Hawaii Skilled Nursing Services Policy Manual
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The Hawaii Skilled Nursing Services Provider Policy Manual establishes a comprehensive framework for operating a state-compliant agency delivering skilled nursing services to individuals in Hawaii. This manual aligns with the Hawaii Administrative Rules (HAR) Chapter 11-800, the Hawaii Revised Statutes §321-14.8, and applicable federal regulations, including Medicaid Home and Community-Based Services (HCBS) waiver requirements and Medicare Conditions of Participation (42 CFR Part 484), to ensure full regulatory compliance.
It includes policies on licensing, client eligibility and service planning, clinical care standards, nursing staff qualifications and training, client rights, infection control, medication management, emergency preparedness, documentation standards, and quality assurance. The manual supports agencies in meeting state licensure requirements as mandated by the Office of Health Care Assurance (OHCA) and ensures alignment with Medicaid and Medicare program guidelines when applicable.
This policy manual serves as a guide for providing skilled nursing services such as wound care, medication administration, chronic disease management, post-surgical care, and other medically necessary interventions. It emphasizes compliance with individualized service plans (ISPs), confidentiality standards, and continuous quality improvement processes. By adhering to Hawaii’s regulatory framework, the manual ensures that providers deliver high-quality clinical care that promotes health, safety, and well-being while maintaining professional nursing standards.