentation” T or F