Within thirty (30) business days of a county/PSA moving into the Green Phase, return to conducting in-home visits when the consumer is comfortable with the visit, and the consumer and others in the home report no signs or symptoms of illness per the health screening.
When a Care Manager contacts the consumer to explain the need for and schedule the in-home visit, the Care Manager will:
- Complete a COVID-19 Consumer Comfort Level Screening of the consumer (Maintain a record of the screening as a file attachment to the consumer's record in SAMS)
- Complete a COVID-19 Consumer Health Screening of the consumer and others in the home (Maintain a record of the screening as a file attachment to the consumer's record in SAMS)
- Discuss any concerns with conducting the in-home visit with the supervisor
- Document outcomes of the Comfort Level Screening and Health Screening in a journal entry in SAMS
If the consumer is not comfortable with the in-home visit, the Care Manager will:
- Attempt to ask the consumer to explain what makes the consumer uncomfortable about the in-home visit and what could be done to make the consumer feel more comfortable
- Discuss the situation with their supervisor
- Explore alternatives to conducting the in-home visit, such as, conducting the meeting on the porch through the screen door. (Applicable to situations that do not rise to the level of potential abuse or neglect)
- Document the reasons in a journal entry in SAMS
On the day of the in-home visit, the Care Manager will:
- Call the consumer to reconfirm the in-home visit
- Ask the consumer if anything has changed since the last time you spoke
- Confirm the consumer is still comfortable with the visit utilizing the COVID-19 Consumer Comfort Level Screening form attached to the consumer's record in SAMS.
- Confirm no change in health screening utilizing the COVID-19 Consumer Health Screening form attached to the consumer's record in SAMS.
- Conduct a self-evaluation as to their own health condition and comfort level
- Discuss any concerns with conducting the in-home visit with their supervisor
- Reschedule the in-home visit if needed. Document the reasons for rescheduling an in-home visit in a journal entry in SAMS
Telephonic assessments may be conducted, with supervisory approval, when the consumer is uncomfortable with the in-home visit or the consumer or others in the home report symptoms of illness as per the health screening.
- The Care Manager shall document the reason for not conducting the in-home visit, including outcomes of the Comfort Level Screening and Health Screening, in a journal entry in SAMS
- The supervisor shall document their approval for a telephonic assessment in a journal entry in SAMS
When conducting the in-home visit:
- Follow applicable Centers for Disease Control and Prevention (CDC) guidelines and the Pennsylvania Department of Health (DOH) guidelines
- Assure the Care Managers are equipped with appropriate safety and hygiene supplies (masks, hand sanitizer, etc.)
- Maintain social distancing within the home
- Consider Best Practices, such as:
- Ask the consumer during the call made on the day of the scheduled visit if they and others in the home have masks
- Bring extra masks to the home in the event the consumer and others in the home do not have masks
- Utilize the Consumer Care Plan Report in SAMS to eliminate the need for multiple signatures on various documents
- Bring extra pens that can be left at the consumer's home when a signature is needed