Program Service Delivery

Appendices

Appendix A - Content Summaries: First Nations and Inuit Home and Community Care Standards and Policy Template Manuals

First Nations and Inuit Home and Community Care Standards Template Manual
This manual includes standards templates in six topic areas, as well as an introduction, reference list and glossary that are common to the Policies Template Manual. The introduction includes information and suggestions on how to use the manuals; definitions and benefits of standards, policies and procedures; background information about the First Nations and Inuit Home and Community Care Program, including roles and responsibilities for communities and government; and suggestions of future activities, including customizing the templates to better meet the needs of individual communities, and preparing for accreditation.

The six topic areas for the standards include the following:

Leadership
Standards templates are provided to support vital components of the Program's development and ongoing evolution: community needs assessment, vision, capacity building and resource and contract management.

Quality
The templates for quality standards focus on ongoing quality improvement in program development and the monitoring, evaluation and timely handling of risk issues.

Home and Community Care Services
This section focuses on accessible, appropriate, effective services; promoting continuity of these services; and the inclusion of health promotion, prevention and protection services. This section also addresses the importance of clients' rights and specifically addresses client participation and consent, ethical issues and confidentiality of clients and their information.

Environment
These standards address issues related to health and safety, including a focus on building and physical space, as well as equipment and materials, and disaster planning. A standard related to linkages and partnerships with other community programs and organizations is also included to promote a unified approach to services and community issues.

Human Resources
The human resources standards promote proactive and responsive human resources planning, as well as fair, timely and effective recruitment and retention initiatives. These standards also foster staff development through regular performance evaluation and education and training, and a positive working environment.

Information Management
These standards begin with a focus on assessment and planning for current and future information needs; then move to what is required to address these needs: collecting reliable, relevant data; providing easy access to those who need the information; analyzing and evaluating relevant indicators; promoting information exchange within and outside the community; effectively using the information for program changes and improvements; and maintaining information management systems that are secure and protect confidential data.

First Nations and Inuit Home and Community Care Policy Template Manual

This manual includes policies in eight topic areas, as well as the same introduction, reference and glossary that appear in the Standards Template Manual.

The eight topic areas include the following:

The Organization
These policies centre on the mission, vision, values, beliefs, goals and objectives that shape the Program and its services. Policies also address the organizational structure and the roles and responsibilities of clients and families, service providers, program management and the community and its leadership. Clear policies in these areas are fundamental to a sound, well-grounded Program.

Scope of Services
This section addresses clear policies concerning the range of services to be provided, model(s) for their delivery, access for all eligible community members to ensure people receive services based on predetermined criteria and need, and the processes for appeal regarding unfair, inequitable or inappropriate allocation of services.

Client Care
These policies focus on client rights, confidentiality and privacy of all client information, informed consent to treatment, and documentation to ensure that reliable, relevant information is collected.

Human Resources
This is the most extensive section of the manual, and covers a variety of human resources policies to ensure equitable practices, investment in staff development, and clear understanding of processes and protocols, all in an effort to promote positive recruitment and retention activities. Specifically, the scope of these policies ranges from topics of equal opportunity, ethics and human rights to recruitment, hiring, orientation; from the employment relationship, compensation and benefits to harassment and grievances; from conflict of interest to performance management and disciplinary process.

Quality
These policies encompass processes to monitor performance indicators, evaluate the efficiency and effectiveness of the Program, promote continuous improvement to the Program and reduce risk to clients, families, staff and the Program.

Operations
This section addresses policies for the various operational components of Program management, record management, communications and financial management, as well as the annual Program summary.

Health and Safety
These policies focus on health and safety areas including hazardous waste management, disaster response, fire and evacuation, negligence, client abuse, and infection control. As well, policies regarding incident reporting and liability protection are included here.

Clinical/Service Delivery
This is the only section that does not include a comprehensive range of policies. The four that are included are felt to be of significance for the Program's success: eligibility criteria, priority setting, resource allocation, and delayed admission. As well, a number of specific protocols have been identified, such as death in the home, doctor's order, first dose medications administration, general medications administration, universal precautions, and more detailed protocols regarding the refusal to provide services and related staff safety issues. These protocols were felt to be the most valuable to Program development and implementation at this
point.

Appendix B - Sample Home Care Client Intake Log

This HTML document is not a form. Its purpose is to display the information as found on the form for viewing purposes only. if you wish to submit a form, you must use only the PDF version

Date:

Home Care Client Intake Log

• Client Identifier:
• Referral received:
• Contact made or attempted dates:
• Assessment complete:
• Admission:
• Discharge:
• Referral to:
• Comments: