[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR484.2]



[Page 575-576]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 484_HOME HEALTH SERVICES--Table of Contents

 

                      Subpart A_General Provisions

 

Sec. 484.2  Definitions.



    As used in this part, unless the context indicates otherwise--Bylaws 

or equivalent means a set of rules adopted by an HHA for governing the 

agency's operation.

    Branch office means a location or site from which a home health 

agency provides services within a portion of the total geographic area 

served by the parent agency. The branch office is part of the home 

health agency and is located sufficiently close to share administration, 

supervision, and services in a manner that renders it unnecessary for 

the branch independently to meet the conditions of participation as a 

home health agency.

    Clinical note means a notation of a contact with a patient that is 

written and dated by a member of the health team, and that describes 

signs and symptoms, treatment and drugs administered and the patient's 

reaction, and any changes in physical or emotional condition.

    HHA stands for home health agency.

    Nonprofit agency means an agency exempt from Federal income taxation 

under section 501 of the Internal Revenue Code of 1954.



[[Page 576]]



    Parent home health agency means the agency that develops and 

maintains administrative controls of subunits and/or branch offices.

    Primary home health agency means the agency that is responsible for 

the services furnished to patients and for implementation of the plan of 

care.

    Progress note means a written notation, dated and signed by a member 

of the health team, that summarizes facts about care furnished and the 

patient's response during a given period of time.

    Proprietary agency means a private profit-making agency licensed by 

the State.

    Public agency means an agency operated by a State or local 

government.

    Subdivision means a component of a multi-function health agency, 

such as the home care department of a hospital or the nursing division 

of a health department, which independently meets the conditions of 

participation for HHAs. A subdivision that has subunits or branch 

offices is considered a parent agency.

    Subunit means a semi-autonomous organization that--

    (1) Serves patients in a geographic area different from that of the 

parent agency; and

    (2) Must independently meet the conditions of participation for HHAs 

because it is too far from the parent agency to share administration, 

supervision, and services on a daily basis.

    Summary report means the compilation of the pertinent factors of a 

patient's clinical notes and progress notes that is submitted to the 

patient's physician.

    Supervision means authoritative procedural guidance by a qualified 

person for the accomplishment of a function or activity. Unless 

otherwise specified in this part, the supervisor must be on the premises 

to supervise an individual who does not meet the qualifications 

specified in Sec. 484.4.