10- 144 C.M.R. ch. 118, § 7.B

Current through 2024-51, December 18, 2024

Section 144-118-7.B - Program Implementation

09/01/07 7.B.1. Upon admission, the active treatment program shall:

a. Establish uniform approaches to be used consistently across disciplines and environments;

b. Be carried out with suitable communication across disciplines and environments;

c. Be implemented to ensure that each discipline working with the client integrates, as appropriate, other disciplines' objectives and techniques;

d. Be coordinated with other habilitative and training activities in which the client may participate outside of the facility, and vice versa.

09/01/07 7.B.2. Transfer or Discharge to Another Home

09/01/07 a. The facility shall establish procedures for counseling a client and/or guardian concerning the advantages and disadvantages of a requested move.

09/01/07 b. Planning for the move of a client shall include arranging for appropriate services in the client's new environment, and shall be done in accordance with the client's IDT.

09/01/07 c. When a client moves, the facility making the transfer shall document in the client's record:

1. The reason for the transfer; and

2. A summary of status, progress and plans.

09/01/07 d. Except in an emergency, the facility making the transfer shall inform the client and/or the guardian at least thirty (30) days in advance and obtain written consent to the transfer or discharge.

09/01/07 e. On the death of a client residing in the facility:

1. The facility shall promptly notify the client's next of kin and/or guardian;

2. The facility shall advise the next of kin and/or guardian of his/her right to request the autopsy findings if one is performed;

09/01/07 3. The physician will write an order for the release of the body, and

09/01/07 4. The mortician will sign for receipt of the body.

09/01/07 5. All personal funds will be refunded to responsible estate within 30 days.

09/01/07 7.B.3. Transfer to a Hospital

a. The facility shall have in effect a transfer agreement with one or more hospitals sufficiently close:

1. To make feasible the prompt transfer of the client; and

2. To support a working arrangement between the facility and the hospital for providing hospital services to clients when needed.

b. The transfer agreement must provide:

1. For the transfer of written information pertaining to the care which the client has been receiving; and

2. For the transfer of written information relative to personal effects of significant value.

09/01/07 7.B.4. At the time of discharge the facility personnel shall:

a. Place in the client's record:

1. Physician's discharge order and final summary;

2. Disposition of personal possessions;

3. Physician's order and disposition of medications; and

4. Evidence of transfer of personal funds.

10- 144 C.M.R. ch. 118, § 7.B