Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions

What this rule requires your agency to do

• 1Maintain a medical record for every patient with required content and signed/dated clinical notes written the day service is rendered (incorporated at least weekly), retain records at least ten (10) years (longer for minors/mental disability), safeguard records against loss/unauthorized use, and require written patient consent for release not otherwise authorized by law (0720-27-.06(11)(a),(c),(e)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 2Maintain a committee that reviews home health services (including contract services) at least annually against a written plan, and maintain an active infection-control performance-improvement program including an annual influenza vaccination program with offer at no cost, signed declinations, employee education, and annual evaluation (0720-27-.06(9)(a),(10)(a),(d)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 3Provide skilled nursing by or under the supervision of a registered nurse (no current disciplinary action) available during operating hours, performing the enumerated RN duties including initial evaluation, plan-of-care initiation/revision, and drug-interaction evaluation (0720-27-.06(5)(a),(b)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 4Provide at least one qualifying home health service directly through agency employees; any services arranged with another licensed organization or professional must be under a written contract, and send a written summary report for each patient to the attending physician at least every sixty-two (62) days (0720-27-.06(1),(2)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 5Ensure a registered nurse assigns each home health aide to a particular patient with written care instructions, and have the RN (or appropriate professional) make a supervisory visit to the patient's residence at least monthly to assess aide competence (0720-27-.06(7)(b),(c)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 6Develop a written plan of care covering all pertinent diagnoses, services, frequency, prognosis, medications/treatments, safety measures, and discharge/referral instructions, and have the total plan reviewed and signed/dated by the attending physician at least once every sixty-two (62) days (0720-27-.06(3)(a),(b)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 7Formally train home health aides in the enumerated topics and ensure any aide training program complies with federal home health aide training and competency regulations; provide continuing in-service programs (0720-27-.06(7)(a),(d)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)
• 8Have drugs and treatments administered only by appropriately licensed personnel within their scope; immediately record oral orders and have them countersigned and dated by the physician (0720-27-.06(4)).(Tenn. Comp. R. & Regs. 0720-27-.06 — Basic Agency Functions)