Bluebonnet Trails Community MHMR Center

Policies and Operating Procedures

(Last Revision to the Index 8/13/2007)

 

Lines in blue are active links.  Black lines are for reference purposes only.

 

I.      ADMINISTRATIVE FUNCTIONS AND OPERATIONS

A.     Administrative Functions

 1.  (Policy)    Travel Policy

     a. (Procedure)        Travel Procedure

2.      (Policy)   Board Travel Policy

3.      (Policy)   Board Attendance Policy

4.      (Policy)   Travel Policy – Reimbursement

B.    Operations

1.      Vacant

2.      Vacant

3.      (Policy)   Property Inventory

a)      (Procedure)        Property Inventory

II.    CLIENT RIGHTS

A.     Human Rights Committee

1.      Review of Organizational Practices

a)      (Policy)      Client Bill of Rights, Substance Abuse Services

b)      (Policy)      Non-Discrimination (Substance Abuse Services)

2.      Review of Rights Restrictions

a)      (Policy)      Client Rights (MH & MR)

b)      (Procedure)           Client Rights (MH & MR)

(1)   Attachment A: You have the rightΧ

3.      Review of Intrusive/Restrictive Behavior Therapy Programs

a)      (Policy)      Behavior Management (Substance Abuse Services)

b)      (Procedure)           Human Rights Committee

(1)   Attachment A: HRC Decision Tree
(2)   Attachment B: Psychoactive Medications

c)      (Procedure)           Emergency PMAB/Personal Restraint and Psychoactive Medication

(1)   Attachment A: Personal Restraint Data Sheet

B.    Client Abuse, Neglect, and Exploitation

1.      (Procedure)        Abuse and Neglect

2.      (Procedure)        Prevention of Abuse and Neglect

C.    Client Abuse, Neglect, and Exploitation Review Authority

1.      Vacant

2.      Other Investigations

                                    a)      (Procedure)           Internal Investigation

b)      (Procedure)           Client/Family Complaint

(1)   Attachment A General Public Complaint & Positive Feedback Procedure Handout

c)      (Procedure)           Advanced Directives for Mental Health Treatment

III.                                                                                                                                               CLIENT SERVICES

A.     List of Services

1.      (Procedure)        Client Services-ECI

B.    Admission/Discharge

1.      Intake

a)      (Procedure)           Screening and Intake (MR) deleted 2/8/02

b)      (Procedure)           Admission/Discharge: Intake/Screening (ECI)

c)      (Procedure)           Screening & Intake (MR)

d)      (Procedure)           Mental Health Procedure for Admission to Services

e)      (Procedure)           Waiting List Procedure for MH Services

(1)   Attachment C- Waiting List Letter

f)       (Procedure)           Mental Health Discharge Determination

g)      (Procedure)           Admission/Discharge: Assessment and Eligibility Process (ECI)

2.      MR Appeals

a)      (Procedure)           Termination of Services

(1)   Attachment A Letter - MR Termination of Services
(2)   Attachment A1 Letter - MR Termination of Services (Span)
(3)    Attachment B Letter - MR Termination of Medicaid Services
(4)    Attachment B1 Letter - MR Termination of Medicaid Services (Span)
(5)    Attachment C Letter - MR Notice of Appeal Decision (Termination)

b)      (Procedure)           MR Denial of Services Procedure

(1)   Attachment A Letter - MR Denial of Services)
(2)   Attachment A1 Letter - MR Denial of Services (Span)
(3)   Attachment B Letter - MR Denial of Medicaid Serv Coord
(4)   Attachment B1 Letter - MR Denial of Medicaid Serv Coord (Span)
(5)   Attachment C: Letter - MR Denial Appeal Decision

3.      MH Apeals

a)      (Procedure)           Mental Health Appeals for Denial of Services

(1)   Attachment A Letter – Medicaid Fair Hearing
(2)   Attachment B Letter – Referral Letter
(3)   Attachment B.1 Letter – Referral Letter (Spanish)
(4)   Attachment C Letter – Waiting List Letter
(5)   Attachment D Letter – Crisis Denial Letter
(6)   Flow Chart – Crisis
(7)   Flow Chart – Denials of Admission

b)            (Procedure)     Mental Health Appeals for Reduction of Services

(1)   Attachment A Letter – Right to Appeal Reduction Letter
(2)   Attachment B Letter – Medicaid Fair Hearing Letter
(3)   Flow Chart – Non-Medicaid
(4)   Flow Chart – Medicaid

c)            (Procedure)     Mental Health Appeals for Termination of Services

(1)   Attachment A – Letter - Notice of Termination of Services
(2)   Attachment B – Letter - Medicaid Fair Hearing
(3)   Flow Chart – Non-Medicaid
(4)   Flow Chart – Medicaid

d)      (Procedure)           Appeals to the MH Authority from a Provider

4.      Screening and Emergency Services

a)      (Procedure)           Screening and Crisis (MH)

b)      (Procedure)           Admissions/Discharge: Emergency Services (ECI)

5.      MR Waiting List Management

6.      Authorization for Services

a)      (Procedure)           Determination of Mental Retardation

(1)   Attachment: DMR Report

b)      (Procedure)           Admission/Discharge: Authorization for Services (ECI)

C.    Charges for Services

1.      (Procedure)        Charges for Services (MR & MH)

a)      Attachment A: Fee Scale for 2006

b)      Attachment B       Financial Form and Attachment

c)      Attachment C: Consumer Brochures

(1)   English
(2)   Spanish

d)      Attachment D: Standard Charges, fee schedule MH

e)      Attachment E: Standard Charges, fee schedule MR

f)       Attachment F: Non General Revenue Financial Form

2.      (Policy)   Payment for Services

3.      (Procedure)        Charges for Services (ECI)

4.      (Procedure)        Consumer Benefits Unit

5.      (Policy)   Bed Hold Policy for ICFMR Programs

D.    Individualized Treatment/Service Plans

1.      (Procedure)        Individualized Treatment/Service Plans: IFSP- ECI

2.      Person Directed and Family Directed Planning

E.     Continuity of Services/Service Coordination

1.      (Procedure)        Continuity of Services (MH)

2.      (Procedure)        Continuity of Care: MR Authority Functions for HCS (MR)

3.      (Procedure)        MR Service Coordination (MR)

4.      (Procedure)        Continuity of Services (ECI)

5.      (Procedure)        Service Coordination Eligibility-MH

F.     Availability/Accessibility of Services

1.      (Procedure)        Access to Services – Mental Health

a)      Attachment A: New Applicants Letter Requiring Medicaid/Chip Application

2.      (Procedure)        Availability/Accessibility to Services (ECI)

G.   Transportation of Consumers

1.      (Procedure)        Transporting Consumers (MR)

2.      (Procedure:        Transportation of Consumers (ECI)

H.    Death/Burial

1.      (Procedure)        Burial Policy (MR)

I.       HCS

1.      HCS Enrollment

2.      HCS Transfer Process

J.      Billing Protocols

1.      (Procedure)        General Requirements for HCS Billing for Day Habilitation and Supported Employment

K.    Respite

1.      (Procedure)        Respite Services (MR)

L.     Vacant       

M.  Conduct Between Employees and Individuals

N.    Chain of Command (MR)

O.    General Procedures for Day Activity/Habilitation

P.     MRLA

1.      MRLA Waiting List Management

2.      MRLA Enrollment Procedure

3.      Communication With Providers

4.      MRLA Transfer Procedure

5.      MRLA UR Procedure

6.      MRLA Appeals Procedure

Q.    (Procedure)        MH Residential Services Contracted Assisted Living Group Homes

R.    (Procedure)        Texas Correctional Office on Offenders (TCOOMMI)

S.      OSAR Statement of Work

T.     Seven Day Follow-Up Procedure for State Facility Discharges

IV.          CLIENT RECORDS ADMINISTRATION

A.     Clinical Records

1.      (Procedure)        Abbreviations Used in Clinical Records

a)      Attachment A: Abbreviation List  

2.      (Procedure)        Program Records

3.      (Procedure)        Guidelines for Making Record Entries

4.      (Procedure)        Clinical Record Organization and Content

5.      (Procedure)        Maintenance of Clinical Records

6.      (Procedure)        Retention of Clinical Records

B.    Clinical Records Committee

1.      (Procedure)        Clinical Records Committee

C.    Vacant

D.    Vacant

E.     Release and Confidentiality of Clinical Information

1.      (Procedure)        Confidentiality, Security and Access of Client Records and Client-Identifying Information

                        2.   (Procedure)  Access to Clinical Records

F.     Record Duplication Fees

1.      (Procedure)        Clinical Record Duplication Fees

V.       COMMUNITY RELATIONS

VI.                                                                                                                                               CONTRACT MANAGEMENT

A.     Vacant

B.    (Procedure)        Methods of Procurement

C.    Contract Routing Process

1.      Attachment: Flow Chart

D.    Initiating and Referral to Network Provider

E.     Contract Monitoring Activities

F.     Vacant

G.   Contractor/Provider Responsibilities

1.      (Procedure)        External Counseling

H.    Vacant

I.       Vacant

J.      (Procedure)        Contract Management Overview

K.    (Procedure)        Initiating and Referral to Network Provider Services Counseling

VII.        FISCAL MANAGEMENT

A.     Investment Policy

B.    (Procedure)        Cash Receipts

VIII.     FIXED ASSETS

A.     (Procedure)        Procurement Credit Cards

IX.             HUMAN RESOURCES    

A.     (Policy)   Leave Policies

1.      (Procedure)        Leave Procedure

2.      (Procedure)        FMLA

3.      (Procedure)        Inclement Weather Procedure

4.      (Procedure)        Injury/Illness on the Job

B.     

1.      (Policy)   Donation of Paid Leave Time for Illness Policy

2.      (Procedure)        Donation of Paid Leave Time for Illness Procedure

C.    (Procedure)        Worker’s Compensation

D.    (Procedure)        Time and Attendance

E.     (Procedure)        Return to Work

1.      Attachment A: Bona Fide Job Offer Example

2.      Attachment B: Responsibilities of Host Department

3.      Attachment C: Termination of RTW Duty by Employee

4.      Attachment D: Temporary RTW Respons. Of Employee

F.     (Policy)   Employee Evaluations

G.   (Policy)   Equal Employment Opportunity

1.      (Procedure) Productivity Pay

2.      Attachment A: Productivity Pay MH Services

3.      Attachment B: Productivity Pay MR Services

H.    Separations, Suspensions, and Demotions

1.       

a)      (Policy)      Disciplinary Action Policy

b)      (Procedure)           Disciplinary Action Procedures

2.       

a)      (Policy)      Corrective Action Policy

b)      (Procedure)           Corrective Action Procedures

3.       

a)      (Policy)      Privacy Violation Policy

b)      (Procedure)           Privacy Violation

I.       Overtime Procedure

J.      (Procedure)        Nepotism

K.    (Policy/Procedure)      Grievance Procedures

L.     (Procedure)        Temporary Modified Duty

M.  (Procedure)        Appropriate Workplace Dress

N.    (Policy)   Drug and Alcohol Policy

O.    (Procedure)        Staff Turnover

P.     Policy) Vehicle Operator Standards

Q.    (Procedure)        Probation Period

R.    (Procedure)        Selection of Personnel

X.   HUMAN RESOURCE DEVELOPMENT

A.     Vacant

B.    Vacant

C.    Competency-Based Training

1.      (Procedure)        Human Resource Development

2.      (Policy)   Human Resource Development (Deleted)

D.    (Policy)   Educational Leave Policy

E.     (Procedure)        Educational Leave Procedure

F.     Vacant

G.   (Procedure)        Service Coordination Training

XI.            INFORMATION SERVICES

A.     (Policy)   Internet Policy (revised 10/03/01)

XII.        MEDICAL SERVICES

A.     Vacant

B.    Ongoing Medical Assessment and Treatment

1.      (Procedure)        Nursing Procedures for Mental .Retardation

a)      Attachment A: ICF-MR Standards of Participation Summary

b)      Attachment B: American Cancer Society Screening Recommendations for Early Detection for Men

c)      Attachment C: American Cancer Society Screening Recommendations for Early Detection for Women

d)      Attachment D: AMA General Guidelines for Good Health for Men

e)      Attachment E: AMA General Guidelines for Good Health for Women

f)       Attachment F: AMA Pediatric Guidelines-Children

2.      (Procedure)        Treatment Services and General Medical Care

a)      Attachment A: Determination of Clozaril

b)      Attachment B: Medical Incident Form

C.    Medication Acquisition, Storage and Distribution

1.      (Procedure)        Standards of Care-Medication Services

a)      Attachment A: Drug Program

b)      Attachment B: Drug Application

c)      Attachment C: Pharmacy Overview

d)      Attachment D: MH Centers

D.    Infection Control

1.      (Procedure)        Infection Control

a)      Medical Incident Form

b)      Reportable Illness

2.      (Procedure)        Bloodborne Pathogens

a)      Appendix A – Hepatitis B Vaccine Declination Statement

b)      Appendix B – Assessment Tool

E.     Vacant

F.     (Procedure)        Credentialing and Competency-Nursing Peer Review (Deleted)

G.   (Procedure)        Advanced Directives

1.      Exhibit A: Directive to Physicians and Family or Surrogates

2.      Exhibit B: Disclosure Statement for Medical Power of Attorney

3.      Exhibit C: Procedure When Person Has Not Executed or Issued a Directive and is Incompetent or Incapable of Communication

4.      Exhibit D: Out-Of-Hospital Do Not Resuscitate Order

5.      Exhibit E Consent to Medical Treatment

H.    (Procedure)        Expired or Discontinued Medications/MH

1.      Appendix A Log of Expired or Discontinued Medications

I.       (Procedure)        Special Medical Needs

J.      (Procedure)        Medication Errors

K.    (Procedure)                    LVN On-Call Protocol

XIII.     PURCHASING AND SUPPLY

XIV.     RISK MANAGEMENT

A.     General Safety and Safe Workplace

1.      (Procedure)        Emergency Plan Procedure

2.      (Procedure)        BTCMHMRC Safety

3.      (Procedure)        Initial Training on Emergency Evacuation Procedure

B.    (Procedure)        Client Known/Unknown Injury and Incident Reporting Procedure

1.      Attachment A: Client Unknown Injury and/or Critical Incident Resolution Form

2.      Attachment B: Incident/Injury Form

3.      Attachment C: Instructions for Filling Out the Client Injury/Incident           Form

4.      Attachment D: QMRP Intervention Requirements

C.    (Procedure)        Maintenance

1.      (Procedure)        Minimum Facility Standards Environment for a Community Residence

a)      Attachment A: Fire/Evacuation Drill Revised 6/03)

b)      Attachment B: Tornado Drill

c)      Attachment C: Individual Site Emergency Plan

d)      Attachment D: Quarterly Safety and Environmental Checklist

2.      (Procedure)        Safety and Preventative Maintenance of Vehicles

a)      Attachment A: Monthly Drivers Inspection

b)      Attachment B: Emergency and Vehicle Accident Information

c)      Attachment C: Claims Notice

d)      Vehicle Use Report

3.      (Procedure)        Service Site Safety, Sanitation and Maintenance

D.    (Procedure)        BTCMHMRC Safety Committee

E.     (Procedure)        Vehicle Use

F.     Vacant

G.