Section He-M 408.12 - Discharge and Transfer Notes(a) For the purposes of this rule, "transfer" means when an individual moves from one treatment team to another within the same CMHP.(b) For the purposes of this rule, "discharge" means when an individual discontinues treatment at a CMHP.(c) A discharge/transfer note shall be entered into the clinical record: (1) Within 15 days after an individual's discharge or transfer from a program; or(2) No later than the date of the next scheduled quarterly review.(d) The discharge or transfer note shall consist of a summary which includes, at a minimum: (1) The reasons for admission;(2) Progress made by the individual while in the program;(3) The individual's diagnosis;(4) The individual's physical and mental status at time of discharge or transfer;(5) A brief service history and medication history;(6) A listing of the individual's current medication(s);(7) The treating clinicians' recommendations for further services and treatment including referrals, if indicated;(8) The reason(s) for discharge or transfer;(9) A statement that notification of the discharge or transfer was given to the individual; and(e) Discharge and transfer notes shall be available to other service providers with the permission of the individual.(f) The discharge due to the death of an individual shall be documented and include: (1) The cause of death, when known;(2) The date and time of death; and(3) Results of an autopsy, when available.N.H. Admin. Code § He-M 408.12
#7281, eff 5-23-00, EXPIRED: 5-23-08
New. #9512, eff 7-9-09
Amended by Volume XXXVII Number 45, Filed November 09, 2017, Proposed by #12409, Effective 10/24/2017, Expires 10/24/2027.