HFAP has recently posted updated standards to our website! Please take a moment to review the changes that have been made! Below is a brief explanation of the standards which have been updated. You may access the actual standard on our website, by visiting hfap.org/manualupdates.
15.01.08 Exercise of Patient Rights – This standard has been updated to provide for the CMS addition of expanded patient rights provisions. Section “S” has been added to this standard to reflect these changes.
16.00.03 Nursing Organization – This standard has been updated to allow for the nurse executive to be enrolled in a graduate program or have a written plan to do so, should he/she not currently have a masters degree or higher.
17.00.06 Orders for Services Provided – This standard has been updated to provide for CMS changes in requirements for respiratory care services orders.
26.00.20 Delivery of Services – This standard has been revised to accommodate updated CMS language relating to requirements. Bolded areas in the ‘Explanation’ column, titled ‘Delegation of Function’ have been updated to offer a clearer understanding of the intent of the standard and various methods by which a facility can achieve compliance.
26.01.09 Treatment Plan (Physical Therapy),
26.02.09 Treatment Plan (Occupational Therapy),
26.03.09 Treatment Plan (Speech Therapy), and
26.04.09 Treatment Plan (Audiology)
The above listed standards from Chapter 26 – Physical Rehabilitation Services have been revised to accommodate updated CMS language relating to the requirements. Bolded areas in the ‘Explanation’ column, entitled ‘Delegation of Function’ have been updated to offer a clearer understanding of the intent of the standards and various methods by which a facility can achieve compliance.
As always, HFAP will be happy to answer any questions relating to these updates. All questions relating to standards interpretations should be emailed to info@hfap.org.

I am looking for copies of updates requirements. How do I download a copy of the new requirement?
Second, I am looking for the regulatory body that has a statement on the requirement following after discharge care-how long is a caregiver required to stay with a patient following surgery? If there is a statement where do I find it.
Manual updates can be found at http://www.hfap.org/manualupdates.aspx. As for your second question, please email us at info@hfap.org for more information.
Can you please refer me to the specific standard that addresses name badge identification requirements for Hospital staff? i know it is in the standards, but can’t seem to locate the details of this requirement. Thanks so much.
Previously this HFAP standard required employees to wear an identification badge that indicated the employee’s full name and credentials. It was acceptable to have only the first name and job title on the front of the badge with the last name printed on the back of the badge to protect the identity of personnel working in high-risk areas such as the ED or Psychiatric units.
Given multiple facilities have raised questions regarding this issue, HFAP discussed this concern with central office leadership and the HFAP Bureau. It was agreed to allow facilities to define their employee identification badge processes. Each facility must define their identification process in policy. Keep in mind that it is the patient’s right to know the names of their care providers and this information is to be available to patients should they wish to file a grievance. Also, a picture identification is preferred, but not required.
I hope this information is helpful to you and please do not hesitate to contact us if you have additional questions at info@hfap.org. Thank you.
How are organizations working through the volume of “Evaluate and Treat” therapy orders. Are you having Therapy protocols approved by Medical Staff, insisting physicians write “Evaluate patient, develop plan of care and implement plan” or simply evaluate with no treatment before “collaboration” can take place with physician? Thanks