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needs, including admission, transfer, and discharge planning; and the range of services available to participants;
3.be developed in consultation with a group of professional personnel consisting of at least a licensed physician, the director, and a registered nurse;
4.govern access, duplication and dissemination of information from the participant's personal and medical record;
5.establish guidelines to protect any money or other personal items brought to the ADHC center by participants;
6.describe the process for participants to file a grievance with the center and/or register a complaint with the department:
a.the DHH toll-free telephone number for registering complaints shall be posted conspicuously in public areas of the ADHC center;
7.be available to the participant's physician of choice;
8.be revised as necessary, but reviewed by the professional group at least annually; and
9.be approved by the governing body.

C.The director, or his designee, is responsible for the execution of ADHC center policies and he/she shall be accessible to center staff or designated representatives of DHH at all times.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2182 (October 2008).

§4229.Fiscal Accountability

A.A center shall establish a system of business management and staffing to assure maintenance of complete and accurate accounts, books and records.

B.A center shall demonstrate fiscal accountability through regular recording of its finances.

C.A center shall not permit funds to be paid or committed to be paid to any entity in which any member of the governing body or administrative personnel, or members of their immediate families, have any direct or indirect financial interest, or in which any of these persons serve as an officer or employee, unless the services or goods involved are provided at a competitive cost or under terms favorable to the center.

1.The center shall provide a written disclosure of any financial transaction regarding the center in which a member of the governing body, administrative personnel, or his/her immediate family is involved.

D.The center shall ensure that all entries in records are legible, signed by the person making the entry and accompanied by the date on which the entry was made.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2183 (October 2008).

§4231.Administrative Records

A.A center shall have administrative records that include:

1.documents identifying the governing body;
a.a list of the officers and members of the governing body, their addresses and terms of membership, if applicable;
b.by-laws of the governing body and minutes of formal meetings, if applicable;
2.documentation of the center's authority to operate under state law;
3.an organizational chart for the center;
4.all leases, contracts and purchase-of-service agreements to which the center is a party;
5.insurance policies;
6.annual budgets and audit reports; and
7.a master list of all other programs and services used by the center.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2183 (October 2008).

§4233.Participant Case Records

A.A center shall have an organized record system which includes a written case record for each participant. The case record shall contain administrative and treatment data from the time of admission until the time that the participant leaves the center.

B.The participant's case record shall include:

1.identifying information such as:
a.name;
b.birth date;
c.home address;
d.Social Security number;
e.marital status;
f.gender;
g.ethnic group; and
h.religion;
2.identifying information for the participant's personal representative, if applicable, such as:
a.name;
b.address; and
c.telephone number;
3.social and medical history including:
a.a complete record of admitting diagnoses and any treatments that the participant is receiving;
b.history of serious illness, serious injury or major surgery;
c.allergies to medication;
d.a list of all prescribed medications and non-prescribed drugs currently used;
e.current use of alcohol; and
f.the name of the participant's personal physician and an alternate;
4.complete health records, when available, including physical, dental and/or vision examinations;
5.a copy of the participant’s individual service plan including:
a.any subsequent modifications; and
b.an appropriate summary to guide and assist direct service workers in implementing the participant's program;
6.the findings made in periodic reviews of the plan including:
a.a summary of the successes and failures of the participant’s program; and
b.recommendations for any modifications deemed necessary;

Louisiana Register   Vol. 34, No. 10   October 20, 2008

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