Hospital Home Care Services

" " on the premises " or the like " and did not provide appropriate safeguards to protect the privacy of protected health information (PHI), for two (2) of nine (9) CR of Patients who received Home Health Physical Therapy (CR1 & CR2).

Agency failed to send a discharge summary to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge for five (5) of five (5) discharged clinical records reviewed (CR1 - CR5).

The agency failed to maintain an accurate medication list per physician orders for one (1) of thirteen (13) CR reviewed (CR5).

The agency failed to maintain an ongoing, accurate list of medications in order to identify any potential adverse effects and reactions, ineffective therapy, significant side effects, drug interactions, duplicate therapy, and/or noncompliance for three (3) of seventeen (17) CR reviewed (CR1, CR5…

The agency failed to ensure the plan of care included all necessary, pertinent information to meet needs of the patient for five (5) of seventeen (17) CR reviewed (CR1, CR3, CR14, CR16).

The agency failed to alert physicians to changes that suggested a need to alter the plan of care for seven (7) of seventeen (17) CR reviewed (CR1 - CR4, CR6, CR7, CR14).

The agency failed to provide services in accordance with clinical practice guidelines and accepted professional standards of practice for five (5) of six (6) home visits (HV) observed (HV1, HV2, HV3, HV5, HV6).