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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 450. Department of Mental Health and Substance Abuse Services |
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Chapter 24. Standards and Criteria for Comprehensive Community Addiction Recovery Centers |
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Subchapter 7. Facility Clinical Records |
SECTION 450:24-7-3. Basic requirements
Latest version.
- (1) Define the content of the consumer record in accordance with 450:24-7-4 through 24-7-9.(2) Define storage, retention and destruction requirements for consumer records. ODMHSAS operated CCARCs shall comply with the Department's Records Disposition Schedule as approved by the Oklahoma Archives and Records Commission.(3) Require consumer records be maintained in locked equipment which is kept within a locked room, vehicle, or premise.(4) Require legible entries in consumer records, signed with first name or initial, last name, and dated by the person making the entry.(5) Require the consumer's name be typed or written on each page in the consumer record.(6) Require a signed consent for treatment before a consumer is admitted on a voluntary basis.(7) Require a signed consent for follow-up before any contact after discharge is made.(b) Compliance with 450:24-7-3 shall be determined by a review of the following: facility policy, procedures or operational methods; clinical records; other facility provided documentation; and PI information and reports. A CCARC may propose administrative and clinical efficiencies through a streamlining of the requirements noted in this subchapter if client outcomes are maintained or improved and face-to-face clinical time is able to be increased by proposed reduction in recordkeeping requirements. Such proposal shall be submitted for consideration and approval by the Department.