INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on November 22, 2011 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site complaint investigation, Center for Behavioral Health-Ha was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this investigation.
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Plan of Correction
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715.10(b) LICENSURE Pregnant patients
(b) A narcotic treatment program shall give pregnant patients the opportunity for prenatal care either by the narcotic treatment program or by referral to appropriate health-care providers.
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Observations
Based on the review of patient records, the facility failed to provide pregnant patients with prenatal care in nine of ten patient records patient records.
The findings include:
Ten patient records were reviewed on November 22, 2011 for the provision of prenatal care. The records documented that each patient reported she had obtained a physician to monitor the patient's prenatal care. The facility did not provide documentation that confirmed each patient was receiving the care that was needed to coordinate their methadone treatment with their prenatal care. Patient records # 1, 2, 3, 4, 5, 6, 7, 8, and 10 did not include a consent to release information that would permit contact with their personal physician that would have allowed the facility to attempt to coordinate each patient's prenatal care with their respective physician.
The findings were reviewed and confirmed with facility staff.
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Plan of Correction
Patients will be encouraged to sign releases for their OB/GYN to coordinate care. It patient refuses to sign this will be documented on their tx plan as a problem.We will continue to encourge the patient to have us coordinate care. This will be monitored by the Program Director and the Physician Assistant. |
715.10(c) LICENSURE Pregnant patients
(c) Counseling records and other appropriate patients records shall reflect the nature of prenatal support provided by the narcotic treatment program.
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Observations
Based on a review of patient records, the facility failed to ensure that pregnant patients' records prenatal support provided by the narcotic treatment program in three of three patient records.
The findings include:
Ten patient records were reviewed for content of prenatal care on November 22, 2011. Of these ten patient records, three provided treatment information for patients who were pregnant at the time of admission into treatment. Patient records # 1, 9 and 10 provided documentation of initial treatment plans at the time of admission but none of them contained treatment planning that identified the patient's prenatal needs.
Patient # 1 was admitted into treatment on February 2, 2011. The treatment plan initiated at the time of admission did not include prenatal issues.
Patient # 9 was admitted into treatment on April 22, 2011. The treatment plan initiated at the time of admission did not include prenatal issues.
Patient # 10 was admitted into treatment on April 1, 2011. The treatment plan initiated at the time of admission did not include prenatal issues.
The findings were reviewed and confirmed with facility staff.
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Plan of Correction
Patients will be requested to sign releases for their OB/GYN. Uopn the release being signed we will send the OB/GYN a packet of information about methadone and pregnancy. The Physican Assistant with follow-up with the patient on a monthly basis to educate them and monitor their pregnancy. This will be monitored by the Program Director and the Physician Assistant on a monthly basis. |