Observations
Based on the review of client records, the facility failed to document a completed informed and voluntary consent to release information form in 2 of 7 records reviewed.
Client #4 was seen for an evaluation on 12/28/2016. A consent to release information form to the funding source, dated 12/28/16, did not contain the specific information to be disclosed and the purpose of the disclosure. Additionally, a consent to release information form to the emergency contact, dated 12/28/16, did not contain the specific information to be disclosed.
Client #5 was seen for an evaluation on 03/01/2017. A consent to release information form to the a family member, dated 03/01/17, did not contain the specific purpose of the disclosure.
The findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Executive Director and Clinical Director will review confidentiality regulations with all assessors. Directors will also review "consent to release information" and review what can be released and what cannot be release to specific entities. Staff Meeting for in service will be completed by May 3, 2017. Files will be monitored on a quarterly basis to assure compliance with proper completion of Consent forms. |