Melia Belonus, Director
Bureau of Community Program Licensure & Certification
Cindy Boyne, Director
Division of Home Health

Background
 Act 69 of 2006
 Amended the Health Care Facility Act
 Chapter 51 applicable
 Regulations effective 12/12/09


Home Care Licensure
Non-Medical Model


Consumer protections
Criminal Background Checks





Child Abuse Clearances
Competency Requirements
Health Screenings
Consumer Rights
Financial

Chapter 51 Requirements
 Written Notification



60 days written prior to
Commencement of a health care service
Cessation of a health care service
 Immediate Notification (ERS)

Facility noncompliance -seriously compromises
QA or patient safety

Situation or occurrence of event

Chapter 51 cont’d
 Change in Ownership/Management

30 day written notice prior to



Transfer 5%or more of stock or equity
Change of Ownership
 controlling interest
Facility name change
 Change in management
 Person responsible daily operations

Chapter 51 cont’d
 Identification of personnel

Picture ID – full name, professional designation
 Civil Right Compliance
 Nondiscrimination Policy – posted

HCA/HCR Applications

Initial License
 Sent via mail
 Event reporting letter

Web address

Unique log-in information
 Password Agreement

IDs responsible party for POC

Upon receipt, issuance of unique log-in, password and user’s manual

License Renewal
 Email notice 3 months prior to expiration
 Online completion/submission within 45 days of expiration
 Required forms

Application

Disclosure of Ownership

Civil Rights survey

Written survey (offsite)

Licensure Renewals
 December 2010 – April 2011

On-Site surveys – 158

Written (on-line) surveys - 146

Pre- Survey Prep
 Review application package
 Verify info consistent with prior app

Owners, address
 Review prior survey
 Review complaints
 Verify submitted Password agreement
 Check ERS for event reporting

DOH On-Site Inspections



Scheduled or unscheduled
Complaints – always unscheduled
Regular business hours
 Components:


 inspection of records, interview office staff, consumers and direct care workers observation of the provision of services to consumers

On-Site - Information Requested
 Changes since last survey
 Copy of Chapter 611
 Awareness of Chapter 51 requirements
 List of owners, office staff, direct care workers w dates of hire (Since last approval)
 DCW/office staff files (min.10, max 20)
 Provisional hires? Process

On-Site Information Requested
 Prohibited offenses (copy or access)
 List of consumers served in last 12 months


Consumer files (min 10, max 20)
Phone interviews – 5 consumers
 Admission packet given to consumer

Plan of Correction (POC)
 Email notification of deficiencies
 Log onto POC website
 Electronic submission of POC
 Surveyor accepts/rejects
 If rejected, submit revised POC
 Follow up survey (on or offsite)

DOH On-Site Inspections



Scheduled or unscheduled
Regular business hours
Components:


 inspection of records, interview office staff, consumers and direct care workers observation of the provision of services to consumers

Plan of Correction (POC)
 Email notification of deficiencies
 Log onto POC website
 Electronic submission of POC
 Surveyor accepts/rejects
 If rejected, submit revised POC
 Follow up survey (on or offsite)

Top 5 HCA/HCR Deficiencies
 Information to be Provided (S0820)
 Consumer Rights (S0800)
 Health Screening (S0700)
 Competency Requirements (S0620)
 Prohibition (S0340)

HCA/R Hotline
6
5
4
1
0
3
2
2010
Complaint
Misc
Info

Complaints 4/1/10 - 3/31/11
 Total HCA/HCRs – 1111
 41 Facilities with complaints

46 onsite investigations
 11 substantiated
 35 unsubstantiated
 % substantiated - 24%

Helpful ComplianceTips
 Copy of regs onsite/post license
 Prompt, timely responses
 Competency requirement – 12/12/11
 611.51 Direct Care Worker file
 611.57 Consumer Protection documentation
 Complaint Hotline 1-866-826-3644

BCPLC Plans
 Regs FAQs – posted on website (updated
May 2011)
 www.health.state.pa.us
 July 2011 – staff review of 1 st wave of onsite surveys

Department of Health web site
 www.health.state.pa.us

Regulations

Health Care Facility Act

Title 28 Pa. Code Chapter 51

Application package

FAQs on Act 179 and Act 73

Division of Home Health
 Harrisburg Field Office
132 Kline Plaza, Suite A
Harrisburg, PA 17104
(717) 783-1379
 Montour County State Health Center
329 Church Street
Danville, PA 17821
(570) 849-2144
 Scranton State Office Building
100 Lackawanna Avenue
Room 111, Scranton, PA 18503
(570) 963-4212

Division of Home Health
 Whitehall Field Office
3730 Lehigh Street, Suite 204
Whitehall, PA 18052
(610) 821-6381
 Norristown Field Office
1939 New Hope Street
Norristown, PA 19401
(610) 270-1707
 Delaware County State Health Center
151 West 5th Street
Chester, PA 19013-4415
(610) 619-3490

Division of Home Health
 Jackson Center Field Office
(724) 684-2941
19 McQuiston Drive
Jackson Center, PA 16133
(724) 662-6050
Crawford County State Health Center
847 North Main Street
Meadville, PA 16335
(814) 336-1163
 Mon Valley Health Center
Eastgate 8, Monessen, PA 15062

Division of Home Health
 Pittsburgh Field Office
11 Stanwix Street, Suite 410
Pittsburgh, PA 15222
(412) 770-3991
Home Health Headquarters
132 Kline Plaza, Suite A
Harrisburg, Pa 17104
(717) 783-1379