DHS 75.24(22)(a)4.4. Administrative discharge.
DHS 75.24(22)(a)5.5. Death of the patient.
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)2.2. Recommendations regarding care after discharge.
DHS 75.24(22)(d)3.3. A description of the reasons for discharge.
DHS 75.24(22)(d)4.4. The patient’s treatment status and condition at discharge.
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)(23)Continuing care services.
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(23)(f)(f) Continuing care services may not provide medical services.
DHS 75.24(23)(g)(g) The death of a patient in continuing care services shall be subject to reporting as specified in s. DHS 75.10 (1).
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 75.25Outcome 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(2)(a)(a) The patient’s living situation.
DHS 75.25(2)(b)(b) The patient’s substance use.
DHS 75.25(2)(c)(c) The patient’s employment status and education.