As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Hospice Policy and Procedure Manual includes this customizable template, Surveyor Home Visit Consent. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Surveyor Home Visit Consent:

	PURPOSE: To establish the process by which a patient, family or caregiver may give permission to participate in an accreditation or certification survey process. POLICY: A signed form is needed stating that the patient, family or caregiver is willing to have a home visit by a surveyor during an accreditation or certification survey process. PROCEDURE: Hospice will notify all patients of known survey dates. Hospice will ask the patient to sign the Surveyor Home Visit Consent form if the surveyor wishes to make a home visit. After signing this form, the patient, family or caregiver may...
Second excerpt:
	...during an accreditation or certification survey process. PROCEDURE: Hospice will notify all patients of known survey dates. Hospice will ask the patient to sign the Surveyor Home Visit Consent form if the surveyor wishes to make a home visit. After signing this form, the patient, family or caregiver may choose to withdraw permission anytime without consequence. 1 SUBJECT:SURVEYOR HOME VISIT CONSENTREFERENCE #1027PAGE: 1DEPARTMENT: HOSPICE OF: 1EFFECTIVE: APPROVED BY: ...