Start Up Non Medical Agency Bundle 83 Files in 1 Word File Ready for Editing
Advance Directives Information Sheet – U.S. Adverse Action Disclosure Adverse Action: Pre-Action Disclosure Assessment: IADL Needs Assessment: Nursing Assignment Sheet: Care Aide Assignment Sheet: Support Worker Bomb Threat Check list Candidate Reference Check Client Cash Transactions Client Care Flow Sheet Client Complaints Client Consent for Referral & Release of Information Client Invoice: Individual (MS Word)Client Invoices: Master Log (MS Word)Client Satisfaction Survey: Agency ServicesClient Satisfaction Survey: Direct Care Services Client Service Certification Record Client Progress/Communication Notes Client/Consumer & Agency Responsibilities Client/Consumer Bill of Rights Communicating with Clients Who Have Disabilities Competency Test for Care Aides (Answers & Composition) Competency Test for Care Aides (Practical Skills)Competency Test for Care Aides (Written Questions)Compliancy Agreement Consent to Drug & Alcohol Testing Employee Satisfaction Survey Confidentiality & Non-Disclosure Agreement Conflict of Interest Statement Consent for Child Abuse Clearance Check Consent to Release Child Abuse Clearance Report Consent to Drug & Alcohol Testing Coordination of Client Transfer Checklist Decline Influenza Vaccination Discharge -Transfer - Client Notification Discharge - From Agency -- Summary Discharge - Transfer to Other Service Provider Emergency Management Checklist Emergency Preparedness Plan Employee Complaint/Grievance Employee Compliancy Agreement Employee Mileage Record Employee Orientation Checklist Employee Performance AppraisalEmployee Time SheetEmployer & Employee AgreementEmployment Application for Home Care WorkersEmployment: Candidate InterviewFax Cover SheetFee ScheduleField Supervision ReviewFinancial Expenditures on Client’s Behalf HIPAA - Notice of Privacy PracticesHIPAA – Acknowledgment of Receipt of Privacy Practices HIPAA – Authorization for Use or Disclosure of Health Information Home Safety Checklist Identity Theft Prevention Program & Addendums Incident Report – General Incident Report - Medications Incident Report – Post Exposure to Blood-borne Diseases Incident Report – Post Exposure to Tuberculosis Incident Reporting Log were 2Independent Contractor & Agency Agreement Job Descriptions:• Manager/Administrator • Compliance Officer• Administrative Assistant • Supervisor • Registered Nurse• Personal Care Attendant• Live-in Home Care Aide • Homemaker• Home Care Companion • Financial Manager • Receptionist • General Office Clerk • Bookkeeper • Billing Clerk• Payroll Clerk
Medication Administration Record Medication Profile Mission, Vision & Value Statement Notice of Privacy Practices Notice of Texting & Emailing RisksNotification of Direct Care Worker Status – Agency EmployeeNotification of Direct Care Worker Status – Non-Agency WorkerOn-Call Inquiry LogOrganizational ChartPersonal Care Supplies ChecklistPersonal Suitability QuestionnairePersonnel Records ChecklistPhone Numbers – EmergencyPlan of CarePre-Employment Background Check AuthorizationPrivate Vehicle Mileage Record Reasonable Suspicion Checklist Reduction of Services: Client Notification Request or Decline Hepatitis B Vaccine Service Agreement: Client & Agency Service Information Handout for Clients/Consumers Special Equipment Checklist Staff Record of Training & In-services Standards of Conduct Transportation Liability Waiver Verbal & Telephone Orders
