New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 404 - INTEGRATED OUTPATIENT SERVICES › Section 404.8 - Policies and Procedures

Current through Register Vol. 46, No. 28, July 10, 2024
An integrated services provider shall have written
						policies, procedures, and methods governing the provision of services to
						patients, including a description of each service provided. These policies,
						procedures, and methods shall be reviewed annually and revised as necessary.
						They shall address, at a minimum, the following:
(a) admission criteria;
(b) evaluations and treatment
					 plans;
(c) screening for substance
					 use disorder, mental health, and/or physical health issues;
(d) the provision of medical services,
					 including screening and referral for associated physical or behavioral health
					 conditions;
(e) how to ensure
					 prompt follow-up action on patients with abnormal test results or physical
					 findings;
(f) identification of
					 specific support and ancillary providers, where appropriate, and methods for
					 coordinating such service delivery;
(g) appropriate transfer and referral
					 procedures to and from other services;
(h) discharge criteria;
(i) procedures for handling patient
					 emergencies and identification of available off-hour emergency services seven
					 days per week, 24 hours per day, including, but not limited to, detoxification,
					 withdrawal and acute psychiatric services;
(j) how to ensure that staff are prepared to
					 care for emergencies in accordance with the services provided at the host site,
					 and necessary emergency equipment is maintained in working order;
(k) the continuity of care, including regular
					 participation of all integrated care services staff in case conferences,
					 in-service training and staff meetings;
(l) the prescription and administration of
					 medication which shall be consistent with applicable Federal and State laws and
					 regulations;
(m) for providers
					 providing primary care, policies and procedures for investigating, controlling
					 and preventing infections in the host site. The policies and procedures shall
					 include those for:
(1) isolating patients
					 with communicable or infectious diseases or patients suspected of having such
					 diseases;
(2) training all
					 personnel rendering care to such patients in the employment of standard
					 infection control techniques;
(3)
					 obtaining periodic reports of health care associated infections (health care
					 associated infections shall include an increased incidence or outbreak of
					 disease due to biological, chemical or radioactive agents or their toxic
					 products occurring in patients or persons working in the host site);
					 and
(4) reporting immediately to
					 the department, in a manner specified by the commissioner, the presence of
					 health care associated infections; and to the city, county or district health
					 officer where the host site is located, the presence of any communicable
					 disease as defined in section 2.1 of Title 10 NYCRR (State Sanitary
					 Code);