INITIAL COMMENTS
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This report is a result of an on-site unusual incident investigation conducted on September 26, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, WPIC Narcotic Addiction Treatment Program 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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711.93(c)(2)(ii) LICENSURE Specific Info. Disclosed
711.93. Client records.
(c) Confidentiality.
(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:
(ii) The specific information disclosed.
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Observations
Based on a review of patient records, the facility failed to document the specific information disclosed on the consent to release information in one of one patient records.
Patient #1 was admitted on January 17, 2023 and is currently an active client. Patient #1 signed a consent to release information to a county agency on August 7, 2023. This consent did not specify the specific information to be released. The information to be released was documented as "5 points".
These findings were reviewed with facility staff.
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Plan of Correction
All releases of information will have documented the specific information to be disclosed.
Supervisors have reviewed this requirement with clinicians in October staff meeting.
Supervisors will monitor release of information in weekly supervision and in paperwork prior to it being uploaded in the EMR to ensure the information to be disclosed is clearly documented.
Effective immediately 10/6/2023. |