Section He-M 1201.09 - Quality Review(a) A nurse trainer or licensed designee shall review the following for all individuals whose medications are administered by authorized providers: (1) Documentation that the provider administering the medication(s) holds a current authorization;(2) Medication orders and PRN protocols;(3) Medication labels and medications listed on the medication log to ensure that they match the prescribing practitioner's orders;(4) Medication logs to ensure that documentation indicates:a. That medication was administered as prescribed;b. Refusal by the individual to take medication, if applicable;c. Any medication occurrences; and(5) Medication storage to ensure compliance with He-M 1201.08; and(6) Controlled drug inventory pursuant to He-M 1201.07(h).(b) Reviews pursuant to (a) above shall occur according to the following timeframes:(1) At least once every 6 calendar months, for:a. Family residences with 3 or fewer individuals certified pursuant to He-M 1001; and b. Individuals receiving medication administration in accordance with these rules and services pursuant to He-M 521, He-M 524, or He-M 525;(2) At least monthly for the first 3 months for newly eligible individuals beginning services or for individuals receiving services in a new setting, with the initial review occurring at least 30 days after the individual begins service or moves into a new setting;(3) At least once every 6 calendar months, for authorized providers who:a. Administer medications but do not reside in the family residence with 3 or fewer individuals; or b. Administer medications in programs certified under both He-M 507 and He-M 1001; and(4) At least monthly, for all other settings in which authorized providers administer medications.(c) Any deficiencies discovered and documented by the nurse trainer pursuant to the required review in (a) above shall not result in deficiencies cited during a certification review pursuant to He-M 1001.(d) The nurse trainer shall submit information regarding patterns of non-compliance, as demonstrated by reports in He-M 1201.07(l) above, to the medication committee pursuant to He-M 1201.11.(e) The provider agency shall retain the documentation of reviews for at least 6 years, with the most current year kept in the individual's record.N.H. Admin. Code § He-M 1201.09
(See Revision Note at part heading for He-M 1201) #4809, eff 5-1-90; ss by #6000, eff 3-21-95; ss by #7836, INTERIM, eff 3-22-03, EXPIRES: 9-18-03; ss by #7956, eff 9-19-03; ss by #9982, eff 9-19-11 (from He-M 1201.08 )
Amended by Volume XXXIX, Number 41, Filed October 10, 2019, Proposed by #12876, Effective 9/25/2019, Expires 3/23/2020.Amended by Volume XL Number 28, Filed July 9, 2020, Proposed by #13057, Effective 6/17/2020, Expires 6/17/2030