Ryan White Part A Quality Management Chemical Dependency/Substance Abuse Service Delivery Model Palm Beach County

Transcription

1 Ryan White Part A Quality Management Chemical Dependency/Substance Abuse Service Delivery Model Palm Beach County

2 Table of Contents Statement of Intent... 3 Service Definition... 3 Practitioner Definition... 3 Practitioner Continuing Education Recommendation... 3 Standards of Care... 4 Initial Treatment Plan... 4 Progress in Treatment Plan... 5 Client Satisfaction... 5 Appendix A Sample Forms... 6 Technical assistance provided by: Florida/Caribbean AIDS Education and Training Center University of South Florida USF Center for HIV Education and Research Page 2 of 6

3 Ryan White Part A Quality Management Chemical Dependency/Substance Service Delivery Model Statement of Intent All Ryan White Part A funded practitioners are required by contract to adhere, at a minimum, to the Public Health Service (HHS) Guidelines. Service Definition Chemical Dependency and Substance Abuse treatment/counseling services, including individual and group counseling, and facilitation of support groups, provided by a Chemical Dependency/Substance Abuse staff, including psychiatrists, psychologists, clinical nurse specialists, social workers, and mental health counselors, are licensed or authorized to perform services within the State of Florida. Practitioner Definition Chemical Dependency and Substance Abuse Practitioners have appropriate license, certification, and/or authorization to perform services in the State of Florida. Practitioner Continuing Education Recommendation Practitioners must complete at least 2 (two) hours of HIV-related continuing education and 1 (one) cultural sensitivity training per year. Page 3 of 6

4 Initial Treatment Plan Standards of Care Standard Indicator Data Source 1. Completed intake for every referred patient in a timely manner. 2. Completed Rights and Responsibilities Agreement % of clients receiving assessment have documentation of completed referral form % of clients have initial screening within 10 business days of referral % of clients that present with imminent risk to self or others (i.e. active suicidal plans/intentions, recent attempt, or psychotic symptoms influencing patient behaviors, presence of violence/impulsitivity, inability to take appropriate care of self) have immediate referral, or within hours, depending on the practitioner s evaluation of the risk % of assessments include: Behavioral health Risk Data % of clients sign agreement outlining rights and responsibilities, which should include the following: Confidentiality Policy on active participation Dismissal policies Adherence to treatment plan and other agency policies, as appropriate Documentation in client chart Documentation in client chart Documentation in client chart Documentation in client chart Page 4 of 6

5 Progress in Treatment Plan 3. Practitioners ensure ongoing progress with Treatment Plan Client Satisfaction % of client Records document progress towards meeting goals or variance explained % of desired outcomes should be achieved in accordance with treatment plan % of clients have review of treatment plan every three months and/or at discharge. Review should include tracking of SA patterns and symptoms response to treatment through objective measures (i.e. scales targeting the clients treatment focus). Many scales can be answered by the client self rating scales (without imposing more time demands on the treating clinician). The scales are an excellent way to track symptoms, their response to treatment and good treatment guides for the clinician. Rating scales can be very instrumental in the current health care atmosphere where services are increasingly evaluated through evidence based practices and patients outcomes % of discharged patients have an aftercare plan documented in record including the following information: Client objectives and interventions Provision for referrals Release of information Ongoing services available Self help group affiliations Relapse prevention education resources 3.5 Progress reports shared with case management agency/other Treatment Providers for clients who have provided consent % of progress reports shared with case management agency/other Treatment Providers for clients who have provided consent. Standard Indicator Data Source 4. Assess client satisfaction with Chemical Dependency/Substanc e Abuse services % of clients have opportunity to complete annual satisfaction survey % of completed surveys are tabulated and analysis of findings shared with Practitioners % of completed surveys indicate client satisfaction Documentation in client chart Documentation in client chart Documentation in client chart Documentation in client chart Documentation in client chart Documentation in client chart Documentation of client survey Evidence of report produced to summarize satisfaction surveys and shared with practitioners Evidenced in summary report Page 5 of 6

6 Appendix A Sample Forms Suggested forms should be included here. Page 6 of 6