La. Admin. Code tit. 48 § I-7737

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-7737 - Policy and Procedures

A. The NSA shall develop, implement, and comply with NSA-specific written policies and procedures, approved by the owner(s) or governing body, related to compliance with this Chapter, including but not limited to the following policies and procedures:

1. confidentiality and security of files;

2. publicity and marketing;

3. prohibition of illegal or coercive inducement, solicitation and/or kickbacks;

4. personnel policies;

5. employee or contracted staff grievance policy;

6. incidents and accidents, including medical emergencies;

7. records maintenance and retention;

8. compliance with memoranda issued by the department and applicable to NSAs;

9. a plan for recruitment, screening, personal interview, reference check, orientation, ongoing training, development, supervision, and at least annual performance evaluation of staff members;

10. written job descriptions for each employee or contracted staff position;

11. abuse reporting procedures that require all employees or contracted staff, to report any and all incidents of abuse or mistreatment of an individual or individuals receiving services from employees or contracted staff referred to a licensed healthcare facility by the NSA, whether that abuse or mistreatment or is done by another staff member, a family member, patient(s), client(s), or other person(s) when the staff person witnesses or becomes aware of such incident. Abuse reporting procedures shall be in accordance with R.S. 40:2199.11 et seq., or current applicable law;

12. a written policy to prevent discrimination in accordance with R.S. 40:2199.11 et seq., or current law;

13. a written policy to ensure that there is a final disposition of all charges that appear on the employee or contracted staff person's criminal background check, including the sex offender registry in accordance current law; and

14. a written policy to address prohibited use of social media. The policy shall ensure that all employees or contracted staff, receive training relative to the restricted use of social media and include, at a minimum ensuring preservation of dignity, respect, and confidentiality of an individual or individuals' receipt of healthcare services, and protection of an individual or individuals receiving healthcare services' privacy and personal and property rights.

B. An NSA shall comply with all federal, state, and local laws, rules, and regulations in the development and implementation of its policies and procedures.

La. Admin. Code tit. 48, § I-7737

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 491739 (10/1/2023).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254.