| 6400.143(a) | Individual #1 refuses routine medical and dental examinations, and no documentation was provided of the continued attempts to train the individual about the need for health care. | If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. | ITA requested by Program Specialist from Supports Coordinator on 12/23/21.
HCQU referral to train and educate individual scheduled for 1/12/22. Educational materials requested.
Supplemental procedure for refusal of medications and medical appointments has been updated to be reviewed monthly. The Program Specialist will document on Monthly Progress Notes and Quarterly Reviews.
Behavior Specialist will track refusals and address through behavior supports. |
12/30/2021
| Implemented |
| 6400.165(g) | Individual #1 has been prescribed medication to treat symptoms of a psychiatric illness. The agency did not complete a review by a licensed physician at least every 3 months. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | New PCP intake scheduled for 1/5/22 in-person with Dr. Angela Hogue (Greenville Community Health Center). Routine telehealth appointments to follow to assist in attendance.
New Psychiatrist intake scheduled for 2/24/22 in-person with Dr. Tracey Rusnak (Greenville Community Health Center). Routine telehealth appointments to follow to assist in attendance and ensure 3-month reviews are completed.
All appointments will be documented on Monthly Progress notes and Quarterly Reviews. |
12/30/2021
| Implemented |
| 6400.185(5) | Individual #1 routinely refuses all medical appointments. Individual #1's plan, last updated 04/26/21, does not include adequate information to address the risk to the individual's health, safety, or well-being and risk mitigation strategies. | The individual plan, including revisions, must include the following: Risks to the individual's health, safety or well-being, behaviors likely to result in immediate physical harm to the individual or others and risk mitigation strategies, if applicable. | Operations Manager and Program Specialist requested the Supports Coordinator to update the ISP with information to address the risk of individuals health, safety, and well-being and risk mitigation strategies to include history of appointment and medication refusals, information on recent hospitalizations, supplemental procedures to guide staff, behavioral data, behavior support plan, HCQU and ITA information, etc..
DSP's will continue to follow the behavior support plan which includes supplemental procedures for medication and appointment refusals and document any such occurrences. Incidents will be sent to the Supports Coordinator upon completion and a quarterly summary will be sent. |
12/30/2021
| Implemented |