c. The intake form must include, at minimum, all the Intake form, with all the required data elements included in the most recent required data elements RSR Manual. The most recent version of this Documentation in consumer manual can be found at the HRSA/HAB . records of completed intakes 7. Consents and Related Consumer Documentation a. Sub-recipients must obtain and Consent to Serve form document consumer’s informed consent for provision of Ryan White services. b. Sub-recipients must ensure that consumer records are Policies and procedures maintained in a secure location. Staff interview Site visit observation Sub-recipients must have policies and procedures Policies and procedures to ensure that medical records and Staff interview consumers’ other personal health information are: Site visit observation Securely faxed, emailed, or phoned Safely transported during the course of conducting business Securely stored electronically with limited access Shared with third parties in accordance with HIPAA Sub-recipients must have a written statement Consumer Rights and outlining consumer rights that, at minimum, includes: Responsibilities form Nature of services offered. Conditions for service The ability to terminate service at any time. Transfer and discharge procedures Consumer progress review Access to consumer records Sub-recipients must have a written statement Consumer Rights and outlining consumer responsibilities that, at minimum, Responsibilities form includes: Scheduling, rescheduling, and cancelling appointments Drug and alcohol use on premises Weapons on premises Acts of abuse towards staff, property or services f. Sub-recipients must have an objective process Policies and procedures to address and track grievances. Documentation of resolution of consumers’ grievance STANDARD MEASURE
c. The intake form must include, at minimum, all the required data elements included in the most recent RSR Manual. The most recent version of this manual can be found at the HRSA/HAB . Intake form, with all the required data elements Documentation in consumer records of completed intakes 7. Consents and Related Consumer Documentation a. Sub-recipients must obtain and document consumer’s informed consent for provision of Ryan White services. Consent to Serve form b. Sub-recipients must ensure that consumer records are maintained in a secure location. Policies and procedures Staff interview Site visit observation Sub-recipients must have policies and procedures to ensure that consumers’ medical records and other personal health information are: Securely faxed, emailed, or phoned Safely transported during the course of conducting business Securely stored electronically with limited access Shared with third parties in accordance with HIPAA Policies and procedures Staff interview Site visit observation Sub-recipients must have a written statement outlining consumer rights that, at minimum, includes: Nature of services offered. Conditions for service The ability to terminate service at any time. Transfer and discharge procedures Consumer progress review Access to consumer records Consumer Rights and Responsibilities form Sub-recipients must have a written statement outlining consumer responsibilities that, at minimum, includes: Scheduling, rescheduling, and cancelling appointments Drug and alcohol use on premises Weapons on premises Acts of abuse towards staff, property or services Consumer Rights and Responsibilities form f. Sub-recipients must have an objective process to address and track consumers’ grievances. Policies and procedures Documentation of resolution of grievance STANDARD MEASURE
Hartford-TGA-Standard-of-Care-Substance-Abuse.docx