New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIV - Office for People With Developmental Disabilities
Part 676 - Diagnostic and Research Clinics
Section 676.4 - Organization and administration
Universal Citation: 14 NY Comp Codes Rules and Regs ยง 676.4
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Each diagnostic and research clinic shall have a governing body.
(1) In the case of a diagnostic and research
clinic operated by OPWDD as part of an established OPWDD research institute,
OPWDD shall function as governing body.
(2) The governing body for such clinics not
operated by OPWDD may be an individual or a group. For clinics operated as part
of an OPWDD institute, OPWDD may appoint a director of the overall institute
who shall act as OPWDD's designee and who is responsible to OPWDD.
(3) The governing body or the OPWDD-appointed
director shall be responsible for the diagnostic and research clinic's general
direction, operations policies, and shall:
(i) be legally responsible for the clinic's
overall operation and management;
(ii) ensure that the clinic has adequate and
modern administrative support to efficiently meet the needs of the individuals
with developmental disabilities served by its facilities; administrative
support includes clinical, communication, financial, housekeeping, laundry,
personnel, physical plant safety and security, supplies, and purchasing
services;
(iii) ensure that the
facility has a plan for a management audit, and that such audit is conducted at
least annually; this audit shall determine if the clinic complies with all
applicable State laws, regulations and policies;
(iv) ensure that the health, safety, welfare,
well-being and civil, human and legal rights of individuals with developmental
disabilities served by the diagnostic and research clinic are protected, upheld
and fostered;
(v) ensure that
agreements with other providers and with community groups have been developed
to ensure that individuals with developmental disabilities receive the
specialized assessments and clinical laboratory tests required to perform
comprehensive diagnosis and evaluations; and assist such persons to receive the
programs, treatment and care appropriate to their disabilities; and
(vi) maintain minutes of its official
meetings and the decisions made in relation to the operation of the diagnostic
and research clinic, and maintain a record of follow-up actions accomplished
based on such decisions.
(b) Each diagnostic and research clinic shall have a clinical director who is appointed by the governing body or its designee.
(1) The clinical director shall be
responsible for the continuous day-to-day operation and control of the
clinic.
(2) The clinical director
shall be responsible for the clinical services and administrative activities of
the clinic, including all outpatient diagnostic and assessment services and
residential services. The clinical director shall also be responsible for
ensuring that the services provided to individuals with developmental
disabilities at the clinic comply with the intent and requirements of this Part
and the intent and requirements of other appropriate laws and
regulations.
(3) The clinical
director shall either be certified as a clinical laboratory director, in
accordance with 10 NYCRR Part 19, and thereby be responsible for the operation
of the clinical laboratory, or someone else certified as a clinical laboratory
director shall be designated to oversee the operation of the clinical
laboratory.
(4) The clinical
director of the diagnostic and research clinic shall:
(i) designate an individual to be responsible
for the administrative direction of the clinic at all times when the clinical
director is absent;
(ii) maintain a
current table of organization which shows the diagnostic and research clinic's
major programs and services, the clinic's relationship to other divisions
operated by the overall facility, the administrative personnel in charge of the
programs and services and the lines of authority, responsibility and
communication. This table of organization shall identify the person(s) and/or
divisions providing services to the individuals with developmental
disabilities, including staff shared between divisions and/or the relation
between the clinic and other providers of service, if applicable;
(iii) ensure, in conjunction with the overall
facility director, governing body or with other professionals in the field,
whichever is appropriate, that standing committees are established to address
issues that relate to:
(a) aversive
conditioning;
(b) human
rights;
(c) incident review
(including but not limited to reviewing accidents, death, abuse, mistreatment,
neglect, adverse drug reactions, medication errors and the use of
restraints);
(d) infection
control;
(e) research and
experimentation review and appropriate informed consents;
(f) professional advisory board on
clinical/research coordination;
(g)
admission to outpatient, laboratory and residential services; and
(h) utilization review of admissions and
subsequent and continued treatment review for outpatient, clinical laboratory
and/or residential services;
(iv) establish a manual of policies and
procedures concerning the operation and administration of the diagnostic and
research clinic and the well-being of the individuals served by it, and ensure
that such policies and procedures are followed in topics not limited to the
following:
(a) the clinic's role in the
State's programs for individuals with developmental disabilities;
(b) the clinic's philosophy, goals and
service objectives;
(c)
administrative organization and facility specific personnel, practices and
conditions;
(d) type and scope of
services provided by clinic;
(e)
structure, functions and characteristics of services provided to individuals
with developmental disabilities;
(f) description of the clinic's relationships
to individuals with developmental disabilities, families, community,
professional committees and organizations, universities and other clinics and
programs for individuals with developmental disabilities;
(g) composition and activities of standing
committees;
(h) responsibilities of
facility director;
(i)
responsibilities and qualifications of clinical director;
(j) responsibilities and qualifications of
clinical laboratory director;
(k)
responsibilities and qualifications of clinical and laboratory staff;
(l) admission and rejection criteria and
prescription for follow-up services;
(m) criteria for ordering specialized
services;
(n) interdisciplinary
team process and the development of a recommended treatment plan;
(o) admission criteria for individuals
authorized to receive additional medical and/or specialized clinical laboratory
services during the course of an evaluation (see section
676.5[b]
of this Part);
(p) list of tests
performed within each specialized clinical laboratory area; and
(q) clinic's staffing pattern.
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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