Subchapter F. STANDARDS FOR INPATIENT NONHOSPITAL
ACTIVITIES—TRANSITIONAL LIVING FACILITIES (TLFs)
Sec.
711.71. Intake and admission.
711.72. Client records.
711.73. Client management services.
711.74. Uniform Data Collection System.
711.75. Notification of termination.
711.76. Medication control.
711.77. Physical plant.§ 711.71. Intake and admission.
(a) The project director shall develop a written plan providing for intake and admission which shall include, but not be limited to:
(1) Criteria for admission.
(2) Guidelines for completion of residency.
(3) Involuntary discharge/termination criteria.
(b) Intake procedures shall include documentation of:
(1) Disclosure to the client of criteria for admission, completion and discharge.
(2) Client orientation to the project which shall include, but not be limited to, a familiarization with:
(i) House rules.
(ii) Hours of operation.
(iii) Fee schedule.
(iv) Services provided.
(3) Basic personal data.
§ 711.72. Client records.
(a) Record requirements. There shall be a complete client record on an individual which includes information relative to the client’s involvement with the project. In addition to the requirements in § 115.32 (relating to contents), the client record shall include the following:
(1) Drug and alcohol consent forms.
(2) Drug and alcohol referral contact.
(3) Activity notes.
(b) Client access to records. A client has the right to inspect his own records. The project director may temporarily remove portions of the record, prior to the inspection by the client, if the director determines that the information may be detrimental if presented to the client. Reasons for removing sections shall be documented and kept on file.
(c) Confidentiality.
(1) A written procedure shall be developed by the project director which shall comply with 4 Pa. Code § 255.5 (relating to projects and coordinating bodies: disclosure of client-oriented information). The procedure shall include, but not be limited to:
(i) Confidentiality of client identity and records.
(ii) Staff access to client records.
(2) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to:
(i) The name of the person, agency, or organization to whom disclosure is made.
(ii) The specific information disclosed.
(iii) The purpose of disclosure.
(iv) The dated signature of the client or guardian.
(v) The dated signature of a witness.
(vi) The expiration date of the consent.
(3) A copy of a client consent shall be offered to the client and a copy maintained in the client records.
(4) Where consent is not required, the project personnel shall:
(i) Fully document the disclosure in the client records.
(ii) Inform the client, as readily as possible, that the information was disclosed, for what purposes and to whom.
§ 711.73. Client management services.
(a) The project shall adopt a written plan for the coordination of residential services which shall include, but not be limited to:
(1) Defined target population.
(2) Written procedures for the management of residential services for clients.
(b) The project shall obtain written letters of agreement or understanding with primary referral sources.
§ 711.74. Uniform Data Collection System.
(a) If a project utilizes Department funds, it shall comply with the Department’s UDCS.
(b) A data collection system shall be developed that allows for the efficient retrieval of data needed to measure the project’s performance.
§ 711.75. Notification of termination.
(a) The project director shall notify the client, in writing, of a decision to involuntarily terminate the client’s treatment at the project. The notice shall include the reason for termination.
(b) The client shall have an opportunity to request reconsideration of a decision to terminate treatment.
§ 711.76. Medication control.
When the drug and alcohol project is not physically located within the parent health care facility, it shall have a written policy regarding medications used by clients, which shall include, but not be limited to:
(1) Administration of medication.
(2) Drug storage areas.
(3) Inspection of storage areas.
(4) Methods for control and accountability of drugs.
(5) Security of drugs.
(6) Inventories.
(7) Medication errors and drug reactions.
§ 711.77. [Reserved].
Source The provisions of this § 711.77 reserved March 1, 2002, effective March 2, 2002, 32 Pa.B. 1183. Immediately preceding text appears at serial page (210298).
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