Updated HCAOA Member Eligibility Requirements

Since its founding, the Home Care Association of America (HCAOA) has always stood for high-quality home care. HCAOA has always set rigorous requirements for its members, including provisions that require home care companies to uphold client rights and responsibilities, create and follow a detailed care plan for clients, and provide back-up care and ensure 24-7 availability. Additionally, every HCAOA member employs their caregivers directly, offering stability and security for workers and peace-of-mind for caregivers.

As part of its ongoing mission to set the gold standard for home care, HCAOA updated its membership eligibility requirements to highlight the values and practices that separate HCAOA members from other providers in the home care market. From service operations to training programs and quality assurance protocols, these updated membership requirements are intended to set forth ambitious yet vital prerequisite requirements for HCAOA membership.

The following are the previous membership eligibility requirements that were changed; followed by the new eligibility requirements.

 

Previous Membership Eligibility Requirements:

(a) Employ not less than one-hundred percent (100%) of all of their direct care staff;

(b) Do not, directly or indirectly, operate a registry model agency to provide medical or non-medical private duty services (for this purpose, a “registry model agency” means a person that employs less than one-hundred percent (100%) of its direct care staff);

(c) Create a plan of care, service plan, or care plan for each of their clients;

(d) Conduct a criminal background check and check references for each of their direct care staff;

(e) Perform periodic supervisory visits for each of their clients;

(f) Maintain Workers Compensation coverage as required by law; and,

(g) Maintain general liability insurance covering their employees while providing services to its clients.

 

Approved Membership Eligibility Requirements

(a) Employ not less than one-hundred percent (100%) of all of their direct care staff;

(b) Do not, directly or indirectly, operate a registry model agency to provide medical or non-medical private duty services (for this purpose, a “registry model agency” means a person that employs less than one-hundred percent (100%) of its direct care staff);

(c) Follow and/or execute a plan of care, service plan, or care plan for each of their clients;

(d) Conduct a criminal background check and check references for each of their direct care staff;

(e) Perform periodic supervisory visits for each of their clients;

(f) Meet appropriate organization and administration requirements, such as:

 

Follows HCAOA Ethical Guidelines

Uses the HCAOA Ethical Guidelines as a guide when making ethical and business decisions. This is especially true with issues related to Core Values, Client's Rights & Responsibilities, Relationships with other Provider Agencies, Responsibilities to HCAOA, Fiscal, Marketing and Personnel.

 

Maintains Compliance with State and Federal Regulations

Operates and furnishes services in compliance with all applicable federal, state, and local laws and regulations related to the health and safety of clients/patients. If state or applicable local law provides for the licensure, the member must be licensed.

 

Has Appropriate Insurance to Cover the Agency and its Employees

Maintains appropriate insurance coverage for liability and worker’s compensation. If services include driving clients, ensure there is appropriate vehicle coverage.

 

Employee Compliance with Acceptable Professional Standards and Practices

Accepted standards of practice and occupational licensure acts are utilized by the agency to guide the provision of care/service.

 

Organizational Structure with Designated Leaders and/or Governance

Should have an organizational chart that is available to all staff.

 

Policy and Procedures for Operation of All Business Activities

Should have a current policy and procedure manual for operation of all business activities. These policies and procedures should guide the day-to-day operations and should be available to all staff.

 

Compliance with HCAOA Best Practices for Business Operations

Business operations should be in compliance with the Home Care Association of America Best Practices for Business Operations.

(g) Conduct appropriate orientation and training for their direct care staff;

 

Orientation and Training

New Employee Orientation and Training

All new employees should complete an orientation program for their specific position, including competency assessment and documentation. The following are a list of items that should be included in the orientation of a new employee.

 

Company policies and procedures

Documentation that outlines the organizational and operational structure and policies to answer the “what and “how” for individuals within an organization.

 

Client rights

Employees should receive initial training on client bill of rights and responsibilities and be instructed to notify the company if they observe any violations.

 

Confidentiality

Employees should understand the boundaries of confidentiality when caring or working with a client. This includes personal information and physical condition they may either see documented or shared verbally.

 

Professional Boundaries

Employees should understand professional and ethical boundaries to protect the client’s dignity, autonomy and privacy.

 

Record Keeping and Reporting

Employees should understand the importance of documentation and record keeping to track care needs of clients, hours worked and communication with the office.

 

Infection Control Principles Specific to Job Requirements

Employees who will be caring for clients, should know and understand inflection control principles outlined by state regulations or the CDC pertaining to health care workers.

 

Safety in the Home

Employees should review common safety hazards and prevention measures to keep clients safe in their homes.

 

Training Specific to Job Requirements (# of hours)

Employees should be assessed, then provided training on specific job duties to perform job at the best of their ability.

 

Ongoing Continuing Education Related to Job Requirements

Develop skills assessment and training program for workers caring for clients in the home.

 

Level/Type of Training

Develop a progressive training system to ensure employees have the skills and competencies to properly care for their clients. A suggested training program from HCAOA would include the following:

Use the Guidelines for Hiring, Training, and Supervising of Caregivers outlined by the HCAOA to help develop skills assessment and training program for workers caring for clients in the home.

Distinguish between Levels of Care to set minimum requirement:

Level I Initial - 6 hours / Ongoing (Annual) 8 hours
Level II Initial - 20 hours / Ongoing (Annual) 8 hours
Level III Initial - 50-70 (CNA-75) hours/ Ongoing (Annual) 8 hours
(Level III has prerequisite # of training hours upon hire)

 

Marketing Ethics/Principles

Marketing and sales information including oral statements and written material distributed to clients, customers, families, referral sources or to the general public will reflect appropriate and accurate information regarding the care and services the provider is capable of providing in accordance with state and federal laws and regulations.

 

Marketing Collateral

Brochures and marketing materials should be available to all staff, clients and community. Brochures must accurately reflect the services provided.

(h) Conduct appropriate quality assessment, quality assurance, and risk management functions, such as:

 

Quality Assurance/Risk Management

Complaint Investigation & Resolution

Should have a policy and procedure for handling complaints.

 

Incident Investigation & Resolution

Should have a policy and procedure for handling incidents.

 

Safety Management

Should have a disaster plan and an infection control plan in place. Staff should receive periodic continuing education that includes at a minimum safety, infection control.

 

Customer Satisfaction

Should establish a policy of obtaining routine customer satisfaction surveys.

 

Outcomes Data

Should periodically review outcomes based on collected data to formulate a performance improvement plan.

 

Annual Evaluation

Annually, should review budget/business plan and overall operations.

(i) Meet appropriate home care services operational requirements, such as:

 

Client Rights and Consent for Care

Responsible for developing, adopting, and observing client rights and responsibilities in a manner necessary to contribute to ethical behavior and care. Should establish a client bill of rights and responsibilities according to state regulations. This information should be distributed to clients at start of care. Employees should receive initial training on client bill of rights.

 

Service Plan for Every Client

Should have a written service /care plan for each client. Should review services and update service/care plan as needed.

 

Agency Availability During All Times of Operation

Should provide contact information to customers for all hours that services are provided. Should have a system for taking calls 24 hours a day, if providing services 24 hours a day.

 

Ongoing Oversight/Supervision

Should supervise caregivers providing personal care services according to policy and procedure, state regulations, and other payer guidelines.

 

Policies and Procedures Outline Supervisory Process

Should have a current policy & procedure manual for operation of all business activities. These policies and procedures should guide the day to day operations.

 

Referral Management

Should ensure marketing and sales information including oral statements and written material distributed to clients, customers, families, referral sources or to the general public reflect appropriate and accurate information regarding the care and services provided, in accordance with state and federal laws and regulations.

 

Discharge/Transfer — Established Criteria

Should establish and follow discharge planning and documentation for each client.

 

Assessment for Level of Care Needs

Should conduct initial assessment for all clients, identifying specific care needs and establishing an appropriate plan of care.



 

A printable version of these requirements is available here.