715.20(1) LICENSURE Patient transfers
A narcotic treatment program shall develop written transfer policies and procedures which shall require that the narcotic treatment program transfer a patient to another narcotic treatment program for continued maintenance, detoxification or another treatment activity within 7 days of the request of the patient.
(1) The transferring narcotic treatment program shall transfer patient files which include admission date, medical and psychosocial summaries, dosage level, urinalysis reports or summary, exception requests, and current status of the patient, and shall contain the written consent of the patient.
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Observations Based on a phone call on April 29, 2021, the program admitted they failed to transfer patient files which include admission date, medical and psychosocial summaries, dosage level, urinalysis reports or summary, exception requests, and current status of the patient, and shall contain the written consent of the patient.
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Plan of Correction Effective 6/23/2021 Foundations Medical Services will ensure adherence to the Patient Transfer policy regarding all clients seeking transfer to an external narcotic treatment program. Program Director will ensure that all requested documentation is submitted to the transferring facility within 7 days of reception. In order to ensure compliance with the 7 day requirement, the program will fax all information and retain of copy of the fax transmittal with proper date and time of submission. If fax is not possible, the program will arrange for overnight mail. All shared information, including received fax transmittal, will be saved in the client's clinical record for potential reference at a later time.
Compliance will be monitored through quality reviews of all medical and clinical charts; both open and closed. These reviews are completed monthly by the Regional Quality Manager and reviewed by the Program Director to ensure compliance regarding documentation and medical orders concerning patient transfer. As of 6/21/21, Program Director has reviewed the policy and process for patient transfers to external narcotic treatment programs.
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