Chapter 1	Rights and Responsibilities (RR)

HME-RR-A-1	Appropriate and Timely Care
HME-RR-A-2	Advance Directives
HME-RR-C-1	Confidentiality
HME-RR-C-2	Conflict of Interest
HME-RR-C-3	Customer Complaints
HME-RR-F-1	Financial Benefits Gained by Patient/Client Referral
HME-RR-I-1	Incorporation of Patient/Client Rights 
HME-RR-P-1	Patient/Client Responsibilities
HME-RR-P-2	Patient/Client Rights
HME-RR-P-3	Pain Control/Assessment

Chapter 2	Patient Care (PC)

HME-PC-A-1	Admission Acceptance Client Handout Folders
HME-PC-A-2	Admission Criteria
HME-PC-A-3	Admission Refusal
HME-PC-A-4	Alternate Service Referral
HME-PC-A-5	Alternate Service Transfer
HME-PC-A-6	Assessment Qualifications
HME-PC-A-7	Assessment Time Frame
HME-PC-C-1	Care Coordination
HME-PC-C-2	Communication/Progress Notes 
HME-PC-D-1	Discharge Instructions
HME-PC-D-2	Discharge Processing
HME-PC-D-3	Discharge Summary
HME-PC-E-1	Experimental Procedures 
HME-PC-M-1	Multi-Organizational Liaison
HME-PC-N-1	Nutritional Risk Assessment 
HME-PC-P-1	Patient/Client Education or Language Barrier
HME-PC-P-2	Prohibited Abbreviations 
HME-PC-R-1	Resuscitation/CPR
HME-PC-S-1	Scope of Services
HME-PC-T-1	Termination of Service Documentation
HME-PC-T-2	Transfer, Referral and Discharge Criteria

Chapter 3	Performance Improvement (PI)

HME-PI-C-1	Complaint/Incident Documentation
HME-PI-I-1	Incident Reports
HME-PI-M-1	Med Watch - The FDA Medical Products Reporting Program
HME-PI-P-1	Patient/Client Complaint/Incident Log
HME-PI-P-2	Patient/Client Complaint Information
HME-PI-P-3	Patient Satisfaction Surveys
HME-PI-P-4	Performance Improvement Program
HME-PI-S-1	Sentinel Events

Chapter 4	Leadership (LD)

HME-LD-C-1	Company Ownership or Controlling Agent
HME-LD-C-2	Compliance to Laws
HME-LD-D-1	Director Backup
HME-LD-D-2	Director Capabilities
HME-LD-D-3	Director of HME Services 
HME-LD-D-4	Director Responsibility
HME-LD-E-1	Executive Director Appointment / Monitoring
HME-LD-F-1	Financial Management 
HME-LD-G-1	Governing Body Authority
HME-LD-G-2	Governing Body Quality Care Responsibility
HME-LD-G-3	Governing Body Responsibilities
HME-LD-O-1	Operating Budget
HME-LD-P-1	Patient/Client Care
HME-LD-P-2	Policy Implementation
HME-LD-P-3	Performance Evaluation Company
HME-LD-R-1	Resources Support – Quality Assurance
HME-LD-R-2	Responsibility/Accountability
HME-LD-S-1	Staff Competence - Governing Body
HME-LD-S-2	Systematic Communication

Chapter 5	Environmental Safety and Equipment Management (EC)

HME-EC-A-1	Accident Documentation:  Employee
HME-EC-A-2	Appropriate Equipment and Supplies
HME-EC-C-1	Communication and Teaching Skills
HME-EC-D-1	Delivery of Equipment and Supplies
HME-EC-D-2	Delivery of Sanitary and Functioning Equipment
HME-EC-E-1	Electrical and Backup Systems
HME-EC-E-2	Emergency Back-up Systems
HME-EC-E-3	Emergency Maintenance and Replacement 
HME-EC-E-4	Emergency Preparedness: General
HME-EC-E-5	Emergency Preparedness: Transportation
HME-EC-E-6	Emergency Preparedness:  Electrical
HME-EC-E-7	Emergency Preparedness: Staff
HME-EC-E-8	Emergency Response Procedures
HME-EC-E-9	Equipment Hazards, Defects, Recalls
HME-EC-E-10	Equipment Maintenance
HME-EC-E-11	Equipment Management
HME-EC-E-12	Equipment Monitoring
HME-EC-E-13	Equipment Pick-Up Documentation
HME-EC-E-14	Equipment-Related Problems
HME-EC-E-15	Equipment Safety and Troubleshooting
HME-EC-E-16	Equipment Set-Up
HME-EC-H-1	Home Safety Education
HME-EC-H-2	Home Safety Instructions
HME-EC-I-1	Initial Equipment Assessments
HME-EC-M-1	Manufacturers’ Documentation
HME-EC-O-1	Ongoing Equipment Assessments
HME-EC-O-2	Ongoing Safety Instruction:  Patient/Client
HME-EC-O-3	Ongoing Safety Instruction:  Staff
HME-EC-P-1	Patient/Client Maintenance Responsibility
HME-EC-P-2	Patient Education
HME-EC-P-3	Patient/Client Right to Purchase
HME-EC-R-1	Routine Response Procedures
HME-EC-R-2	Equipment Returns
HME-EC-S-1	Safe Medical Equipment Use
HME-EC-S-2	Safety Educational Documentation
HME-EC-S-3	Safety Hazard Documentation
HME-EC-S-4	Safety for Employees
HME-EC-S-5	Safety Management Monitoring
HME-EC-S-6	Storage and Handling
HME-EC-S-7	Structural/Environmental Requirements

Chapter 6	Human Resources Management (HR)

HME-HR-C-1	Continuing Education
HME-HR-E-1	Employee Health Status 
HME-HR-E-2	Equipment Training
HME-HR-G-1	Employee Grievance Process
HME-HR-I-1	In-Service Training
HME-HR-L-1	Licensure, Certification and/or Registration
HME-HR-O-1	Outside Services
HME-HR-P-1	Performance Evaluation Personnel
HME-HR-P-2	Personnel Policies/Procedures
HME-HR-S-1	Staff Cognizance and Responsibilities
HME-HR-S-2	Staff Competence
HME-HR-S-3	Staff Orientation
HME-HR-S-4	Staff Qualifications

Chapter 7	Information Management (IM)

HME-IM-A-1	Abbreviation/Symbol Standardization
HME-IM-A-2	Admission Documentation
HME-IM-A-3	Admission of Patient/Client
HME-IM-C-1	Care Plan Continuity
HME-IM-C-2	Care Plan Implementation
HME-IM-C-3	Care Plan Implementation Documentation
HME-IM-C-4	Care/Service Policy Review
HME-IM-C-5	Charges and Payment for Services
HME-IM-C-6	Confidentiality of Records
HME-IM-D-1	Discharge Documentation
HME-IM-D-2	Documentation Standardization
HME-IM-D-3	Documentation Retrieval
HME-IM-O-1	On-call Documentation
HME-IM-P-1	Patient/Client Care Plan Participation
HME-IM-P-2	Patient/Client Documentation
HME-IM-P-3	Patient/Client Plan of Care
HME-IM-P-4	Plan of Care Documentation
HME-IM-P-5	PRN Services
HME-IM-R-1	Record Entry Authentication
HME-IM-R-2	Record Keeping Authorization
HME-IM-R-3	Record Retention
HME-IM-R-4	Refusal of Care
HME-IM-R-5	Release of Patient/Client Records
HME-IM-S-1	Security of Records
HME-IM-V-1	Verbal Physician Orders

Chapter 8	Infection Control (IC)

HME-IC-C-1	Cleaning and Disinfecting
HME-IC-E-1	Equipment Management - Universal Precautions
HME-IC-I-1	Infection Control Monitoring
HME-IC-I-2	Infection Control Precautions
HME-IC-I-3	Infection Control - Universal Precautions
HME-IC-O-1	Occupational Exposure
HME-IC-P-1	Personnel Guidelines - Universal Precautions

Chapter 9	Operational Procedures

1.   Calibration of handheld oxygen analyzer
2.   Call time / equipment parameters
3.   Call time protocol for delivery personnel
4.   Delivery and handling of disposable supplies
5.   DOT regulations
6.   E & D oxygen cylinder exchange
7.   H & M oxygen cylinder exchange
8.   Invoice preparation
9.   Liquid oxygen analyzing
10.  Liquid oxygen transfilling
11.  Liquid oxygen vessel exchange
12.  On-call documentation
13.  Oxygen complaint logging
14.  Oxygen concentrator exchange
15.  Oxygen recall
16.  Liquid oxygen scale calibration
17.  Smoking restrictions
18.  Transfilling traceability procedures
19.  Vehicle maintenance

Chapter 10	Competency

Chapter 11	Additional Forms / Materials

1.   Assessment / Plan of Care Worksheet
2.   Calibration Logs - Equipment
3.   Common Medical Abbreviations
4.   Client Communication Contact Log
5.   Clinical Patient Assessment Worksheet
6.   CPAP / Bi-level Outcomes Patient Questionnaire
7.   Customer Complaint Log
8.   Delivery Route Sheet
9.   Discharge Summary
10.  Driver Vehicle Inspection Report
11.  Equipment Purchase Certification
12.  Hazardous Materials Daily Load Manifest (shipping papers) 
13.  Hepatitis B Vaccine Waiver or Consent 
14.  HME Customer Satisfaction Survey
15.  Incident Report
16.  New Patient Information Packet (complete 17 page guide)
17.  Oxygen Concentrator Check sheet
18.  Patient Intake Form
19.  Personnel File Checklist 
20.  Release of Liability – Refusal of Equipment
21.  Signs for posting
22.  Equipment Function Check Worksheets (all equipment)