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January training


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January training

  1. 1. Every Day “What should I do?” Events<br />Rights – Ethics - Compliance<br />January 2011<br />
  2. 2. If there is Clear documentation that the person callingiIsthe guardian or parent or there is a written Authorization that such information can be provided, then the appointment time can certainly be given.<br />Otherwise, the laws on confidentiality do not allow us to even acknowledge that a consumer is enrolled in our services without written consent. If this is the case, then you inform the caller as such and that<br />you can only provide the time directly to<br />a consumer.<br />What should she say?<br />“What time is my nephew’s appointment? <br /> If you don’t tell me, I can’t get him there!”<br />1<br />
  3. 3. Each Progress/group note is an unique picture of<br />Each consumer’s interactions during a session.<br />No two notes should ever be exactly alike.<br />Cut and pasting in this manner is considered a<br />compliance violation which would result in<br />disciplinary action up to and including termination<br />from the DCSB.<br />What shouldshe do?<br /> Oh! My! It’s 5:30 and I have got to get to my daughter’s recital!<br /> The group session discussion was very general – nothing really specific by the members. It wouldn’t hurt if I just cut and pasted these last four brief group notes, would it?”<br />2<br />
  4. 4. Duty to Warn (Policy 700-10) A licensed clinician should<br />assess the consumer & take necessary actions (complete <br />1013, have physician evaluate or call police) to see that <br />The consumer does not harm self or others. <br />“A mental health professional has a duty to take reasonable <br />steps to protect third party persons from threatened<br />physical harm posed to them by patients.”<br />The decision on “Duty to warn” takes into consideration <br />the consumer’s complete medical history including<br />aggressive and impulsive tendencies. Once evaluated,<br />consult with the Chief Medical Officer and/or Chief <br />Operating Officer, if needed, to assist in planning for any notification.<br />What are some of the <br />clinician’s choices?<br />“I’m so MAD!! My supervisor is picking on me. <br />I’m through with her! <br />I’m going to get her good. <br />She’ll never hurt me again.”<br />3<br />
  5. 5. No. You cannot tell a friend that you saw a someone that you both personally know that the person was possibly a consumer of the DCSB even if you didn’t have any professional relationship with him. The fact that you are DCSB staff holds you to the confidentiality of Jeff.<br />No. You should not tell a co-worker either. First, if that person is also a friend/acquaintance of Jeff, then you have once again breached confidentiality. Second, even if the person does not have a personal connection to Jeff, the staff may not have the “need to know” anything about Jeff’s presence at DAC and you have now breached the “minimum necessary” requirement of HIPAA.<br />Is it okay to tell<br />a friend?<br />DCSB Staff: “I saw Jeff comingout of DAC the other day.<br />Did you know that he was an addict?”<br />4<br />
  6. 6. 2011<br />Rights-Ethics-Compliance<br />CQI Committee<br />5<br />Thanks for taking the time to participate in the January mini-training module.<br />