medicare regulations for dme and hme companies require this policy if it is applicable to the types of services your dme provides, we make this easy for you with just a small amount of customization, you too will meet the requirements of the federal regulations. this policy is updated to the newest 2010 standards.
SUBJECT: INFECTION CONTROL PLAN REFERENCE #4013 PAGE: 1 DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT OF: 9 EFFECTIVE: APPROVED BY: REVISED: PURPOSE: To minimize the risk of healthcare associated or transmitted infections among the company’s clients and staff through a formalized coordinated companywide process to reduce those risks. To comply with applicable laws, regulations, guidelines and standards. To improve client health outcomes by identifying and reducing the risks of infection in clients and company staff. POLICY: The leaders of this company are committed to the implementation of a viable, well-designed effective infection prevention and control plan as one of its primary safety initiatives. To that end, appropriate resources are allocated to support that initiative. Client and staff safety from infection is a priority within this company. The company has established a comprehensive Infection Control Plan to ensure that there is a functioning coordinated process in place, to minimize the risks of healthcare associated and transmitted infections among clients and staff, and to optimize the use of resources. The company’s Infection Control Plan incorporates the following in a continuing cycle: Surveillance, prevention and control of infections throughout the company Development of alternative practices to address real and potential exposures Selection and implementation of best practices to minimize adverse outcomes Evaluation and monitoring results and revising prevention activities as needed © The Compliance Doctor, LLC SUBJECT: INFECTION CONTROL PLAN REFERENCE #4013 PAGE: 2 DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT OF: 9 EFFECTIVE: APPROVED BY: REVISED: Company administration, with the approval of the Board of Directors, has designed and implemented an infection control plan that is reflective of: The client population served by the company Any special risks for infection within that population The types of care, treatment and/or services provided by the company The company’s infection control plan is a systematic and coordinated process designed to incorporate the following information: Current scientific methods and epidemiologic principles for infection surveillance and prevention of adverse outcomes determined by a review of current literature Recognized practice guidelines such as those published by the Centers for Disease Control and Prevention (CDC), the Healthcare Infection Control Practices Advisory Committee (HICPAC), the National Quality Forum (NQF), and the Agency for Healthcare Research and Quality (AHRQ) Current local, state and federal laws and regulations related to compliance with prevention activities and legally mandated reporting requirements, such as OSHA guidelines Demographics of the client population served by the company including, but not limited to, community studies to identify the prevalence of infections within the company’s geographic service area, client census, distribution of diagnoses Care, treatment and/or services provided by the company © The Compliance Doctor, LLC SUBJECT: INFECTION CONTROL PLAN REFERENCE #4013 PAGE: 3 DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT OF: 9 EFFECTIVE: APPROVED BY: REVISED: The level of risk for the transmission and acquisition of infectious agents throughout the company is reviewed at least annually and whenever there are significant changes in: The company’s geographic service area The programs/services and/or the care, treatment, services provided by the company The characteristics of the population served by the company The results of analysis of the company’s infection prevention and control data Each department within the company is responsible and held accountable for its role in the Infection Control Plan. To coordinate the infection control activities, infection control management functions are delegated to the Infection Control Committee to investigate and follow-up on identified infections. The company’s Risk Manager is responsible for implementation of the infection control plan and serves as a member of the Infection Control Committee. Infection control inservice education is provided to all company employees, including contracted personnel, during orientation and at least annually thereafter. Infection control data are an integral component of the company’s performance improvement plan. © The Compliance Doctor, LLC SUBJECT: INFECTION CONTROL PLAN REFERENCE #4013 PAGE: 4 DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT OF: 9 EFFECTIVE: APPROVED BY: REVISED: ACTIVITIES: Infection control activities include, but are not limited to, the following that are identified after the client’s admission to the company. Monitoring and evaluation of key performance aspects of infection control surveillance, prevention and management: Postoperative wound infections Device-related infections Antibiotic-resistant organisms Tuberculosis Other communicable diseases Ventilator related pneumonia Postpartum infections Employee health trends Continuously collecting and/or screening data to identify isolated incidents or potential infectious outbreaks, as well as to determine if infections are company acquired or community acquired. Participation in an companywide proactive education program in an effort to reduce and control the spread of infection. Facilitating a multidisciplinary approach to the prevention and control of infections. Utilizing sound epidemiologic principles and infection research from recognized authoritative sources. © The Compliance Doctor, LLC SUBJECT: INFECTION CONTROL PLAN REFERENCE #4013 PAGE: 5 DEPARTMENT: DURABLE & HOME MEDICAL EQUIPMENT OF: 9 EFFECTIVE: APPROVED BY: REVISED: Integrating outcomes from surveillance and control activities into the Information Management Program processes throughout the company to allow for inter
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