| (50) Home and community support services agency--A
person who provides home health, hospice, or personal assistance services
for pay or other consideration in a client's residence, an independent
living environment, or another appropriate location.
(51) Home health aide--An individual working for an
agency who meets at least one of the requirements for home health
aides as defined in §97.701 of this chapter (relating to Home
Health Aides).
(52) Home health medication aide--An unlicensed person
issued a permit by HHSC to administer medication to a client under
the Texas Health and Safety Code, Chapter 142, Subchapter B.
(53) Home health service--The provision of one or more
of the following health services required by an individual in a residence
or independent living environment:
(A) nursing, including blood pressure monitoring and
diabetes treatment;
(B) physical, occupational, speech, or respiratory
therapy;
(C) medical social service;
(D) intravenous therapy;
(E) dialysis;
(F) service provided by unlicensed personnel under
the delegation or supervision of a licensed health professional;
(G) the furnishing of medical equipment and supplies,
excluding drugs and medicines; or
(H) nutritional counseling.
(54) Hospice--A person licensed under this chapter
to provide hospice services, including a person who owns or operates
a residential unit or an inpatient unit.
(55) Hospice aide--A person working for an agency licensed
to provide hospice services who meets the qualifications for a hospice
aide as described in §97.843 of this chapter (relating to Hospice
Aide Qualifications).
(56) Hospice homemaker--A person working for an agency
licensed to provide hospice services who meets the qualifications
described in §97.845 of this chapter (relating to Hospice Homemaker
Qualifications).
(57) Hospice services--Services, including services
provided by unlicensed personnel under the delegation of a registered
nurse or physical therapist, provided to a client or a client's family
as part of a coordinated program consistent with the standards and
rules adopted under this chapter. These services include palliative
care for terminally ill clients and support services for clients and
their families that:
(A) are available 24 hours a day, seven days a week,
during the last stages of illness, during death, and during bereavement;
(B) are provided by a medically directed interdisciplinary
team; and
(C) may be provided in a home, nursing facility, residential
unit, or inpatient unit according to need. These services do not include
inpatient care normally provided in a licensed hospital to a terminally
ill person who has not elected to be a hospice client. For the purposes
of this definition, the word "home" includes a person's "residence"
as defined in this section.
(58) IDR--Informal dispute resolution. An informal
process that allows an agency to refute a violation or condition-level
deficiency cited during a survey.
(59) Independent living environment--A client's residence,
which may include a group home, foster home, or boarding home facility,
or other settings where a client participates in activities, including
school, work, or church.
(60) Indirect ownership interest--Any ownership or
membership interest in a person that has a direct ownership interest
in an applicant or license holder.
(61) Individual and family choice and control--Individuals
and families who express preferences and make choices about how their
support service needs are met.
(62) Individualized service plan--A written plan prepared
by the appropriate health care personnel for a client of a home and
community support services agency licensed to provide personal assistance
services.
(63) Inpatient unit--A facility, also referred to as
a hospice freestanding inpatient facility, that provides a continuum
of medical or nursing care and other hospice services to clients admitted
into the unit and that is in compliance with:
(A) the conditions of participation for inpatient units
adopted under Social Security Act, Title XVIII (42 United States Code §1395
et seq.); and
(B) standards adopted under this chapter.
(64) JCAHO--The Joint Commission, previously known
as the Joint Commission on Accreditation of Healthcare Organizations.
An independent, nonprofit organization for standard-setting and accrediting
in-home care and other areas of health care.
(65) Joint training--Training provided by HHSC at least
semi-annually for home and community support services agencies and
HHSC surveyors on subjects that address the 10 most commonly cited
violations of federal or state law by home and community support services
agencies as published in HHSC annual reports.
(66) LAR--Legally authorized representative. A person
authorized by law to act on behalf of a client with regard to a matter
described in this chapter, and may include a parent of a minor, guardian
of an adult or minor, managing conservator of a minor, agent under
a medical power of attorney, or surrogate decision-maker under Texas
Health and Safety Code, §313.004.
(67) License holder--A person that holds a license
to operate an agency.
(68) Licensed vocational nurse--A person who is currently
licensed under Texas Occupations Code, Chapter 301, as a licensed
vocational nurse.
(69) Life Safety Code (also referred to as NFPA 101)--The
Code for Safety to Life from Fire in Buildings and Structures, Standard
101, of the National Fire Protection Association (NFPA).
(70) Local emergency management agencies--The local
emergency management coordinator, fire, police, and emergency medical
services.
(71) Local emergency management coordinator--The person
identified as the emergency management coordinator by the mayor or
county judge in an agency's service area.
(72) Manager--An employee or independent contractor
responsible for providing management services to a home and community
support services agency for the overall operation of a home and community
support services agency including administration, staffing, or delivery
of services. Examples of contracts for services that will not be considered
contracts for management services include contracts solely for maintenance,
laundry, or food services.
(73) Medication administration record--A record used
to document the administration of a client's medications.
(74) Medication list--A list that includes all prescription
and over-the-counter medication that a client is currently taking,
including the dosage, the frequency, and the method of administration.
(75) Mitigation--An action taken to eliminate or reduce
the probability of a disaster, or reduce a disaster's severity or
consequences.
(76) Multiple location--A Medicare-approved alternate
delivery site that meets the definition in 42 CFR §418.3.
(77) Notarized copy--A sworn affidavit stating that
attached copies are true and correct copies of the original documents.
(78) Nursing facility--An institution licensed as a
nursing home under the Texas Health and Safety Code, Chapter 242.
(79) Nutritional counseling--Advising and assisting
individuals or families on appropriate nutritional intake by integrating
information from the nutrition assessment with information on food
and other sources of nutrients and meal preparation consistent with
cultural background and socioeconomic status, with the goal being
health promotion, disease prevention, and nutrition education. Nutritional
counseling may include the following:
(A) dialogue with the client to discuss current eating
habits, exercise habits, food budget, and problems with food preparation;
(B) discussion of dietary needs to help the client
understand why certain foods should be included or excluded from the
client's diet and to help with adjustment to the new or revised or
existing diet plan;
(C) a personalized written diet plan as ordered by
the client's physician or practitioner, to include instructions for
implementation;
(D) providing the client with motivation to help the
client understand and appreciate the importance of the diet plan in
getting and staying healthy; or
(E) working with the client or the client's family
members by recommending ideas for meal planning, food budget planning,
and appropriate food gifts.
(80) Occupational therapist--A person who is currently
licensed under the Occupational Therapy Practice Act, Texas Occupations
Code, Chapter 454, as an occupational therapist.
Cont'd... |
