LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies)

What this rule requires your agency to do

• 1The clinical manager shall be a full-time RN of only one HHA, currently Louisiana-licensed with at least three years' RN experience (one year full-time direct home health care), and shall supervise all patient care to assure compliance with accepted nursing practice (§I-9103.B.1, B.2.a-b).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 2The administrator and clinical manager shall each annually obtain two continuing education hours relative to their role (§I-9103.A.3, B.3).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 3The agency shall offer at least 12 hours of appropriate in-service training to each home health aide every calendar year, documented, covering care of the body, communication, infection control, and safety/documentation (§I-9103.C.8).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 4The clinical manager shall verify licensure/certification prior to employment and annually thereafter, maintain competency records, ensure orientation and in-service of direct-care personnel, ensure timely annual evaluation of health care personnel, and check the DSW/CNA registry for adverse actions against non-licensed employees (§I-9103.B.2.c, B.2.f.iv-ix).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 5A home health aide shall hold current nursing assistant certification (or complete an approved training program) plus pass the agency's competency evaluation, and shall complete a clinical note for each visit incorporated into the record at least weekly; the aide shall not administer medications or perform sterile/invasive procedures (§I-9103.C.1, C.2.e, C.3).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 6The administrator shall be appointed by and answer to the governing body, be designated in writing, be available in person or by telecommunication at all times for all aspects of agency operation, meet the three-years-management-experience-plus-credential qualifications, and designate in writing a qualified alternate to assume authority when unavailable (§I-9103.A, A.1, A.2.a-b).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 7An RN or licensed therapist shall provide direct supervision of the home health aide, with on-site supervisory visits to the patient's residence at least every 14 days when a skilled service is provided (or at least every 60 days, during aide care, when no skilled service), documented, plus an annual documented performance review (§I-9103.C.7.a-f).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))
• 8The RN shall assess and re-evaluate patient nursing needs; develop, implement and update the plan of care at least every 60 days; conduct on-site supervisory evaluation of each LPN at least every six months; and conduct on-site supervision of aide-provided care (§I-9103.K.2.b-c, K.2.j-k).(LAC 48:I.9103 — Personnel Qualifications and Responsibilities (Minimum Standards for Home Health Agencies))