Washington Home Health Agency Policy Manual

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The Washington Home Health Agency Policy Manual provides a comprehensive operational framework for agencies delivering skilled home health care services to individuals with medical, rehabilitative, or chronic care needs across Washington State. This manual aligns with the regulations established by the Washington State Department of Health (DOH), the Washington State Department of Social and Health Services (DSHS), and complies with federal Medicare Conditions of Participation (42 CFR Part 484), as well as Washington Medicaid program requirements. The manual includes policies and procedures governing agency licensure and certification, patient eligibility and referral intake, comprehensive clinical assessments, individualized plan of care development, skilled nursing services, physical, occupational, and speech therapies, home health aide services, medical social work, medication management, infection control, care coordination, staff licensure and training, patient rights and protections, emergency preparedness, documentation and billing, incident reporting, and quality assurance. It emphasizes evidence-based, patient-centered care provided in the home, supporting recovery, chronic disease management, and the prevention of unnecessary hospitalizations or institutionalization. This manual serves as a foundational resource for home health agencies in Washington, ensuring the delivery of high-quality, safe, and compliant services that promote health, independence, and dignity for individuals in the least restrictive setting their own home.