DHS 75.24(22)(a)(a) A patient may be discharged from a service for any of the following reasons: DHS 75.24(22)(a)1.1. Successful completion of recommended services and treatment plan goals. DHS 75.24(22)(a)2.2. No longer meeting placement criteria for any level of care in the substance use treatment system. DHS 75.24(22)(b)(b) A service shall have written policies and procedures for the service director’s review of administrative discharge or discharges due to patient dissatisfaction or attrition. DHS 75.24(22)(c)(c) A service shall have written policies and procedures for the service director’s review of discharges due to patient death from overdose. DHS 75.24(22)(d)(d) A discharge summary shall be entered into the patient’s case record, including the following: DHS 75.24(22)(d)1.1. A completed copy of the standardized placement criteria and level of care indicated. DHS 75.24(22)(d)5.5. A final evaluation of the patient’s progress toward the goals identified in the treatment plan. DHS 75.24(22)(e)(e) The discharge summary shall include a notation indicating the reason that any items from par. (d) were not able to be provided at discharge, if applicable. DHS 75.24(23)(a)(a) An outpatient substance use treatment service under s. DHS 75.49 or an outpatient integrated behavioral health treatment service under s. DHS 75.50 may provide ongoing recovery monitoring, continuing care, aftercare, or behavioral health check-ups at the outpatient level of care. DHS 75.24(23)(b)(b) A patient who has completed services and been discharged may continue contact with the provider at agreed upon intervals without completing a new clinical assessment, intake, or treatment plan. DHS 75.24(23)(c)(c) Each contact with a patient in continuing care service shall be documented in a progress note. DHS 75.24(23)(d)(d) If, during the provision of continuing care services, there is indication that a higher level of care or additional services may be needed due to substance use relapse or other behavioral, mental, or physical health indicators, the service shall complete an updated level of care placement criteria screening or updated mental health assessment and make appropriate referrals and transfers of care. DHS 75.24(23)(e)(e) The continuing care service shall obtain valid and updated releases of information for any referrals or collateral communications regarding patients in continuing care. DHS 75.24 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22; correction in (11) (b), (13) (m), (14) (e) 2., (g) made under s. 35.17, Stats., and correction in numbering in (21) made under s. 13.92 (4) (b) 1., Stats., Register October 2021 No. 790; CR 23-053: am. (12) (a) Register September 2023 No. 813, eff. 10-1-23. DHS 75.25DHS 75.25 Outcome monitoring and quality improvement plan. DHS 75.25(1)(1) A service shall have a written plan for monitoring outcomes and improving service quality, which includes all of the following: DHS 75.25(1)(a)(a) Measurable goals relating to service quality, participant satisfaction, and outcomes. DHS 75.25(1)(b)(b) Related initiatives for service improvement and key indicators of identified goals and outcomes. DHS 75.25(1)(c)(c) An annual report that summarizes the service’s quality improvement activities and program outcomes. The report shall be available to patients and their families, the public, and the department upon request. DHS 75.25(2)(2) A service shall have a process for collecting, analyzing, and reporting a patient’s demographic and outcome data. At minimum, the following data shall be recorded at admission and discharge: DHS 75.25 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22; correction in numbering in sub. (2) made under s. 13.92 (4) (b ) 1., Stats., Register October 2021 No. 790. DHS 75.26(2)(2) A residential service that is approved as a hospital under ch. DHS 124 is not required to meet the requirements in this subchapter. DHS 75.26 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.27DHS 75.27 Organizational requirements. Before operating or expanding a residential service, a facility shall meet all residential facility requirements included in this subchapter. DHS 75.27 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.28DHS 75.28 Definitions. In this subchapter: DHS 75.28(1)(1) “Ambulatory” means the ability to walk without difficulty or help. DHS 75.28(2)(2) “Non-ambulatory” means a person who is unable to walk, but who may be mobile with the help of a wheelchair or other mobility devices. DHS 75.28(3)(3) “Semi-ambulatory” means a person who is able to walk with difficulty or only with the assistance of an aid such as crutches, cane, or walker. DHS 75.28 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.29DHS 75.29 Application for initial certification. DHS 75.29(1)(1) In order to meet the requirements in ss. DHS 75.30 to 75.46, an application for initial licensure as a residential service shall be on a form provided by the department, and shall be accompanied by all of the following: DHS 75.29(1)(a)(a) A floor plan specifying dimensions of the facility, exits, and planned room usage. DHS 75.29(1)(b)(b) An explanation of the 24-hour staffing pattern for the service. DHS 75.29(1)(c)(c) A statement indicating whether the service will provide treatment services for patients that are non-ambulatory or semi-ambulatory. If a service provides treatment services for patients that are non-ambulatory or semi-ambulatory, the floor plan shall include ramped exits to grade. DHS 75.29(1)(e)(e) The results of an approved fire inspection completed within the last 12 months. DHS 75.29(1)(f)(f) Fireplace and chimney inspections completed within the last 12 months, if applicable. DHS 75.29(1)(g)(g) The results of furnace inspection completed within the last 12 months. DHS 75.29(1)(h)(h) The results of smoke and heat detector inspection completed within the last 12 months. DHS 75.29(1)(i)(i) The results of sprinkler inspection completed within the last 12 months. DHS 75.29(1)(j)(j) Well water test results completed within the last 12 months, if applicable. DHS 75.29(1)(L)(L) A disaster recovery plan in the case of flood, gas leak, electrical outage, or other emergency. DHS 75.29(1)(o)(o) Evidence that the applicant has 60 days of projected operating funds in reserve. DHS 75.29(2)(2) A residential service shall not make changes to service specifications under sub. (1) (a) to (c) without prior notification to the department. DHS 75.29(3)(3) A residential service shall provide updated documents from sub. (1) upon department request. DHS 75.29 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.30DHS 75.30 Fit and qualified standards. DHS 75.30(1)(1) Eligibility. An applicant may not be certified unless the department determines the applicant is fit and qualified to operate a service. DHS 75.30(2)(2) Standards. In determining whether an applicant is fit and qualified, the department shall consider all of the following: DHS 75.30(2)(a)(a) Compliance history. The applicant’s history of compliance with Wisconsin or any other state’s licensing requirements and with any federal certification requirements, including any license or certification revocation or denial. DHS 75.30(2)(b)(b) Criminal history. The applicant’s arrest history and criminal records, including whether any crime is substantially related to the care of a client, as provided in s. DHS 12.06. DHS 75.30(2)(c)(c) Financial history. The applicant’s financial stability, including outstanding debts or amounts due to the department or other government agencies, including unpaid forfeitures and fines and bankruptcies. DHS 75.30 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.31DHS 75.31 Services for non-ambulatory or semi-ambulatory patients. DHS 75.31(1)(1) A residential service that provides treatment services for patients that are non-ambulatory shall meet the requirements under subchs. IX, X, XI of ch. DHS 83 for class A non-ambulatory and class C non-ambulatory facilities. DHS 75.31(2)(2) A residential service that provides treatment services for patients that are semi-ambulatory shall meet the requirements under subchs. IX, X, and XI of ch. DHS 83 for class A semi-ambulatory and class C semi-ambulatory facilities. DHS 75.31(3)(3) A residential service shall not provide treatment services for non-ambulatory or semi-ambulatory patients unless certified by the department under this chapter or under ch. DHS 83 to do so. A residential service shall be understood as serving only ambulatory patients unless specified within the service application and certification. DHS 75.31 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.32DHS 75.32 General facility requirements. DHS 75.32(1)(1) Hours of operation. A residential service shall operate 24 hours per day, 7 days per week. DHS 75.32(2)(2) General. The facility of the residential service shall be constructed and maintained so that it is functional for assessment and treatment and for the delivery of health services appropriate to the needs of the community and with due regard for protecting the health and safety of the patients. DHS 75.32(3)(3) Capacity. No residential service shall have more residents at any given time than the maximum capacity indicated on the department-approved certification. DHS 75.32(4)(4) Physical separation. A residential service facility shall be physically separated from other entities, programs, and services. A residential service facility’s living areas shall be separate and secure from non-resident entry and use. DHS 75.32 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.33DHS 75.33 Residential personnel requirements. DHS 75.33(1)(1) Staff orientation and training. A residential service shall meet the staff training and orientation requirements in ss. DHS 83.19 to 83.21 and 83.23 to 83.25. A service shall maintain documentation of required training in each staff member’s personnel record.
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administrativecode
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Department of Health Services (DHS)
Chs. DHS 30-100; Community Services
administrativecode/DHS 75.25(2)
administrativecode/DHS 75.25(2)
section
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