A) Administrator-A person who is an agency employee and is a physician, registered nurse, or an individual with at least one year of supervisory or administrative experience in home health care or in related health provider programs.

B) Aide Assignment Sheet Aide Service Plan -- written assignments developed and supervised by a qualified supervisor for the tasks to be completed by the aide.

C) Branch Office -- A location or site, other than the Arkansas primary agency's principal office location, from which a home health agency provides services within its geographic service area. The primary agency provides direct support and administrative control of its branches.

D) Certified Agency -- A home health agency which is primarily engaged in providing skilled nursing services and other therapeutic services and is licensed pursuant to State law. The agency shall meet the Conditions of Participation as a home health agency under Title XVIII of the Social Security Act and the regulations adopted thereunder (42 Code of Federal Regulations 405.1201, et seq.), which regulations are incorporated by reference herein for all purposes.

E) Clinical Manager -- Licensed physician, physical therapist, speech language pathologist, occupational therapist, audiologist, social worker or registered nurse.

F) Clinical Note -- A dated, written or electronic and signed notation by agency personnel of a contact with a patient including a description of signs and symptoms, treatment and/or medication given, the patient's response, other health services provided, and any changes in physical and/or emotional condition.

G) Clinical Record -- An accurate account of services provided for each patient and maintained by the agency.

H) Contractor -- An entity or individual providing services for the agency who does not meet the definition of employee.

I) Coordinating -- Bringing needed services into a common action, movement or condition of the health of the patient.

J) Department -- The Arkansas Department of Health, Health Facility Services.

K) Discharge Summary -- A recapitulation of all services provided by the home health agency before discharge of a patient.

L) Employee -- Any individual for whom the agency is required to issue a form W-2.

M) Health -- The condition of being sound in body, mind and spirit, especially freedom from physical disease or pain.

N) Health Assessment -- A determination of a patient's physical and mental status performed by medical professionals.

O) Home Health Agency -- Any person, partnership, association, corporation, or other organization, whether public or private, proprietary, or non-profit, that provides a home health service for pay or other consideration in a patient's residence.

P) Home Health Aide -A person who provides home health aide services for a person in the home under the supervision of a licensed healthcare professional.

Q) Home Health Services -- The providing or coordinating of acute, restorative, rehabilitative, maintenance, preventive, or health promotion services through professional nursing or by other therapeutic services such as physical therapy, speech therapy, occupational therapy, medical social services, home health aide or personal services in a client's residence.

R) Licensed Practitioner -- An individual permitted by law and by the Home Health Agency to prescribe care.

S) Maintenance -- To keep in an existing state.

T) Parent Agency -- The Medicare certified agency physically located within the state that develops and maintains administrative control of branches.

U) Patient Care Conference -- A documented conference among the home health agency staff or contractors providing care to a patient to evaluate patient care needs and the delivery of service.

V) Personal Care -- Medically prescribed health related assistance in activities of daily living, hygiene and grooming.

W) Personal Care Aide -- A person with training as defined in Section 10. B. who provides personal care services for a person in their home.

X) Physician -- A person who is currently licensed under the Arkansas Medical Practices Act.

Y) Place of Business -- Any office of a home health agency that maintains home health service patient records or directs home health services.

Z) Plan of Care -- A written plan which specifies scope, frequency and duration of services that is signed by a qualified practitioner.

AA) Preventive -- To keep from happening or existing.

BB) Quality of Care -- Clinically competent care which, supported and directed in a planned pattern to achieve maximum dignity at the required level of comfort, preventive health measures and self-management.

CC) Rehabilitative -- To restore or bring to a condition of health or useful and constructive activity.

DD) Residence -- A place where a person resides, including a home, nursing home, residential care facility or convalescent home for the disabled or aged.

EE) Restorative -- Something that serves to restore to consciousness, vigor or health.

FF) Service Area -- The land area for which the agency shall be licensed, which shall be consistent with their Certification of Need (CON) or Permit of Approval (POA) and up to 100-miles of the primary and/or branch office.

GG) Skilled Care Services -- Includes skilled nursing services, physical therapy, respiratory therapy services, speech-language pathology services, occupational therapy, medical social work services, and physician services,

HH) Skilled Professional -- a person licensed and trained to provide skilled services according to their applicable licensing board.

II) Supervision-Authoritative procedural guidance by a qualified person, acting within his or her applicable scope of practice to a function or activity.

JJ) Supervisor-A skilled professional or one who has completed two years of fulltime study at an accredited institution of higher education. An individual who has a high school diploma or GED may substitute one (1) year of full time employment in a supervisory capacity in a healthcare facility or community-based agency for one (1) year at an institution of higher education.

KK) Visit -- a face-to-face visit in the client's residence or by the use of information technology.