N.Y. Comp. Codes R. & Regs. tit. 14 § 676.1

Current through Register Vol. 46, No. 45, November 2, 2024

Section 676.1 - Introduction and intent

(a) This Part establishes standards for the certification and operation of a diagnostic and research clinic. The diagnostic and research clinic program has been conceived as a highly specialized tertiary care facility. The diagnostic and research clinic shall either be part of a larger research institute or part of an article 28 certified primary or secondary health care facility. The clinic shall be established to deliver specialized clinical diagnostic assessments, laboratory services, treatment planning, and if needed, to facilitate the evaluation procedures, short term residential services. Only individuals referred to the clinic with apparent disabilities will be admitted for its services. Primarily, individuals will be admitted whose disabilities have been difficult to diagnose, and who are suspected of having developmental disabilities and who also require treatment planning so as to match their particular needs with appropriate interventions and services. The diagnostic and research clinic, based on assessments spanning several disciplines, shall be responsible to prepare a written diagnostic and evaluation summary and an interdisciplinary recommended treatment plan for each person admitted. This plan shall be used to explain to parents, advocates, correspondents, referring agency, etc., the cause and nature of the person's disabilities, and to recommend the type and intensity of treatment best suited to care for the person. The clinic shall also provide follow-up and corollary referrals, if needed, for each person admitted. The diagnostic and research clinic, if affiliated with an overall research facility will be able to utilize its sophisticated technical expertise and equipment for diagnosis and evaluation. In addition, the clinic may provide the research institute with data and material for approved research projects and thereby to expand and enhance the extant knowledge of the causes, prevention and treatment of developmental disabilities. The diagnostic and research clinic shall only be permitted to release information for research if such information has been obtained in the process of delivering clinical services specified for an individual and if appropriate consents and review procedures for research with human subjects mandated by Federal and State laws, regulations and guidelines have been followed.

(b) A diagnostic and research clinic as defined and operated under this Part, shall be established as an organizational entity providing persons with developmental disabilities, or persons suspected of having developmental disabilities, with comprehensive behavioral and medically related assessment and diagnostic services.

(c) Such services shall primarily:

(1) identify the existence, nature and extent of a person's mental and physical disabilities and/or suspected disabilities, and his or her chronic and/or acute medical needs;

(2) conduct definitive laboratory evaluations and specialized procedures for those individuals whose disabilities have been difficult to diagnose, evaluate and treat;

(3) assess an individual if necessary in each functional discipline and evaluate the areas of disability, the levels of disability and specify in writing the person's diagnosis or diagnoses in each area in which the person has been assessed; and, develop in a recommended treatment plan the methods, objectives, goals, services, treatments, etc. that could be used to ameliorate, habilitate, or rehabilitate the individual to his or her best possible functional level;

(4) prevent the outbreak of illness, disease, or other disabilities or prevent the progression of such conditions;

(5) prolong life and limb and the quality of life for the natural duration of the life of a person with a disability; and assess the etiology of the symptomatology of a person with a disability after death if requested by the family, and/or required by court or by legal mandate;

(6) consult with family for the purposes of intake, referral, genetic counseling, case management, and advocacy;

(7) conduct approved and appropriate experimental diagnosis and treatment procedures using specialized clinical laboratories and other resources if appropriate consents are granted; and

(8) educate, train, and guide other professional clinicians, and scientists and/or those studying to be professional clinicians and/or scientists to participate in clinical investigations concerning the causes, treatment and prevention of developmental disabilities.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 676.1

Amended New York State Register September 21, 2016/Volume XXXVIII, Issue 38, eff. 9/21/2016