Code of Colorado Regulations
1000 - Department of Public Health and Environment
1011 - Health Facilities and Emergency Medical Services Division (1011, 1015 Series)
6 CCR 1011-3 - STANDARDS FOR COMMUNITY INTEGRATED HEALTH CARE SERVICE AGENCIES
Section 7 - STANDARDS GOVERNING CIHCS AGENCY OPERATIONS
Universal Citation: 6 CO Code Regs 1011-3 ยง 7
Current through Register Vol. 47, No. 5, March 10, 2024
7.1 A CIHCS Agency shall:
7.1.1. As necessary, refer
consumers to a higher level of medical care and/or to other appropriate
resources that may assist in the resolution of other issues identified in the
initial and subsequent assessments;
7.1.2 Not utilize its license to circumvent
licensing requirements of other facility or agency services;
7.1.3 Only enroll consumers with the
reasonable expectation their needs can be met.
A) The Agency and consumer shall agree to the
tasks to be provided and the frequency of visits.
B) If the consumer's service plan requires
care or services to be delivered at specific times, the Agency shall ensure it
either employs qualified staff in sufficient quantity or has other effective
back-up plans to ensure the needs of the consumer are met.
C) If applicable, to ensure the needs of the
consumer are met, the Agency shall provide the consumer with its after-hours
contact information and/or with contact information for the Agency's back-up
provider.
D) In the event of the
need to alter the consumer's agreed-upon schedule of visits, the consumer shall
be notified as soon as practicable. If the consumer has time-sensitive needs,
the Agency shall initiate effective back-up plans to ensure patient
safety.
E) If there is a missed
visit, services shall be provided as agreed upon by the consumer and
Agency.
7.1.4 Ensure
that its operation and staff utilization will not place CIHCS consumers at risk
of harm or disrupt any other Agency services, including emergency services, the
Agency may be authorized to provide.
7.1.5 Ensure that its providers document each
consumer visit/contact and include such documentation in the consumer's
records.
7.1.6 Document evidence of
the minimum qualifications and competencies of the Agency's medical director(s)
and the administrator and his/her qualified substitutes.
7.1.7 Ensure that its CIHCS providers that
are licensed, certified or registered meet the requirements for their practice
or profession.
7.2 Standards for Quality Management Program
7.2.1. Every CIHCS Agency applicant or
licensee shall establish and implement a quality management program that is
appropriate to the size and type of the agency, evaluates the quality of
consumer care and safety, and complies with the requirements of this
section.
7.2.2 The program shall
include, at minimum:
A) A general description
of the types of cases, problems, or risks to be reviewed and criteria for
identifying potential risks, including without limitation any incidents that
may be required by Department regulations to be reported to the
Department;
B) Identification of
the personnel responsible for coordinating quality management activities, the
means of reporting to the Agency administrator, and the prescribed time within
which the reporting must occur;
C)
A description of the method(s) for:
i)
Investigating and analyzing the frequency and causes of individual problems and
patterns of problems;
ii) Taking
corrective action to address the problems, including prevention and minimizing
problems or risks;
iii) Evaluating
corrective action[s] to determine the effectiveness of such
action[s];
iv) Coordinating all
pertinent case, problem, or risk review information with other applicable
quality assurance and/or risk management activities, such as review of consumer
care; review of staff or CIHCS provider conduct; the consumer complaint system;
and education and training programs;
D) Documentation of required quality
management activities, including cases, problems, or risks identified for
review; findings of investigations; and any actions taken to address problems
or risks; and
E) A schedule for
program implementation not to exceed 90 days after the date of the initial
inspection.
7.2.3 The
CIHCS Agency shall evaluate the discharge planning process periodically for
effectiveness.
7.2.4 The CIHCS
Agency shall periodically review treatment protocols and compliance with such
protocols.
Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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