SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.
 
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  COMMUNITY

A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.
 
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  SCREEN

A preliminary test administered to a client to determine whether he/she meets eligibility criteria for the services offered by an organization.
 
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  INTAKE

The client's entry point for services at which eligibility is assessed against established criteria and a preliminary evaluation of the presenting problem occurs.
 
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  PROCEDURES

Written instructions that outline the steps for performing a task(s) or operationalizing an administrative or service delivery process. A procedure can be written as a step-by-step set of instructions or as a narrative description of a process. A procedure tells someone how to do something not just what to do.

Unlike policies, procedures do not need to be approved or reviewed by the governing body, and need not be associated with a specific policy. For example, whereas a broad anti-discrimination policy requires grievance or other procedures in order to be operationalized within an organization, assessment procedures do not require a governing body approved assessment policy.

Note: Procedures are sometimes referred to as administrative policies.

 
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  PROGRAM

A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.
 
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  CLIENT

See service recipient.
 
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  POLICY

A written statement of principles, values, or intent that provides a basis for consistent decision making and guides the actions of staff, management, and board of trustees. A policy is intentionally broad in its language and application. The following is an example of an anti-discrimination policy:

"[Organization Name] shall not discriminate on the basis of race, color, religion (creed), gender, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers, selection of vendors, and provision of services."

In contrast, a procedure is a detailed, step-by-step description of a process. It tells the reader how to do something. Generally, policies are implemented through procedures. For example, the above anti-discrimination policy would require a detailed grievance procedure in order to operationalize it within an organization.

The governing body has the fiduciary responsibility for setting organizational policy. Therefore, policies must be approved and periodically reviewed by the organization's governing body. However, the governing body typically delegates (via policy) the responsibility for policy development to management. In owner-operated for-profit companies, the owner can act as the company's governing body, depending on the company's corporate structure.

In a public agency the responsibility for setting and reviewing policies may belong to the agency's management team, elected officials, another governmental agency, or as is often the case, a combination of the above.

 
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  TRAINING

Instruction so as to make fit, qualified, or proficient in a skill or body of knowledge.
 
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  CRITERIA

Systematically developed, objective, and quantifiable statements used to assess the appropriateness of specific decisions, services, and outcomes.
 
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  PRACTICE

Established actions or ways of proceeding in the regular performance of organizational duties. Policies and procedures often guide practice.
 
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  SERVICE RECIPIENT

The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.
 
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  CONNECTED

The means by which individuals access services that may or may not be provided by the organization itself. These terms are used interchangeably when individuals are connected to services either directly or by referral. See also LINKED.
 
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  CONTRACT

A formal written agreement between two or more parties that specifies the services, space, or products to be provided in exchange for some form of compensation. Also known as "purchase of service arrangement."
 
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  REFERRALS

Resource suggestions provided to consumers to address problems or needs that are beyond the scope of the organization's mission.
 
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  SUPERVISION

Assumption of responsibility for directly overseeing and evaluating the work or work products of personnel within an organization. Also includes inspecting the act or process of accomplishing a function or activity.
 
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  PERSONNEL

The body of employees and/or volunteers that carries out the organization's tasks under the organization's administration and/or supervision. This definition does not include foster parents who are specifically referenced in relevant standards
 
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Home Care and Support Services: Home Health Aide Services, Personal Care Aide Services, and Homemaker Services
 
Private Org Public Agency  

PA-HCS 2: Screening and Intake

 
The agency screens applicants promptly and responsively to identify need efficiently and direct individuals to appropriate services.

PA-HCS 2.01

 

Individuals are screened at intake and, using discussion and explanation supportive of written material that promotes understanding and autonomy, are informed about:

  1. how well their request matches the agency's services; and
  2. what services will be available and when.
Interpretation: Distribution of written policies, procedures or materials describing program philosophy and safeguards without discussion or verbal explanation may be inadequate to ensure client understanding and autonomy.
Research Note: The 1991 Patient Self-Determination Act promotes self-determination education and prohibits discrimination in admission of persons who elect to execute an advance directive. A local field study, utilizing a subset of a national randomized study of home care providers, examined care agencies’ implementation of this policy. The study found that in two states surveyed, although 67% of agencies had formal policies and procedures to address clients’ rights to execute an advance directive and life sustaining decisions, only 41% of these agencies had policies on how to proceed with clients with questionable decision-making capacity. The study concludes that interdisciplinary staff training is essential for consistent knowledge of state law, criteria for promoting client self-determination, proper use of forms, appropriate counseling, and promotion of patient knowledge and autonomy.
NA Another agency is responsible for screening.

PA-HCS 2.02

 

Prompt, responsive, systematic, screening and intake practices:

  1. ensure equitable treatment;
  2. give priority to individuals or families with urgent needs and emergency situations;
  3. clarify needs and preferences including the choice to execute an advance directive;
  4. support timely initiation of services; and
  5. provide for placement on a waiting list, if desired.
Interpretation: Forms given to service recipients should allow for individualization and also meet any guidelines and restrictions set forth in state law.

PA-HCS 2.03

 
Individuals who cannot be served, or be served promptly, are referred or connected to appropriate services.
NA The agency: (1) accepts all clients, or (2) only receives clients by referral, and is required by contract to accept all referrals.

PA-HCS 2.04

 
Critical care decision-making is carried out by, or under the direct supervision of, experienced and/or licensed personnel.
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PURPOSE: Individuals who receive Home Care and Support Services obtain a maximum level of independence, functioning, and health, and extend the time it is possible to live safely at home and in the community.
 
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