An inpatient evaluation and treatment facility must develop a policy to implement the following administrative requirements:
(1) A description of the program, including age of consumers to be served, length of stay and services to be provided.
(2) An organizational structure including clear lines of authority for management and clinical supervision.
(3) Designation of a physician or other mental health professional as the professional person in charge of clinical services at that facility.
(4) A quality management plan to monitor, collect data and develop improvements to meet the requirements of this chapter.
(5) A policy management structure that establishes:
(a) Procedures for maintaining and protecting resident medical/clinical records consistent with chapter 70.02
RCW, "Medical Records Health Care Information Access and Disclosure Act" and Health Insurance Portability and Accountability Act (HIPAA);
(b) Procedures for maintaining adequate fiscal accounting records consistent with generally accepted accounting principles (GAAP);
(c) Procedures for management of human resources to ensure that residents receive individualized treatment or care by adequate numbers of staff who are qualified and competent to carry out their assigned responsibilities;
(d) Procedures for admitting consumers needing inpatient evaluation and treatment services seven days a week, twenty-four hours a day, except that child long-term inpatient treatment facilities are exempted from this requirement;
(e) Procedures to assure appropriate and safe transportation for persons who are not approved for admission to his or her residence or other appropriate place;
(f) Procedures to detain arrested persons who are not approved for admission for up to eight hours so that reasonable attempts can be made to notify law enforcement to return to the facility and take the person back into custody;
(g) Procedures to assure access to necessary medical treatment, emergency life-sustaining treatment, and medication;
(h) Procedures to assure the protection of consumer and family rights as described in this chapter and chapters 71.05
(i) Procedures to inventory and safeguard the personal property of the consumer being detained, including a process to limit inspection of the inventory list by responsible relatives or other persons designated by the detained consumer;
(j) Procedures to assure that a mental health professional and licensed physician are available for consultation and communication with both the consumer and the direct patient care staff twenty-four hours a day, seven days a week;
(k) Procedures to provide warning to an identified person and law enforcement when an adult has made a threat against an identified victim;
(l) Procedures to ensure that consumers detained for up to fourteen or ninety additional days of treatment are evaluated by the professional staff of the facility in order to be prepared to testify that the consumer's condition is caused by a mental disorder and either results in likelihood of serious harm or the consumer being gravely disabled;
(m) Procedures to assure the rights of consumers to make mental health advance directives, and facility protocols for responding to consumer and agent requests consistent with RCW 71.32.150
(n) Procedures to ensure that the following requirements are met when an individual is brought to the facility by a peace officer under RCW 71.05.153
(i) The individual must be examined by a mental health professional (MHP) within three hours of arrival;
(ii) Within twelve hours of arrival, a designated mental health professional (DMHP) must determine if the individual meets detention criteria under chapter 71.05
(iii) If the facility releases the individual to the community, the facility must inform the peace officer of the release within a reasonable period of time after the release if the peace officer has specifically requested notification and has provided contact information to the facility.
[Statutory Authority: RCW 10.31.110
, 71.05.153, 71.05.190, chapter 74.09
RCW, and 2011 c 305. WSR 12-19-038, § 388-865-0536, filed 9/12/12, effective 10/13/12. Statutory Authority: RCW 71.05.560
, 71.34.800, and chapters 71.05
RCW. WSR 04-07-014, § 388-865-0536, filed 3/4/04, effective 4/4/04.]