| 6400.163(c) | Individual #1's psychiatric medication reviews completed 6-27-17 and 11-27-17, didn't include the reason for prescribing the medications and the need to continue the medications. Individual#1's psychiatric medication review completed 6-11-18, did not include the need to continue the medications. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The Psych Med Review Forms previously used were not being filled out in there entirety by physicians. We have had ongoing issues with physicians who refuse to fill out our forms. We were informed during our state licensing it would best to fill in as much of the information for the physician and if the physician continues to refuse to fill out our forms we may need to look for a new provider. Using this technical advice given and to make things simple for the physicians The Sr. Program Specialist Loren Weadon has decided to prepopulate our Psych Med Review Forms for each participant. The form will already include the medication, dosage/time and reasoning for the medication. As medications change or are discontinued, the PS must make those adjustments to the form prior to next med review. Being that there is typically three months between med reviews the PS will have enough time to update the forms. By pre populating the form we can mitigate the likelihood of a physician refusing to fill/complete our documentation. All Sr.DCS and PS's were trained on this new form as of 8/3/18 at our weekly team meeting. [Upon completion, a designated staff person shall review all individuals' psychiatric medication review to ensure completion as required and physicians' orders are followed and individuals are administered medications as prescribed. Documentation of audits shall be kept. (DPOC by AES,HSLS on 8/23/18)] |
08/01/2018
| Implemented |