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Idaho Skilled Nursing Services Policy Manual

Idaho Skilled Nursing Services Policy Manual

$4,199.00Price

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The Idaho Skilled Nursing Services Policy Manual provides a comprehensive framework for operating state-certified agencies delivering skilled nursing services to individuals in Idaho. This manual aligns with the Idaho Administrative Code (IDAPA 16.03.10), Medicaid Home and Community-Based Services (HCBS) waiver requirements, and federal regulations under the Medicare Conditions of Participation (42 CFR Part 484). It ensures compliance with state and federal standards for the provision of skilled nursing care in home and community settings.

The manual is designed to guide agencies in delivering high-quality, medically necessary nursing services that support individuals in managing health conditions, recovering from illness or injury, and maintaining optimal health. It establishes policies for service delivery, agency certification, staff qualifications, participant rights, and quality assurance.

Key Components:

  • Certification Standards:
    • Details the requirements for agency certification, including initial approval, renewal processes, and compliance with IDAPA regulations.
    • Defines standards for maintaining high-quality skilled nursing services, including monitoring and reporting requirements.

 

  • Scope of Services:
    • Outlines skilled nursing services such as wound care, medication administration, intravenous therapy, chronic disease management, post-operative care, and health education.
    • Includes specialized services such as palliative care, pain management, and coordination with other healthcare providers.
  • Care Plans:
    • Care plans must include measurable goals, interventions, and timelines for achieving optimal health outcomes.
  • Participant Rights:
    • Policies emphasize participants' rights to receive medically necessary care without discrimination.
    • Includes grievance procedures to address concerns related to service delivery or provider conduct.
  • Staff Qualifications:
    • Establishes minimum qualifications for registered nurses (RNs), licensed practical nurses (LPNs), and other healthcare professionals involved in service delivery.
    • Requires ongoing training in areas such as infection control, emergency response, chronic disease management, and patient-centered care.

 

 

  • Safety and Emergency Preparedness:
    • Policies include protocols for responding to medical emergencies or adverse health events during service delivery.
  • Administrative Requirements:
    • Includes recordkeeping policies requiring agencies to maintain detailed participant records documenting assessments, care plans, interventions, progress notes, and any incidents or complaints.
    • Establishes standards for reporting data on participant outcomes to state agencies.
  • Compliance with Medical Standards:
    • Includes protocols for medication management and infection control to ensure safe delivery of services.
  • Quality Assurance:
    • Agencies must implement quality assurance programs to monitor the effectiveness of skilled nursing services in meeting participants' needs.
    • Includes procedures for conducting regular audits, evaluating patient satisfaction, and addressing deficiencies in care delivery.

This policy manual serves as an essential resource for agencies delivering skilled nursing services in Idaho. It supports providers in offering high-quality medical care that promotes health and independence while ensuring compliance with state certification standards and participant safety protocols.

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