CMS SOM App. B, Tag G818

safe and effective manner, including, but not limited to, the following elements:

(i) Following the patient’s plan of care for completion of tasks assigned to a

home health aide by the registered nurse or other appropriate skilled

professional;

(ii) Maintaining an open communication process with the patient,

representative (if any), caregivers, and family;

(iii) Demonstrating competency with assigned tasks;

(iv) Complying with infection prevention and control policies and

procedures;

(v) Reporting changes in the patient’s condition; and

(vi) Honoring patient rights.

Interpretive Guidelines §484.80(h)(4)

During each supervisory visit the supervising registered nurse, or other appropriate

skilled professional, should document his or her evaluation of the HH aide regarding

each of the elements of this standard.

§484.80(h)(4)(ii) “Maintaining an open communication process” means that the aide can

explain what they are going to do with the patient, ask the patient open-ended questions,

seek feedback from the patient, and respond to the needs and requests of the patient,

representative (if any), caregivers, and family.