R432-700-8. Administrator Responsibilities

(1) The administrator shall have at least one year of managerial or supervisory experience. (2) The administrator shall be responsible to: (a) designate in writing a qualified person who shall act in their absence; (b) ensure that the administrator or designee has enough power, authority, and freedom to act in the best interests of client safety and well-being; (c) ensure that administrator or designee is available during the agency's hours of operation; (d) complete, submit and file records and reports required by the department; (e) review policies and procedures at least annually and revise as necessary and document the date of review; (f) implement policies and procedures; (g) organize and coordinate functions of the agency by delegating duties and establishing a formal means of staff accountability; (h) appoint the following: (i) a primary care provider: (ii) a registered nurse, or healthcare professional to provide general supervision coordination and direction for professional services in the agency; (iii) the members and their terms of membership in the interdisciplinary quality assurance committee; and (iv) other committees as deemed necessary; (i) describe each committee functions and duties; (j) develop processes for selection, term of office and responsibilities of each committee member; (k) designate a person responsible for maintaining a clinical record system on each client; (l) maintain current written designations or letters of appointment in the home health agency; (m) employ or contract with competent personnel whose qualifications are commensurate with job responsibilities and authority, and who have the appropriate license or certificate of completion; (n) develop job descriptions that delineate functional responsibilities and authority; (o) develop a staff communication system that coordinates implementation of plans of treatment, utilizes services or resources to meet client needs and promotes an orderly flow of information within the organization; (p) provide staff orientation as well as continuing education in applicable policies, rules, regulations, and resource materials; (q) secure contracts for services not directly provided by the home health agency; (r) implement a program of budgeting and accounting; and (s) establish a billing system which itemizes services provided and charges submitted to the payment source.