INITIAL COMMENTS
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This report is a result of a complaint investigation conducted on November 15, 2017 by staff from the Division of Accountability and Program Improvement. Based on the findings of the on-site complaint investigation, Addiction Medicine and Health Advocate, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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709.28 (c) (2) LICENSURE Confidentiality
§ 709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent must be in writing and include, but not be limited to:
(2) Specific information disclosed.
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Observations
An interview was conducted with facility staff on November 15, 2017. Based on this review, the facility failed to obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record.
Facility staff reported that its physician released urinalysis results to another health care provider prior to attaining the client's permission to make the disclosure.
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Plan of Correction
While the physician did have a signed consent form from the patient, it did not include the urinalysis results as an item that could be discussed with the other provider. Our physician was provided with additional training regarding applicable confidentiality regulations as it pertains to the release of information from the patient record. This additional training took place on 11/15/17. He is now aware that the written release form must identify each specific piece of information to be released/discussed. The Program Director will monitor the physician's adherence to applicable confidentiality regulations. |