Current through Register Vol. 63, No. 9, September 1, 2024
(1) Providers
must maintain personnel records for each program staff and withdrawal
management technician that contains, at a minimum, all of the following
documentation:
(a) The results of national
and state-wide criminal records check processes applicable to the current
position or title for personnel who render substance use disorder treatment
services or have access to substance use disorder protected health information
such as service records or billing information;
(b) A current position description that
includes applicable qualifications, including credentials and
competencies;
(c) When applicable
to the position, copies of relevant licensure or certification, diploma, or
certified transcripts from an accredited college, indicating that the personnel
meets applicable qualifications;
(d) Copies of any action on the credentials
as reported by the certification or Licensing Board or body;
(e) Periodic performance appraisals that,
when deficiencies are noted, contain a performance improvement and training
plan, including completion of any required training(s) and resolution of the
performance plan;
(f) Orientations
and trainings required in OAR 415-050;
(g) Disciplinary documentation;
(h) Active First Aid and CPR certification
for each non-medical personnel; and
(i) Results of a Tuberculosis screening as
per OAR 333-071-0057.
(2)
Providers must ensure each program staff receives training applicable to the
specific population for whom services are planned, delivered, or supervised.
The program must document orientation training for each program staff or
individual providing services within 30 days of the hire date. At minimum,
orientation training for all program staff must include, but not be limited to:
(a) A review of crisis prevention and
response procedures;
(b) A review
of emergency evacuation procedures;
(c) A review of program policies and
procedures;
(d) A review of rights
for patients receiving services and supports;
(e) A review of mandatory abuse reporting
procedures;
(f) A review of
confidentiality policies and procedures;
(g) A review of Fraud, Waste and Abuse
policies and procedures;
(h) A
review of care coordination procedures;
(i) A review and agreement to abide by the
Code of conduct;
(j) Training in
de-escalation; and
(k) Training in
motivational enhancement.
(3) Providers must ensure that withdrawal
management technician staff receive the following trainings. The program must
document orientation training for each withdrawal management staff within 30
days of the hire date. At minimum, orientation training for all program staff
must include but not be limited to:
(a) A
review of crisis prevention and response procedures;
(b) A review of emergency evacuation
procedures;
(c) A review of program
policies and procedures;
(d) A
review of rights for patients receiving services and supports;
(e) A review of mandatory abuse reporting
procedures;
(f) A review of
confidentiality policies and procedures;
(g) A review and agreement to abide by the
Code of conduct;
(h) Training in
de-escalation; and
(i) Training in
motivational enhancement.
(4) Medical treatment staff rendering or
assisting with medical interventions, including applicable interns, must have
the following trainings documented within one week of active employment in such
a role:
(a) Medical protocols;
(b) Use of COWS, CIWA-AR and other
evidence-based screening tools.
(5) Non-medical program staff must be
certified for first aid/ CPR within 6 weeks of active employment.
(6) Supervision: all staff who are
responsible for the delivery of services or supports must receive documented
supervision and oversight by a qualified supervisor or manager, as applicable
and as defined in OAR 415-050. Individual face-to face contact may include real
time, two-way audio or audio-visual conferencing. Part time program staff must
receive supervision prorated to reflect the average number of hours worked.
(a) Supervision must be related to the
development of the staff and the services, and the implementation and outcome
of the services. Supervision must be provided to assist staff to:
(A) Increase their skills within their scope
of practice;
(B) Improve quality of
services or supports to patients; and
(C) Ensure understanding and application of
the code of conduct and program policies and procedures.
(b) Documentation must include the date,
amount of time per session and a brief description of the topics addressed and
must demonstrate the following minimum amount of supervision occurred:
(A) One hour per month of documented group
supervision and consultation to medical treatment staff, non-medical treatment
staff, withdrawal management technician, substance use disorder treatment
staff, peer support or wellness specialist, and volunteer who is responsible
for the delivery of services or supports; and
(B) Interns and student interns must receive
one-hour of individual clinical supervision per week.
(c) Supervision must assist supervisees to
ensure safety, increase their skills, improve quality of services to patients,
and address understanding of and adherence to program protocols, policies,
procedures and code of conduct;
(d)
When available, a qualified Peer-delivered Services Supervisor must provide the
required monthly supervision to program staff providing direct Peer-delivered
Services. Otherwise, supervision must be provided by a qualified
supervisor;
(e) Interns and student
interns must render services and supports under the active supervision of a
qualified supervisor; and
(f)
Individualized non-clinical supervision must be utilized as needed and
documented.
Statutory/Other Authority: ORS
413.042 & ORS
430.256
Statutes/Other Implemented: ORS
430.306 & ORS
430.345-430.375
