Direct Care Services Sample Clauses
The Direct Care Services clause defines the specific healthcare or support services that will be provided directly to a client or patient. It typically outlines the scope of services, such as personal care, medical assistance, or daily living support, and may specify the qualifications of personnel delivering these services. By clearly delineating what direct care entails, this clause ensures both parties understand their obligations and helps prevent disputes over the nature or extent of care to be provided.
Direct Care Services. The term ‘‘Direct Care Services’’ means any health service that is provided directly by IHS or a Tribal health program. Eligible American Indian/Alaska Native (AI/AN) Veteran: The term “Eligible American Indian/Alaska Native (AI/AN) Veteran” means an AI/AN Veteran who is (1) eligible for services from IHS in accordance with 42 C.F.R. Part 136 and (2) is enrolled in VA’s system of patient enrollment in accordance with 38 U.S.C. § 1705 or is eligible for hospital care and medical services under 38 U.S.C. § 1705(c)(2) notwithstanding the Eligible AI/AN Veteran’s failure to enroll in VA’s system of patient enrollment. VA and IHS or the Tribal health program are responsible for determining eligibility for health care services within their respective programs.
Direct Care Services. The Contractor shall implement Direct Care Services policies as well as the following requirements and standards:
1. The Contractor shall maintain a minimum average ratio of Direct Care Staff to residents of 1:6.5 during day and evening hours and 1:17 overnight. For purposes of calculating the ratio, Direct Care Staff includes Resident Care Coordinators, Nurse Manager, Licensed Practical Nurses (LPN), Health Unit Coordinator, Resident Services Staff and Managers, and facility Directors.
2. The Contractor shall provide the following Direct Care Services program components:
a. Medical advocacy with residents’ doctors and medical care practitioners (as the treatment team determines is necessary) that ensures access and linkage to primary medical care, psychiatry, podiatry, other specialists as needed, rehabilitation therapies, hospice services, access to advanced care planning (Advanced Directives, Durable Do Not Resuscitate Orders (DDNRs)), and Physician Orders for Scope of Treatment (POSTs). This includes coordination of medical appointments and medical escorts to doctor’s appointments. Dental services will be coordinated with staff at the County Dental Clinic. The Project Officer or his or her designee will establish a protocol with Dental Clinic staff to schedule screenings and treatment appointments.
b. A nursing care delivery system that provides in-house primary health care and includes diagnostic and treatment services, screening for disease risk factors and early signs of illness.
Direct Care Services. The facility co-workers will assist you, as needed, with dressing, grooming, bathing and other activities of daily living, to the extent allowed by applicable state law or as stated in your service plan. Direct care services that you need that are included in the basic core services are described in the Direct Care Service Plan.
Direct Care Services. 1. Provide In Home Services to the Individual:
a. Residential support;
b. Assist with bathing, dressing and personal hygiene;
c. Assist with eating;
d. Assist with meal planning and preparation;
e. Assist with housekeeping;
f. Assist with ambulation and mobility;
g. Reinforce behavioral support;
h. Assist with the administration of the Individual's medication or to perform a task delegated by a registered nurse in accordance with rules of the Texas Board of Nursing at 22 TAC, Chapter 225 (relating to RN Delegation to Unlicensed Personnel and Tasks not Requiring Delegation in Independent Living Environments for Clients with Stable and Predictable Conditions) or the Human Resources Code, §161.091- .093, as applicable.
i. Supervise the individual's safety and security.
2. Contractor shall provide the following hours of care and staffing protocols:
a. Staff members are onsite and awake in the residence when the Individual is present in the residence.
b. Staff members are available and present twenty-four (24) hours per day, seven days a week when the Individual is at home.
c. Contactor may not have a Staff member work more than 16 consecutive hours.
d. If a Staff member works for 16 consecutive hours, the Staff member must be off duty for at least eight hours before working another shift of any length.
3. Contractor must ensure Staff member services outside the residence.
a. Staff members must facilitate inclusion in community activities, social interaction, participation in leisure activities, and development of socially valued behaviors.
b. Staff members must supervise the Individual’s safety and security.
4. Contractor shall meet the following transportation needs:
a. Transportation only includes the activity of transporting the Individual from one location to another. Contractor will provide a vehicle to facilitate transportation for the Individual and their needs.
b. The transportation vehicle must be:
i. In good repair;
ii. Maintained and operated in compliance with Title 7 of the Texas Transportation Code;
iii. Equipped with properly operating air conditioning and heating systems; and
iv. Available to meet the transportation needs of the Individual upon effective date of contract.
c. Contractor must ensure that any Service provider who provides transportation:
i. Has a valid Texas driver’s license; and
ii. Transports the Individual in a vehicle in accordance with state law, Title 7 of the Texas Transportation Code.
Direct Care Services. NOTE: For residents who are eligible for the Living Choices Assisted Living 1915 (c) home and community based services Medicaid waiver, a copy of the resident’s waiver plan of care will become a part of the Direct Care Services portion of the resident’s Occupancy Admission Agreement and is filed in the Care Plan section of the chart.
Direct Care Services. Claims for Direct Care Services reimbursement should be submitted to VA electronically unless not feasible. If electronic submission is not feasible, claims submitted in paper form shall comply with the format required for the submission of claims under title XVIII of the Social Security Act or recognized under section 1175 of such Act.
Direct Care Services. (i) Care management and assessment5;
(ii) Personal care: e.g. transfer, food-feeding, bathing, peri-care, hair washing, hair cutting, shaving, nail cutting, changing of clothes, toileting, disposal of urine and bowel waste, etc.;
(iii) Basic Nursing Care: e.g. clinical observation and monitor of ▇▇▇▇▇ ▇▇▇▇▇ testing including blood pressure, pulse, temperature and body weight urine testing, supervision on medications, gastric tube feedings, simple dressing, application of medical ointment dressing, prevention and management of clinical issues through individual coaching, etc;
(iv) Special Nursing Care: e.g. stoma care, incontinence care, respiratory care, diabetic care, peritoneal dialysis, infection control, ▇▇▇▇▇'▇ catheter care, etc.;
(v) Restorative and maintenance rehabilitation exercises, any other therapeutic exercises or activities, environmental risk assessment and home modifications, speech therapy6 etc.; and
(vi) Dementia care 7 e.g. reality orientation, sensory training, reminiscence programme and memory or cognitive training, etc. 5 Care management and assessment conducted by all professionals, including social worker, physiotherapist, occupational therapist, speech therapist, etc.