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    Housecalls 101: Policy and Procedure Manual for Medical Home Visits
    Housecalls 101: Policy and Procedure Manual for Medical Home Visits
    Housecalls 101: Policy and Procedure Manual for Medical Home Visits
    Ebook242 pages1 hour

    Housecalls 101: Policy and Procedure Manual for Medical Home Visits

    By Dr. Scharmaine Lawson

    ()

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    About this ebook

    If you're serious about starting a house-call practice, then this book is for you and you need to pay attention.

    Medical Housecalls are back and they are more profitable than ever! People often prefer house calls to visiting clinics or offices because house calls feel personalized and tailored to the specific need of t

    LanguageEnglish
    PublisherA DrNurse Publishing House
    Release dateOct 1, 2018
    ISBN9781945088230
    Housecalls 101: Policy and Procedure Manual for Medical Home Visits
    Author

    Dr. Scharmaine Lawson

    Scharmaine Lawson, DNP, FNP, PMHNP, FAANP, FAAN, has a nursing career that spans thirty years, with twenty-three of those years being an advanced practice nurse. Her innovative way of educating the youth about the role of the nurse practitioner has elevated the Advanced Practice Nurse. Through a series of educational tools such as dancing mascots, and interactive play, she orchestrates an entire learning production when she visits elementary schools across the country. Her largest show drew greater than 1000 students from Shreveport, La. Nola The Nurse® and Dr. Lawson have also been featured on several national TV outlets and other media. With greater than 30 titles to date, some translated in Spanish and French, Nola The Nurse® will soon be animated via Nola The Nurse® TV in the Spring of 2023.In addition, Dr. Lawson started the first nurse practitioner owned Housecall practice in the State of Louisiana. With greater than 100,000 home visits, it has transformed to meet the widespread needs of the underserved communities of Louisiana. To further extend the reach of her work, she has written a best-selling book, Housecalls 101: The only book you will ever need to start your practice, that outlines how to start a successful house call practice. She details in the book strategies to maintain a house call practice, systems to establish healthy outcomes in underserved communities, and offers inspiration to other nurse practitioners.Future endeavors for the DrLawsonNP brand include a new TelePsych practice launched across multiple states and a Podcast entitled Nite Nite Nurse: Sleep is Self-Care, soon to be released on Spotify, Anchor, Apple, and other podcast platforms.

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      Book preview

      Housecalls 101 - Dr. Scharmaine Lawson

      ISBN: 978-1-9450-8822-3 Paperback

      ISBN: 978-1-9450-8823-0 eBook

      Published by A DrNurse Publishing House

      New Orleans, Louisiana

      Copyright © 2018 Dr. Scharmaine Lawson

      No part of this publication may be stored in a retrieval system or replicated, redistributed, given away or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior permission of the author.

      All right reserved worldwide.

      www.DrLawsonNP.com

      www.NolaMedicalBilling.com

      www.NolaTheNurse.com

      Dedication

      Skylar Rose and Wyatt Shane. You are my S1S2. You give me life. Well, technically speaking, you ARE life. Thank you for making me a Mommy. My life began when I held you both in my arms. #AdoptionROCKS

      Introduction

      Thank you for purchasing this book. You’ve gotten this far because you are in a private Housecall practice or you are considering starting a Housecall practice. This Housecalls 101 Policy and Procedure Manual is all you will need to complete the foundation of your practice. Policies and Procedures are the foundation of any healthcare model of care. Throughout the book you will see the words, Your organization" in parenthesis. This is where you insert your organization’s information. In the last part of the book you will find commonly used forms and letter templates. I sincerely hope you find this manual helpful. After 15 years in my own Housecall private practice, I still refer to many of the guidelines listed.

      Contents

      Part I—preHousecalls 

      Policy and Procedure Manual 

      Mission Statement 

      Bill of Rights 

      Conflict of Interest 

      Hours of Operation 

      Hazardous Weather 

      Notice of Privacy Practices 

      Release of Patient Information 

      Consent for Treatment 

      Fax Cover Sheet Verbiage 

      Part II—The Housecall 

      Goals and Objectives of the Housecall 

      Welcome Packet 

      Safe Work Practices 

      Equipment and Supplies 

      Equipment Cleaning 

      Aseptic technique 

      Handwashing Policy 

      Exposure Control Plan 

      Body Substance Isolation 

      Engineering Controls 

      Sharps Safety and Handling 

      Needle Recapping 

      Reprocessing Reusable sharps 

      Broken Glass 

      Sharps Boxes 

      Housekeeping 

      Regulated waste 

      Compliance Monitoring 

      Hepatitis B Vaccination and Post-exposure Follow Up Procedures 

      Post-exposure Evaluation 

      Hazard Communication 

      Employee Training 

      Medical Records 

      Universal Precautions 

      Disposing of Sharps in the Home 

      Sterile Technique during a Housecall 

      Do Not Resuscitate (DNR) 

      Co-Payment collection 

      Care Coordination 

      New Patient Enrollment Intake 

      Making the Initial Visit 

      Pain Assessment 

      Nutritional Assessment 

      How to Handle Diagnostic Test Results 

      How to Handle Critical Labs 

      Handling Medical Emergencies in the Home 

      Sample I Scheduling Pattern 

      Sample II Scheduling Pattern 

      Admitting a Former Patient 

      Missed Housecall Visit 

      Housecall Admission Criteria 

      New Patient Enrollment Notification 

      New Patient Intake 

      Follow-Up Housecall Visits 

      Urgent Visit Housecall Visits 

      Termination of Patient 

      HIPAA 

      Chart Fees 

      Medical Record Transfer 

      Medication Monitoring 

      Medication Management 

      Patient Safety 

      Consent for Photography 

      Patient Satisfaction Survey 

      Community Referrals 

      Part III—Employee Management 

      New Employee Orientation 

      How to Handle Patient Complaints 

      Provider Safety 

      Team Meetings 

      Part IV—Forms & Letters 

      Notice of Privacy Practices 

      PATIENT CONSENT FOR·RELEASE OF INFORMATION

      Addition to HIPAA Notice of Privacy Practices 

      Photography Consent Form

      Patient Consent / Acknowledgement

      Missed Visit Letter Template

      Termination of Care Letter Templates

      Housecall Guidelines for Patient

      Welcome Packet

      PART I

      preHousecalls

      Policy and Procedure Manual

      POLICY: All employees must agree to adhere to the Policies and Procedures of (Your organization).

      RESPONSIBILITY: All (Your organization) providers and staff

      PROCEDURE:

      It is the responsibility of the (Your organization) employee to make him or herself aware of the contents of the Policy and procedure manual(s).

      It is the responsibility of the (Your organization) employee to attend all in-services and staff meetings; or, if unable to attend, to read the minutes from the in-services and staff meetings.

      Mission Statement

      PURPOSE: Provide a unified Mission Statement which all constituents of the (Your organization) must support.

      MISSION STATEMENT

      We believe medical housecalls professionals have an obligation to provide and utilize the most efficient and effective means of meeting the client’s physical, social, emotional and spiritual needs. The (Your organization) advances this goal by meeting the total care needs of clients who cannot receive primary care in the traditional provider office setting. We further believe that the (Your organization) must achieve and sustain health maintenance, healing, illness prevention, and functional/self-care independence of clients, and thereby:

      A. Prevent unnecessary admissions to nursing homes

      B. Reduce the length and recurrence of hospitalization

      C. Diminish unnecessary utilization of out-patient institutional services

      We believe each client has the right to be treated with human dignity and respect, regardless of age, faith, sex, handicap, or national origin. We further believe that each client has the right of independent decision making relating to the extent and goals of the housecalls given to him. This means we have a responsibility to adhere to the client’s decisions throughout our service and to set goals which are acceptable to the client. Finally, we believe the client has the right to decide the setting of his death. For us, this means that when the client chooses to die at home, rather than in an institution, we have the responsibility to support that decision and to provide Housecall interventions, often in collaboration with palliative care/hospice which achieve death with dignity.

      We believe clients have the right to the highest quality medical housecalls available, given the resources available. In order to achieve this standard, we believe:

      A. Recruitment, selection, assignment, retention, and promotion of medical housecall personnel must be based on references, qualifications, capabilities and previous work performance.

      B. Proper and efficient orientation which prepares care personnel for their role in the program must be given.

      C. Quality and effectiveness (QA/QI) must be internally monitored through a continuous quality assessment and improvement program, and

      D. Personnel education, as a continuous process, must be based on the purpose and goals of this program.

      We believe if this program is to be viable, effective and efficient, we, as a program, must be goal-oriented, make the best decisions possible given the situation and resources at hand, and achieve program maintenance and growth standards.

      Bill of Rights

      POLICY: (Your organization) staff and patients have rights that are inherent to the (Your organization) staff-patient relationship and guide our interactions and behaviors.

      RESPONSIBILITY: All (Your organization) clinical and support staff; patients.

      PROCEDURE:

      Patients

      Patients have the right to be treated with respect, consideration, and dignity in all interactions with (your organization) providers and staff and in all care plan decision-making.

      Patients have the right to obtain complete, current information concerning their diagnosis, treatments, prognosis and or options from their healthcare providers.

      Patients have the right to receive from their healthcare providers, information necessary to give informed consent prior to the start of any procedure and or treatment.

      Patients have the right to refuse treatment to the extent permitted by law and to be informed of the medical consequences of their actions.

      Patients have the right to expect privacy concerning their medical care.

      Patients have the right to expect that all communication and records pertaining to their care will be treated as confidential.

      Patients have the right to expect that within

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