ACHC
document update 1.1 release notes:
Table
of Contents
has been revised to reflect the changes listed below:
Compliance
Guide has
been revised to incorporate new Policies and Procedures and Forms and has been
merged with the Pre-Survey checklist.
Pre-Survey
checklist
has been removed and incorporated into the Compliance Guide.
Pharmacy
Code of Ethics Protocol has been added to explain the use of the Pharmacy Code of
Ethics Form.
Pharmacy
Code of Ethics Form
has been revised to show Pharmacy Name and Effective Date.
Standards
of Professional Practice Training and Acknowledgment Receipt Form has been added to
acknowledge training received by pharmacy personnel.
Conflict
of Interest P/P
has been added to the program.
Leadership
Committee P/P
has been added for Pharmacies that use a committee to appoint members to a
leadership committee for operational decision-making.
Leadership
Committee Appointment Form has been added to notify employees of the members added to the
leadership committee.
Pharmacy
Patient Bill of Rights and Responsibilities P/P has been added to explain
the use of the document “Patient Bill of Rights and Responsibilities”
Contracting
with other Healthcare Providers P/P has been added.
Contains pertinent information regarding contacting with other
Healthcare Providers.
Reference
Library P/P
has been added to provide a list of the reference materials that Pharmacy
personnel should have access to.
Operating
Budget P/P
has been revised to incorporate the use of the Operating Budget Template Form.
Operating
Budget Form
has been added to give the Pharmacy a template for the Pharmacy’s operating
budget.
Beneficiary
Accounts Receivables P/P has been revised to reflect Statement of Account Balances
information.
License and Certification Verification P/P has been revised
to incorporate the use of the “License and Certification Log Form”.
License and Certification Log Form has been added
to track the required verification of professional licenses and certifications
of pharmacy personnel.
Continuing Education P/P has been added to provide information
on tracking the continuing education of pharmacy personnel.
Continuing Education Tracking Log Form has been added.
Personnel Files P/P has been revised to incorporate
additional documents that need to be maintained in pharmacy personnel files and
the separation of files into a 3 file system: personnel, medical, and payroll
files.
Personnel File Checklist Form has been revised to reflect the
additional documents that need to be maintained in pharmacy personnel files.
Cultural Awareness P/P has been added to provide information
on diversity with pharmacy personnel and beneficiaries.
Job Descriptions P/P has been added to provide information
on the development of job descriptions, revisions to and training/retraining of
pharmacy personnel.
Pharmacy Personnel Orientation P/P has been revised
to reflect additional orientation topics.
DMEPOS Personnel Assessments P/P has been revised to incorporate
additional assessment criteria.
Reference Checks P/P has been added to provide information
on conducting reference checks on pharmacy personnel.
Reference Check Record Form has been added to use during reference
checks.
Beneficiary Goals and Outcomes P/P has been revised
by adding text to allow “other appropriate licensed health care professional”
to complete the Goals and Outcomes Form.
Beneficiary Goals and Outcomes Form has been revised
as stated above.
Beneficiary Information Form has been added to gather
pertinent information on beneficiaries.
Beneficiary Plan of Care P/P has been revised. See “Beneficiary Goals and Outcomes” above.
Beneficiary Plan of Care Form has been revised. See above.
Medicare Beneficiary Product and Service Charges P/P has been added
to ensure a list is made available, upon request, and lists the products and
services offered by the Pharmacy with the associated cost.
Medicare Beneficiary Product and Service Charges Form has been
added. See above.
Pharmacy Standards of Beneficiary Service Form has been revised
to remove emergency coverage information on original and replaced with contact information
for complaints.
Beneficiary Records P/P has been revised to enhance the listing
of documents that should be contained in Beneficiaries’ records, as
appropriate.
DMEPOS Prescription Review P/P has been revised. Moved to Section 8 and revised to
incorporate the Beneficiary Information Form.
Reporting
Suspected Beneficiary Abuse/Neglect P/P has been added to outline the procedure for
reporting suspected abuse/neglect of beneficiary.
Recognizing
Signs of Suspected Abuse/Neglect P/P has been added to educate pharmacy personnel on
signs of suspected abuse/neglect.
Suspected
Abuse/Neglect Incident Report Form has been added for documenting a suspected case of
abuse/neglect.
Beneficiary/Caregiver
Training and Education P/P has been revised to include First Aid and CPR training
information.
Beneficiary/Caregiver
Oxygen Parameters Home Assessment Form has been revised to include First Aid and CPR
training recommendations.
Beneficiary/Caregiver
CPR Training Acknowledgment Receipt Form has been added to document CPR training.
CMS
DMEPOS 21 Quality Standards (PDF) Form has been added.
This document is now provided in its entirety.
DMEPOS
Product/Service Referral Request Form has been added to be used for Referral Requests.
Provision
of DMEPOS Products and/or Services P/P has been revised to incorporate Referral Requests
and Suppliers Referral Log Forms.
DMEPOS
Product/Service Supplier Referral Log Form has been added to document Supplier Referrals
by Beneficiary.
On-Site
Medical Emergency P/P
has been added to explain the course of action for medical emergencies.
Emergency
Event Report Form
has been added to gather pertinent information regarding an emergency event.
Beneficiary
Records Audit P/P
has been added.
DMEPOS
Compliance Quarterly Audit Checklist Form has been revised to include Beneficiary
Records Audit.
Quarterly
Performance Audits P/P
has been revised to incorporate Beneficiary Records Audit.
DMEPOS
Products Inventory Classification P/P has been revised to incorporate
Manufacturer/Wholesaler information to DMEPOS Productions Inventory
Classification that is referenced in the P/P.
DMEPOS
Products Inventory Classification Form has been revised to incorporate
Manufacturer/Wholesaler information.
DMEPOS
Product Assessment P/P
has been revised to correct a link.
DMEPOS
Equipment Monitoring P/P has been revised to incorporate Manufacturer/Wholesaler
information.
DMEPOS
Equipment Testing P/P
has been added to provide pertinent information on DME product testing.
Analyzer
Calibration Log Form
has been added to document calibration of analyzer.
DMEPOS
Equipment Testing Form
has been added to document testing conducted on equipment.
Investigation
of Incidents or Injuries P/P has been revised to incorporate Manufacturer/Wholesaler
information.
Section
has been moved to section 4 and removed from the Table of Contents.
Original
document broken down into sections for easier access to pertinent topics.
CMS
Competitive Bidding Webinar Transcript has been added as an educational component.
HIPAA
Assessment Checklist
has been added to provide the compliance criteria for HIPAA regulations.
Repair
Technician Job Description has been added to the program.
Appendix
B has been added with Beneficiary Forms translated to the Spanish language.
Alphabetical
Form and Job Description has been revised to reflect the above changes.