Elite Senior Care Management Company, LLC

AxisCare Policy

We have a new computer software system that we will be using, effective immediately. You must be using this software to clock in and out on. Caregivers are to IMMEDIATELY notify the office personnel with any issues that may arise so that it can be fixed. This will be used In continuation of paper billing that is still do on Saturday Night by Midnight.

Please notify office immediately so that we can fix any issues that arise and we can compare your paper billing with the software where the caregiver clocking on and out on. All times and task must match on application and service records. Any discrepancies will not be send to HR for billing, but the caregiver will be notified and the situation will be corrected. Any discrepancies or delay In billing being turned in could result In a delay in getting payroll checks cut and an Interruption in your pay. We are making every effort to avoid this, but the caregiver has to complete everything and have it turned in to the office In the designated areas In a timely manner.

There is a telephony system that can be used to call to clock in and out on if you do not havea phone that supports the application being downloaded on, but you have to notify the office immediately to get this set up. We are all in this together, but the caregivers MUST do their part.

This is something that we are required by the state to do and we have no choice as a company to be in compliance with the rules and regulations. Not compliance with this, can result In disciplinary actions, including termination of caregiver contracts.

Please remember to turn in your paper service logs as usual as we work on getting everything in the system running as it needs to run. We will notify caregiver if/when we stop using paper service records all together. At this time, we do not have a date set to stop paper service records to be used along with AxdsCare.

By signing below, you understand that you are being held accountable for using the AxisCare system and paper service records. You understand the policy stated above and agree to abide by this policy. You are also stating that you have received a copy of this policy and you are held responsible for staying in compliance with this policy.

Elite Senior Care Management Company LLC AxisCare App

We are now using AxisCare as our portal for billing. This means that you will be clocking in and out on the app starting immediately. You will also continue to do paper billing and turning it In by Saturday Night at midnight so that we can verify that the computer system and your paper billing match so that we can process your check each week. Please be mindful to make sure that your times in and out on each client match in the computer system and on your billing sheets that you turn in, We also need the marked task to match so that billing can be verified. You are to be reporting any issues or concerns to your care coordinator Immediately so that we can fix any issues that you may be having. Elite Senior Care Management Company LLC is holding you accountable for doing your job and doing it correctly, however, we will assist you with any issues that arise. If you do not properly do the above mentioned, this could result in your paychecks not being processed and hinder your paychecks from being able to be cut and delivered in a timely manner. Please let our office staff know immediately of any issues you have. Thank you!

Elite Senior Care Management Company, LLC

With ESC live in Axis Care, it is required that you have clock in and out or telephony in and out. We must have an active phone number in the system into which you are doing this from. If you do not have an active phone, we will not be able to assign you clients. You are required as contractors to supply all necessities to perform your job function. If you have an issue with having a phone, I recommend that you buy a cheap phone with minutes from a store to use solely for work, or that you stop at one of the tents giving out free government phones and see if you qualify.

Also, remember that we must have your active number in the system before you can use that phone. This means that anytime you switch phone numbers, you must let us know immediately so that we can correct the system so there is no issue with clocking in and out.

By signing below, you understand the above stated information and that this is a mandatory part of your job in order to stay in compliance with state and federal rules and regulations.

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COMMUNICABLE DISEASE/INFECTION CONTROL POLICY

The purpose of this policy is the prevention of the spread of infectious and communicable disease from agency staff and/or individuals providing services to clients. (ADH, 10-2 Per ADH Licensure, work restrictions will be placed on employees and/or contracted individuals who are known to be affected with any disease in a communicable state or to be a carrier of such disease, to be affected with boils, infected wounds, diarrhea or acute respiratory infections. Anyone with the named above conditions will not be allowed to work in any area in any capacity in which there is the likelihood of transmitting disease to clients, agency personnel or other individuals within the home.

All contractors who report a communicable disease must be cleared by a physician before being allowed to return/start work.

**This policy was taken from and is found in the Rules and Regulations for Private Care

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THINGS THAT SHALL......

• SHALL provide the best care possible to client. 
• SHALL document and report all finding, changes etc. in client. 
• Document correct time and serives to be billed. 
• DO all task to the best of your ability. 
• ASK when you have questions. 
• Be on time, rested, and be ready to work with a great attitude. 
• Coply with the HIPAA client policy. 
• Make sure that clients home is safe, clean and organized. 
• Make sure all the tasks on the plan of care are done. Anything not done must be documented as to why. 
• Maintain a smoke free-drug free environment for the client-rather than participate or not. You are responsible for your actions. 
• FOLLOW the code of ethics. 
• Go to the in-services, stay current on all programs and policies ETC. 

THINGS THAT SHALL NOT......

• SHALL NOT BREAK HIPAA LAWS AND RULES
• SHALL NOT SMOKE WHILE ON THE JOB OR DO ILLEGAL DRUGS
• SHALL NOT BREAK THE CODE OF ETHICS
• SHALL NOT REPRESENT ESC IN A NEGATIVE MANNER
• SHALL NOT DOCUMENT ANYTHING THAT IS NO THE TRUSTH, THIS INCLUDES BILLING TIMES AND DATES, SERVICES DONE ETC.
• SHALL NOT BE LATE, OR UNDEPENDABLE. 
• SHALL NOT DISCRIMINATE AGAINTS SEC, RACE, COLOR, RELIGION, OR AGE. 

Importance of plan of care

The plan of care is important because it is written orders from the patient's physician and/or DAAS RN. This gives the caregiver or nurse etc. what the doctor has ordered and the written plan how to take care of the patient.

1. You must read plan of care. 2. Follow the plan of care.

3. Notify RN first if you notice a change in patient. 4. Always follow HIPAA rules. Plan of care is confidential, as well as any information in patient chart. Keep plan of care in folder and do not leave it open where anyone could read it. 5. If you have any questions on plan of care-call ESC.

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Patient Care & Expectation Policy

Everyone is concerned about quality of care and service, especially our clients. We are committed to seeing that our clients revive the quality health care they deserve and expect. We honor our clients' rights. We recognize the specific needs of our clients and maintain a mutually respectful relationship with each client. To be treated with dignity and respect. To be provided excellent service form a caring, trained, and skilled staff. To have the right to file a grievance at any time they feel like the agency did not resolve a problem to their satisfaction. To be provided services that are followed strictly by the plan of care written by a physician, RN and/or DAAS RN. Have contact information about the agency. All clients have a copy of their plan of care and the RN available for questions. 911 will be called in case of emergency.

To be treated in a confidential manner at all times.

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Purpose & Philosophy of AR Choices Waiver Program

To qualify for the AR Choices Program, a person must be age 21 through 64 and who are determined to have a physical disability through the Social Security Administration or the Department of Human Services (DHS) Medical Review Team (MRT) and require an intermediate level of care in a nursing facility, or be 65 years of age or older and require an intermediate level of care in a nursing facility. Persons determined to meet the skilled level of care, as determined by the Office of Long Term Care, are not eligible for the AR Choices Program. Medicaid eligibility is determined by the DHS County Office, and the DAAS Long- Term Services and Supports (LTSS) Program Eligibility Specialist and is based on non- functional and functional criteria. The individual must be an individual with a functional need. To be determined an individual with a functional need; an individual must meet at least one of the following three criteria, as determined by a licensed medical professional: The individual is unable to perform either of the following: At least 1 of the 3 activities of daily living (ADLs) of transferring/locomotion, a. eating or toileting without extensive assistance from, or total dependence upon another person; or b.At least 2 of the 3 ADLs of transferring/locomotion, eating, or toileting without limited assistance from another person.

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Recordkeeping & Reporting Condition Change Policy

ESC policy for recordkeeping: 1. All Caregivers will be instructed to follow the plan of care. 2. All Caregivers will be instructed to complete all charting correctly, legibly, and honestly. All Caregivers are aware of the disciplinary actions that will be taken if any fraudulent activities are being committed. 3. All Caregivers will be instructed to have each client sign and verify date of service, time in and out. 4. All Caregivers will Report to the RN of any change in client. 5. All Caregivers will follow the HIPAA policies on charting. Keep all paperwork confidential. Keep all paperwork attended, not left in unlocked vehicles. 6. When new policies on charting are put in effect, all Caregivers will be instructed or trained regarding the change or addition and will implement new policies into charting. 7. All Caregiver charting will be supervised by RN supervisor, and updated, monitored, and notified of any errors in charting. If any errors in charting are found, RN will document, and give corrective information to correct the error, and will follow up with monitoring and document that corrective measures were or were not successful and will follow policy per outcome of review. 8.All Caregivers will document on the back of the service record on any notices that are necessary, such as if patient is not at home etc., or if for any reason services were not provided. If patient is in hospital Caregiver must notify the office. 9. When you notice a change in the clients condition, you must report this to the RN, document on the back of the service record that you reported client condition to the RN. The RN will document in the Client chart and take the necessary measures needed.

Keep all paperwork out of view of public.

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Sexual Harrasment Policy

Elite will not tolerate any sexual harassment by workers or clients.

Any sexual harassment should be reported immediately to the supervising RN. The aide/client that is allegedly being inappropriate will be interviewed. A report will be filed, and Elite will take proper actions to correct the incident. If the accusation is regarding a contractor, the contract will be suspended until the complaint is resolved. If the contractor is found guilty, the contract will be terminated and Adult Protective Services will be notified, along with the DHHS RN if applicable.

If the accusation is regarding a client, the client will be placed on hold until the complaint is resolved. If the client is found guilty, the primary care physician will be notified, the DHHS RN will be notified if applicable. The client will be warned and a more appropriate caregiver for the client will be placed.

If the accusation is against the office staff, that person will be interviewed. Any accusations will be reported and documented along with the actions taken to correct the problem. If the person is found guilty, the director of the agency and/or the RN supervisor will take the appropriate actions.

Any worker that is proven to be guilty of sexual harassment will be terminated.

Any client who, after being written and warned that continues to violate the sexual harassment policy will be terminated of services and given a list of other agencies that they may choose from.

Any worker or client that feels that they were unfairly accused has the right to appeal they findings and or file a grievance, all supervisor and grievance dept., numbers and contacts are available upon request.

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Attention Caregivers:

You are not allowed to have anyone else in the vehicle with you while you are transporting a client. Everyone who is in the vehicle with a client, must have a state/federal background check and a Child and Adult Maltreatment Central Registry check ran through Elite Senior Care, LLC to be around the clients. Anyone who is caught not complying with this, will have their contracts terminated immediately. This is not an acceptable practice and will not be tolerated. Also, this is considered a breach of HIPAA, and there is a whole other set of civil and criminal penalties that go along with that. To comply with all state and federal laws, we must make sure that we are educating our caregivers on the appropriate rules and regulations. If you have any questions, please feel free to ask any of the office staff. There are no exceptions to this rule. This includes not transporting more than one client in your vehicle at a time.

 

Elite Senior Care Management Company

Caregivers are not permitted to take clients to obtain drugs or alcohol. If there are any other concerns, please call your care coordinator at your office.

Handbook/Company Policy/Qualifications Signature Sheet

 

RECEIVED HANDBOOK WITH ALL WRITTEN INSTRUCTIONS ON CARE SERVICES AND USE OF EQUIPMENT.

• False Claims Act
• Drug Test and Background Policy
• Call-In Policy
• Accident Report Policy
• Right to File Grievance Policy
• Performance Evaluation Policy
• Holiday Policy 
• Smoking Policy
• ESC Handwashing Policy
• Laundry Policy

NOTE: ALL WORKERS WILL BE MONITORED AND SUPERVISORY VISITS WILL BE MADE EVERY 62 DAYS, BY A REGISTERED NURSE. EACH CONTRACTED WORKER MUST PASS TO MAINTAIN POSITION. 

TRAINING AND IN SERVICES ARE REQUIRED BY STATE LAW THAT EACH CONTRACTED WORKER MUST MEET 12 HOURS PER YEAR.

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Caregiver Job Description:

Summary: To provide care for clients in their home by performing non-medical care. Assisting client with the Activity of Daily Living and Instrumental Activity of Daily Living. Caregiver must have a sympathetic attitude toward the care of the sick, an ability to read, write and carry out direction, ability to deal effectively with the

Certifications: (caregivers must have one of the following):

CNA certified or completed a 40-hour aide training course

PCA/PCT certified One-year verifiable experience in an institutionalized setting (home health agency, hospital, hospice,

The following competencies are a must:

Communication with the office and/or RN as required

Carries out client's request for service and assistance; Meets schedule commitments.

Maintains confidentiality; Listens to others without interrupting;

Able to perform time calculations;

Shows respect and sensitivity for cultural/religion differences.

Prioritizo tasks and uses time efficiently. Observes client's safety;

Uses equipment and materials properly. Changes approach or method to best fit the situation.

Arrives to work on time and dressed appropriately.

Follows instructions, responds to management direction.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Physical Demands: The physical demands described here are representative of those that must be met by a caregiver to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the caregiver is frequently required to stand, walk, and talk or hear. The caregiver is occasionally required to sit, stoop, kneel, crouch. The caregiver must frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 100 pounds.

Work Environment: The work environment characteristics described here are representative of those a caregiver encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the caregiver may perform job duties in unsanitary environments without access for the physically handicapped. You will be in the homes of the elderly, it is their home remember that they have their own way they want things donc.

Additional training/guidance on ADL's

Elite Senior Care follows the Office of Long Term Care (OLTC) guidelines and instructions. The manual is kept in the RN Supervisor's office and is available for viewing at any time. The RN will go over the procedures step by step with the training curriculum if further assistance or training is needed on any task.

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IN-SERVICE POLICY/CONTINUING EDUCATION

Effective continuing education is crucial for professional growth. Medicaid

requires personal care aides to participate in at least twelve (12) hours on in-service training every twelve (12) months. Each in-service training session must be at least one hour in length

or self-study. Elite is mandated to maintain documentation that all contract workers are

meeting the in-service requirement. Elite provides the continuing education free of charge to you. However, it is your responsibility to maintain your hours. If you don't complete the mandatory amount, you will not be allowed to continue services to our clients. You must make

an 80% on each CE to pass. If you need assistance with the test or material, please schedule an appointment with the supervising RN. The RN will go over the information with you.

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Code of Ethics Policy

Arkansas Department of Human Services (DHS) and the Arkansas Department of Health (ADH) require contracted workers providing services to clients to adhere to the following code of ethics:

No consumption of the client's food or drinks.

No use of the client's telephone for personal calls.

No discussion of one's personal problems, religious or political beliefs with the client. No acceptance of gifts or tips from the client or their family members. No friends, relatives or unauthorized individuals are to accompany the contract worker to

No consumption of alcoholic beverages or use on non-prescribed drugs prior to service

delivery nor in the client's home.

No smoking in the client's home (even if they do)

No solicitation of money or goods from the client No breech of the client's privacy or confidentiality of records.

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HIPAA Confidentiality Agreement

Contractors will have access to confidential information, both written and oral, during your contract and

job responsibilities. It is important that this information is not disclosed to any unauthorized individuals

to maintain the integrity of the client information. An unauthorized individual would be any person that is not currently a contract worker assigned to the client and/or office staff of the agency. Any other disclosures may only occur at the direction of the privacy in the office or by patient authorization Violations could result in legal ramifications for all parties involved. Make sure that you understand the agency's policies with regards to privacy and security of personal health information. You are agreeing to maintain confidentiality of all information obtained during contract including, but not limited to: financial, personal, and sensitive information regarding clients, contract workers, employees. Understand that inappropriate disclosure or release of client information is grounds for termination

of contract. Ex: Your clients should not know the name of your other clients.

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Physical Evaluation to provide Personal Care

This is an evaluation to determine ability to provide services for Elite Senior Care, LLC. If you are unable to perform any above task, you will need to follow up with your primary care provider for a release to provide service. By signing this form, you are accepting the responsibility to carry out the above task and/or go to your PCP for clearance.

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DISCIPLINARY ACTIONS AND PROCEDURES POLICY

It is ESC policy on discipline as follows: 1. 1st offense, depending on severity, will be verbally warned or reprimanded. A written complaint form will be filled out, signed, and dated by both the contract worker and supervisor. This will be kept in a disciplinary file. 2. 2nd offense for same offense, depending on the severity, may result in termination. If termination of contract worker results, ESC will follow the policy and procedures for termination. 3. If a disciplinary action is taken due to a client complaint, ESC will follow policy on the client complaint form and keep signed record in disciplinary and complaint files. 4. All disciplinary actions will be done in a professional, private manner. All actions will be documented and recorded in a disciplinary file. 5. ESC reserves the right to terminate a contract worker at any time, rather first offense or not. It is contingent upon the severity of the complaint. All contract worker/clients are given the Right to File a Grievance form upon signing on.

These numbers are available upon request.

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