INITIAL COMMENTS
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This report is a result of an on-site inspection conducted for the approval to use a narcotic agent, specifically methadone, in the treatment of narcotic addiction. This inspection was conducted on June 7-8, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, RHJ Medical Center, Inc. was found not to be in compliance with the applicable chapters of 4 PA Code and 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection.
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Plan of Correction
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715.9(c) LICENSURE Intake
(c) If a patient was previously discharged from treatment at another narcotic treatment program, the admitting narcotic treatment program, with patient consent, shall contact the previous facility for the treatment history.
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Observations
Based on the review of patient records, the facility failed to contact the previous narcotic treatment facility for the patient's treatment history in two of two patient records reviewed.
The findings include:
Twelve patient records were reviewed June 7-8, 2012. The review of patient records revealed that two patients possessed prior narcotic treatment experiences that required the facility to contact the prior narcotic treatment program for treatment histories. Patient records # 10 and 11 both contained documentation of previous narcotic treatment involvement but neither record provided documentation of any efforts to obtain prior treatment histories.
The findings were reviewed with the facility director and the clinical supervisor and were not disputed.
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Plan of Correction
The project director will address the clinical staff and re-educate them on this regulation. They will be instructed to request that all clients sign a release of information to enable us to contact the previous treatment facility for the clients treatment history. Staff will also be instructed to document any client refusal or facility failure to send clients treatment history. In order to ensure compliance random chart audits will be conducted and any failure will be addressed with staff immediately. |