Observations
Based on a review of client records, the facility failed to obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record in three of three client records.
The findings include:
Four client records were reviewed on August 8, 2012. Three client records required documentation of a consent to release information to verify the client's insurance benefits. The facility accessed the Internet site of a funding entity to confirm the client's current insurance coverage. Prior to releasing client information to this funding entity, the facility failed to document an informed and voluntary consent from the client in client records # 1, 2 and 3.
Client # 1 was admitted into treatment on June 5, 2012. The facility accessed the Internet site of a funding entity to confirm insurance coverage on June 5, 2012. The facility failed to obtain an informed and voluntary consent from client # 1.
Client # 2 was admitted into treatment on June 1, 2012. The facility accessed the Internet site of a funding entity to confirm insurance coverage on June 1, 2012. The facility failed to obtain an informed and voluntary consent from client # 2.
Client # 3 was admitted into treatment on April 25, 2012. The facility accessed the Internet site of a funding entity to confirm insurance coverage on April 25, 2012. The facility failed to obtain an informed and voluntary consent from client # 3.
The counselor available onsite was interviewed on August 8, 2012 at approximately 12:45 PM and confirmed the findings.
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Plan of Correction
Effective 8/24/12, Twin Lakes Center will no longer check any insurances prior to the client completing an informed and voluntary consent. This will be completed prior to the admission or during the intake process by the scheduling secretary or the person conducting the intake. When possible, we will have the referral source complete an informed and voluntary consent to verify insurance coverage prior to admission.
Once in treatment a release will be signed by each client to allow Twin Lakes Center to check insurance coverage during their treatment stay.
The Directors of Residential, Detox and Outpatient will ensure that monthly audits of 2 clients per admissions counselor are completed for the first six months to ensure that this is occurring. The Directors of Residential, Detox and Outpatient will check for this during their quality improvement audits that they conduct monthly on all charts audited. |