A skilled nursing facility providing respite care services shall permit the personal physician to issue advance orders for care and treatment based on the person's medical history, diagnosis, and physical assessment conducted upon admission and may also readmit the person unless the personal physician indicates that there has been a significant change in the person's medical condition.
Incidental medical services may be provided in a community care facility by staff who have been trained by licensed health care professionals. An individualized health care plan must be prepared by a health care team or the individual's physician or nurse before incidental services may be provided.
Confidential medical information may be shared between the home health agency and the residential care facility for the elderly relative to the client's medical condition and the care and treatment provided to the client by the home health agency.
The facility shall coordinate a meeting and shall ensure that participants in the meeting prepare a written record of the care an admitted resident will receive in the facility. The written record shall be used by the facility to determine the care and services provided to the resident and shall be reviewed, revised, at least once every 12 months, or upon a significant change in the resident's condition. If the resident has a regular physician, the written record shall be sent to that physician.
Disability insurers may establish reasonable requirements for the participating obstetrician and gynecologist or the family practice physician and surgeon, to communicate with the policyholder's primary care physician regarding the policyholder's condition, treatment, and any need for followup care.
Every disability insurer that covers hospital, medical, or surgical benefits shall provide an external, independent review process to examine the insurer's coverage decisions regarding experimental or investigational therapies for individual insureds who meet specified criteria, including certification by the insured's physician. The physician certification shall include a statement of the evidence relied upon by the physician in certifying his or her recommendation.
Patient records maintained by a health facility that include the patient's identity, diagnosis, prognosis or treatment shall only be disclosed to law enforcement agencies if the patient gives prior written consent, a court authorizes an order, or the agency obtains a search warrant. Disclosure of information from records should be limited to the extent necessary. Disclosure of privileged records required to be secured by a special master are not authorized for disclosure under this section
If a family member or other designated person by the developmentally disabled resident requests and the resident authorizes, the facility shall inform the requester as to the resident's diagnosis, prognosis, medications prescribed, progress, and of any serious illness.
In determining whether continued inpatient treatment will be beneficial to the minor, the reviewing psychiatrist shall consider all reasonably available clinical information that is relevant to the determination. The psychiatrist shall also interview the minor and consult with the treating clinician. The psychiatrist must be notified if the minor received medication while an inpatient. The person in favor of inpatient treatment must inform the psychiatrist of the proposed treatment plan for the minor and whether the minor has had a previous independent clinical review.
Upon notice from the department that an enrollee has applied for an independent medical review, the plan or its contracting providers shall provide the requisite medical records (specified in (1) to (3)) to the independent medical review organization within 3 days. The confidentiality of any enrollee information shall be maintained in accordance with applicable laws.
