North Carolina Administrative Code (Last Updated: November 13, 2014) |
TITLE 10A. HEALTH AND HUMAN SERVICES |
CHAPTER 27. MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES |
SUBCHAPTER G. RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES |
10A NCAC 27G .0201. GOVERNING BODY POLICIES
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(a) The governing body responsible for each facility or service shall develop and implement written policies for the following:
(1) delegation of management authority for the operation of the facility and services;
(2) criteria for admission;
(3) criteria for discharge;
(4) admission assessments, including:
(A) who will perform the assessment; and
(B) time frames for completing assessment.
(5) client record management, including:
(A) persons authorized to document;
(B) transporting records;
(C) safeguard of records against loss, tampering, defacement or use by unauthorized persons;
(D) assurance of record accessibility to authorized users at all times; and
(E) assurance of confidentiality of records.
(6) screenings, which shall include:
(A) an assessment of the individual's presenting problem or need;
(B) an assessment of whether or not the facility can provide services to address the individual's needs; and
(C) the disposition, including referrals and recommendations;
(7) quality assurance and quality improvement activities, including:
(A) composition and activities of a quality assurance and quality improvement committee;
(B) written quality assurance and quality improvement plan;
(C) methods for monitoring and evaluating the quality and appropriateness of client care, including delineation of client outcomes and utilization of services;
(D) professional or clinical supervision, including a requirement that staff who are not qualified professionals and provide direct client services shall be supervised by a qualified professional in that area of service;
(E) strategies for improving client care;
(F) review of staff qualifications and a determination made to grant treatment/habilitation privileges;
(G) review of all fatalities of active clients who were being served in area-operated or contracted residential programs at the time of death;
(H) adoption of standards that assure operational and programmatic performance meeting applicable standards of practice. For this purpose, "applicable standards of practice" means a level of competence established with reference to the prevailing and accepted methods, and the degree of knowledge, skill and care exercised by other practitioners in the field;
(8) use of medications by clients in accordance with the rules in this Section;
(9) reporting of any incident, unusual occurrence or medication error;
(10) voluntary non-compensated work performed by a client;
(11) client fee assessment and collection practices;
(12) medical preparedness plan to be utilized in a medical emergency;
(13) authorization for and follow up of lab tests;
(14) transportation, including the accessibility of emergency information for a client;
(15) services of volunteers, including supervision and requirements for maintaining client confidentiality;
(16) areas in which staff, including nonprofessional staff, receive training and continuing education;
(17) safety precautions and requirements for facility areas including special client activity areas; and
(18) client grievance policy, including procedures for review and disposition of client grievances.
(b) Minutes of the governing body shall be permanently maintained.
History Note: Authority G.S. 122C-26; 143B‑147;
Eff. May 1, 1996.