Medicalstaffingmanuals

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Non Medical Home Care Order Form

    Thank you for choosing MSM Consulting for your Customized Non-Medical Policies and Procedures Manual. Kindly complete this form to help us understand your needs. This form is encrypted so your data is safe with us. This form is encrypted so your data is safe with us. If you have any questions, don't hesitate to call us at 1-888-425-9444, Ext 0. We are available Mon- Fri, 9am to 4pm EST

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    1....*

    Lets Start with your full name

    2....*

    Please provide a phone number for us to contact you with any questions.

    3....*

    Please provide an email address if it's your preferred method of contact*.

    4....*

    What is the name of your home care agency*.

    (This is the official business name that will appear throughout the manual)

    5....*

    Company's official mailing address

    (This address will be included in your manual if required)

    6....*

    Your company's phone number

    (This number will be included in your manual if required)

    7....*

    What days and hours would the agency's office be open?

    Example: Monday to Friday, 8am to 4pm

    8....*

    Do you have a company website?

    Need a professionally designed Website? We can help. Contact our team HERE.

    9....*

    List the services the agency will provide.

    Example: Home Health Aide. Home Maker, Companion etc.

    10....*

    What is your agency's mission, vision and goals?

    No worries if you don't have one. We will write one for you

    11....*

    Do you have a company logo?

    The logo will be included in your manual. Need a professionally designed logo? We can help. Contact our team HERE.

    12....*List the job titles of the staff you will hire.

    Example: Administrator, Supervisor, Home Health Aide, Homemaker, Companion etc.

    13....*

    Describe the State regulations or accreditation standards the policies and procedures should comply with if known*.

    Please contact us if you are not sure. In most cases, your manual has to follow your state regulations. If you are pursuing accreditation private duty home care accreditation with NAHC CHAP, ACHC etc., Include the name of the accreditation and the state where the agency will operate.

    14....*

    Would you hire any staff as contractors?

    15....*

    Does your organization have board of directors? If yes, provide the titles of the board of directors.

    16....*How would you conduct employee criminal background checks?

    Example: State Police

    17....*

    Which company would you use to process employee payroll?

    Examples: Intuit, ADP etc.

    18....*

    Please provide any additional information that should be included in your policies and procedures.

    19....*

    Do you have any preferences for the layout, font, font size of your manual?

    OR you can also leave it up to us to use a professional style.

    Fonts: We only use professional fonts such as Arial, Calibri, Cambria, Garamond, Times New Roman, or Georgia.

    Font size: We use a consistent font size of (12pts) throughout our manuals. For headings and policy titles, we use size 14pts.

    In most manuals, each policy and procedure will include the following:

    Header: Basically, your organization's name and who that particular policy is being created for.

    Dates: The date when the policy was initially made operative. If it is being reviewed, the date of review should be indicated too.

    Title: This would reflect the total content of the policy.

    Authority's approval: This includes the name of who approved the development of the policy.

    Policy statement: This is where we state in detail why the policy is being created. In this section, we answer the questions who, why, what, when, and where of the policy.

    Scope of the policy: This is whom and what the policy applies to. For example, is it for staff conduct within the organization or salary payment process? That would be the scope of your policy.

    Procedure: This section is where we indicate steps to help achieve the goals laid out in the policy statement. It contains rules to be obeyed and can be very detailed.

    Different parties and responsibilities: This includes a list of various units responsible for policy enforcement. It can also have contact information.

    Directive: This section is for instructions that are very important and must be noticed.

    Page numbering: Every page would have a page number.

    Definitions: Words that are not common would be clearly defined.

    References: Indicate if the policy was developed with references from other documents.