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 751 - Organization And Administration › Section 751.5 - Operating policies and procedures

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure:
(a) the development and implementation of
					 policies and procedures written in accordance with prevailing standards of
					 professional practice which include but are not limited to:
(1) the provision of service(s) without
					 regard to age, race, color, sexual orientation, marital status, religion, sex,
					 national origin or sponsor;
(2)
					 provisions for communicating with patients who exhibit a communication
					 barrier;
(3) a method for promptly
					 handling patient complaints;
(4)
					 the provision for continuing care by the same health care practitioner,
					 whenever possible;
(5) ensuring
					 prompt follow-up action on patients with abnormal test results or physical
					 findings;
(6) the referral to a
					 health-care facility or health-care practitioner for service(s) not available
					 at the center;
(7) the prompt
					 transfer of a copy of the pertinent parts of the medical record and other
					 information, with the patient's written consent, when the patient is referred
					 to another health- care facility or health-care practitioner;
(8) the identification, assessment, and
					 appropriate treatment or referral of individuals who are suspected to be human
					 trafficking victims, as that term is defined in section
					 483-aa
					 of the Social Services Law and used in Article 10-D of the Social Services Law;
					 training in the recognition of indicators of a human trafficking victim and the
					 responsibilities of such personnel in dealing with persons suspected as human
					 trafficking victims, the reporting of individuals who are suspected to be human
					 trafficking victims and are under eighteen years old as abused or maltreated
					 children if required under Title 6 of Article 6 of the Social Services Law; and
					 the posting of the human trafficking hotline poster issued by the National
					 Human Trafficking Resources Center, or a variation of such poster created by
					 the Office of Temporary and Disability Assistance (OTDA) consistent with
					 section
					 483-ff
					 of the Social Services Law, whichever OTDA makes available on its website, in
					 conspicuous locations near primary public entrances and where other posters and
					 notices are posted;
(9) the
					 identification, assessment, reporting and referral of cases of suspected child
					 abuse or maltreatment and identification and treatment of victims of domestic
					 violence;
(10) the identification,
					 of patients' medically related personal and social problems which may interfere
					 with the patients' treatment, recovery or rehabilitation;
(11) the establishment and implementation, in
					 consultation with a qualified social worker, of a plan, consistent with
					 available community and center resources, to provide or arrange for the
					 provision of social work, psychological and health educational services that
					 may be necessary to meet the treatment goals of its patients;
(12) if social work services are provided
					 onsite by the center, the service must be under the direction of a qualified
					 social worker and must be provided in accordance with all applicable
					 requirements set forth in section 752.1 of this Title;
(13) the designation of a member of the
					 center staff to be specifically assigned to implement policies and procedures
					 for the coordination of the services of the center with the services of
					 community health facilities and programs and community social
					 agencies;
(14) the operation,
					 maintenance and security of the center;
(15) ensuring that emergency equipment and
					 staff prepared to care for emergencies are provided in accordance with the
					 services provided at the center, and equipment is maintained in working
					 condition; and
(16) the granting of
					 access to his/her healthcare records to a patient or other qualified person in
					 accordance with the provisions of section
					 18 of the
					 Public Health Law and Subpart 50-3 of this Title;
(17) if prenatal services are provided
					 onsite, the center must ensure that the pregnant woman is provided HIV
					 counseling and that voluntary HIV testing is recommended. Counseling and/or
					 testing, if accepted, shall be provided pursuant to Public Health Law, article
					 27-F. Information regarding the woman's HIV counseling and HIV status must be
					 transferred as part of her medical history to the delivering facility. Women
					 with positive test results shall be referred to the necessary health and social
					 services within a clinically appropriate time.