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Plan
of Treatment
Every home health patient must have a plan of treatment that is signed by a physician and developed in consultation with agency staff. The plan includes all pertinent diagnoses, mental status, types of services and equipment required, frequency of visits, prognosis, rehabilitation potential, functional limitations, activities permitted, nutritional requirements, medications, treatments, safety measures, instructions for timely discharge or referral and any other appropriate items. The physician must be consulted to approve any additions or modifications to the original plan.
Additionally, the physician and home health agency staff must review and re-certify the plan of treatment at least every 60 days. Changes to the plan should be made as often as necessary to meet the needs of the patient's condition. It is the responsibility of all agency professional staff to promptly alert the physician of any changes that might require an alteration in the plan of treatment.
Interim verbal or telephone orders must be immediately recorded and signed by the nurse or therapist receiving them and sent to the physician for signature. In many states, including North Carolina, licensed therapists may accept orders for their own services only, while registered nurses may accept orders that apply to any aspect of the plan of treatment. The Medicare program has mandated specific forms (the HCFA 485 and OASIS) to be used as the home health plan of treatment.
- 3HC -
2402 Wayne Memorial Drive
Goldsboro, NC 27534
919-735-1387
info@3hc.org
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