La. Admin. Code tit. 48 § I-5635

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5635 - Policies and Procedures

A. Each BHS provider shall develop, implement and comply with provider-specific written policies and procedures related to compliance with this Chapter, including, but not limited to policies and procedures that address:

1. the protection of the health, safety, and well-being of each client;

2. the provision of treatment in order for clients to achieve recovery;

3. access to care that is medically necessary;

4. uniform screening for client placement and quality assessment, diagnosis, evaluation, and referral to appropriate level of care;

5. operational capability and compliance;

6. delivery of services that are cost-effective and in conformity with current standards of practice;

7. confidentiality and security of client records and files and any prohibitions related to social media;

8. client rights;

9. grievance procedures;

10. emergency preparedness;

11. abuse, neglect and exploitation of clients;

12. incidents and accidents, including medical emergencies and reporting requirements, if applicable;

13. universal precautions and infection control;

14. documentation of services;

15. admission, including screening procedures, emergency care, client orientation, walk-in services or other brief or short-term services provided.

16. transfer and discharge procedures;

17. behavior management;

18. transportation;

19. quality improvement;

20. medical and nursing services;

21. research or non-traditional treatment approaches and approval thereof, in accordance with federal and state guidelines;

22. access to and usage of laundry and kitchen facilities;

23. the BHS providers exterior location where smoking, if allowed, may occur;

24. domestic animals, if permitted on premises that, at a minimum, include:

a. required animal vaccinations and updates, as indicated; and

b. management of the animals care and presence consistent with the goals of the program and clients needs, including those with allergies;

25. privacy and security of laboratory testing and screenings, if performed on-site;

26. what constitutes the authorized and necessary use of force and least restrictive measures by uniformed security as related to client behaviors and safety; and

27. compliance with applicable federal and state laws and regulations.

B. A BHS provider shall develop, implement and comply with written personnel policies that address the following:

1. recruitment, screening, orientation, ongoing training, development, supervision and performance evaluation of employees;

2. written job descriptions for each staff position, including volunteers;

3. an employee grievance procedure;

4. abuse reporting procedures that require staff to report:

a. any allegations of abuse or mistreatment of clients according to state and federal laws; and

b. any allegations of abuse, neglect, exploitation or misappropriation of a client to the HSS;

5. a nondiscrimination policy;

6. the requirement that all employees report any signs or symptoms of a communicable disease or contagious illness to their supervisor or the clinical supervisor as soon as possible;

7. procedures to ensure that only qualified personnel are providing care within the scope of the core functions of the providers services;

8. the governing of staff conduct and procedures for reporting violations of laws, rules, and professional and ethical codes of conduct;

9. procedures to ensure that the staffs credentials are verified, legal and from accredited institutions;

10. procedure to obtain statewide criminal background checks, ensuring no staff is providing unsupervised direct care prior to obtaining the results of the statewide criminal background check and addressing the results of the background check, if applicable; and

11. a written policy to address prohibited use of social media. The policy shall ensure that all staff, either contracted or directly employed, receive training relative to the restrictive use of social media and include, at a minimum, ensuring confidentiality of client information and preservation of client dignity and respect, including protection of client privacy and personal and property rights.

C. A BHS provider shall comply with all federal and state laws, rules and regulations in the development and implementation of its policies and procedures.

La. Admin. Code tit. 48, § I-5635

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 411697 (9/1/2015), Amended by the Department of Health, Bureau of Health Services Financing, LR 431383 (7/1/2017).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2151-2161.