Observations
Based on review of three patient records on September 29, 2008, the facility failed to ensure all efforts had been initiated to retain the patient prior to the involuntary termination in one of one patient record where required.
The findings include:
Patient # 1 was admitted on May 21, 2008. The involuntary termination for financial reasons was clearly documented in this patient record. There were three instances, June 3, 2008, June 24, 2008, and July 7, 2008, were the client was placed on medically supervised withdrawal due to financial reasons. The documentation was included on the financial update and documented that the patient was in non-compliance with the treatment plan. While financial responsibility was placed on the treatment plan, it was standardized and did not provide the specifics necessary to meet the goals. The patient was reinstated on June 6, 2008, June 27, 2008 and July 11, 2008 before the detoxification was completed.
Termination notices were documented for June 2, 2008, June 23, 2008, and July 11, 2008. A progress note documented on June 25, 2008 stated, "The patient is currently receiving a decreased dose because of non payment."
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Plan of Correction
This issue was addressed by the clinical supervisor in a clinical meeting previous to this audit and has been corrected. Treatment plans will be individualized and goal specific and the counselor will work with patients to help them seek alternative funding when patients are unable to meet financial obligation. This will be monitored by the Clinicl Supervisor and Program Director |