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Essay / Research Paper Abstract
This 3 page paper looks at the different types of regulation and accreditation that apply to home healthcare nursing agencies in the US and considers the way this may apply to a single agency along with the strategies they may use to comply. The bibliography cites 2 sources.
Page Count:
3 pages (~225 words per page)
File: TS65_TEreghome.doc
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Unformatted sample text from the term paper:
standards of care there are regulatory and accreditation standard which are applicable. Regulation is principally through the way federal government who provides Medicare and Medicaid payments. To receive these funds
agencies are required to obtain certification for meeting the minimum federal Conditions of Participation. This certification is administered by the Health Care Financing Administration (HCFA) (NINR, 2006). The agencies also
require state licensure permission for the granting of the certification by the HCFA, although if the agency is not receiving Medicaid/Medicare funding not all states will require agencies to be
licensed in order to operate (NINR, 2006). Interestingly, home nursing agencies have been one of the least regulated areas of healthcare, it was noted in 1988 only 39 states actually
required home nursing care agencies to be licensed. It may be noted that this permission is needed, but it is not an assurance of quality as the majority of states
do not require any standards in excess of those needed for Medicare funding (NINR, 2006). The Omnibus Budget Reconciliation Act of 1987 granted patients introduced a set of minimum
standards, which included the assurance of specific rights for the patients, the requirement of health aides to receive training and be evaluated for competency, the use do surveys to assess
standards and the evaluation of clients as well as the provision of a complaints hotline and based investigations (NINR, 2006). With the training requirements including the need for health aides
to receive at least 75 hours of minimum standard training; this is to be split with at least 16 hours of classroom training and 16 hours of supervised practical training
(NINR, 2006). The aides must also pass a competency test (NINR, 2006). This can be seen as increasing pressure on states to increase standards for their own licensing requirements.
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