New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter V - Medical Facilities
Subchapter C - State Hospital Code
Article 6 - Treatment Center and Diagnostic Center Operation
Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations
Section 759.6 - Comprehensive care planning
Universal Citation: 10 NY Comp Codes Rules and Regs ยง 759.6
Current through Register Vol. 46, No. 39, September 25, 2024
(a) The operator shall:
(1) develop a comprehensive care plan based
on the comprehensive assessment required by this Part and, when applicable, a
transfer or discharge plan, for each registrant within five visits or within 30
days after registration, whichever is earlier. The adult day health care
program and the referring managed care organization or care coordination model
must be sure to coordinate with each other regarding the development of a
registrant's comprehensive care plan;
(2) designate staff members to ensure the
completion of the comprehensive care plan with the participation of consultants
in the medical, social, paramedical and related fields as
appropriate;
(3) ensure that the
comprehensive registrant care plan includes for each registrant:
(i) designation of a professional person to
be responsible for coordinating the comprehensive care plan;
(ii) the registrant's pertinent diagnoses,
including mental health status; types of equipment and services required; case
management; frequency of planned visits; prognosis; rehabilitation potential;
functional limitations; planned activities; nutritional requirements;
medications and treatments; necessary measures to protect against injury;
instructions for discharge or referral if applicable; orders for therapy
services, including the specific procedures and modalities to be used and the
amount, frequency, and duration of such services; and any other appropriate
item;
(iii) the medical and nursing
goals and limitations anticipated for each registrant and, as appropriate, the
nutritional, social, rehabilitative and leisure time goals and
limitations;
(iv) the registrant's
potential for remaining in the community;
(v) transportation arrangements;
and
(vi) a description of all
services to be provided to the registrant by the program, informal supports and
other community resources pursuant to the comprehensive care plan, and how such
services will be coordinated;
(4) ensure that development and modification
of the comprehensive care plan is coordinated with other health care providers
outside the program who are involved in the registrant's care.
(b) Designated staff members, with the participation of consultants in the medical, social, paramedical and related fields, as appropriate, shall:
(1)
record in the clinical record changes in the registrant's status which require
alterations in the registrant comprehensive care plan;
(2) modify the comprehensive care plan
accordingly;
(3) review the
comprehensive care plan at least once every six months and whenever the
registrant's condition warrants and document each such review in the clinical
record; and
(4) promptly alert the
registrant's authorized practitioner of any significant changes in the
registrant's condition which indicate a need to revise the comprehensive care
plan.
Disclaimer: These regulations may not be the most recent version. New York 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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