Inspections, Plans of Correction and Department Access to Records
Sets out how staff receive Division surveyors, give them immediate access, arrange home visits with patient permission, tell every patient in writing of the right to object to state review of his or her records, keep any signed objection at the front of the record, and file a plan of correction within 10 working days.
About this policy
- Policy number
- NC-HSP-GOV-04
- Version
- 1.0
- Main rule
- 10A NCAC 13K .0208
- Library
- North Carolina hospice · 60 policies
- Category
- Governance
- Sections
- 18
In short
- State surveyors can inspect at any time. Let them in right away and call the person in charge.
- Give surveyors the records they ask for without delay. Never change, back-date or hide a record.
- Before a surveyor visits a patient at home, call the patient in front of the surveyor and ask permission.
- At admission, give every patient Form NC-HSP-GOV-04-B about the right to object to state review of their records.
- If a patient signs the objection, file it at the front of the record and tell the surveyor that record is closed to them.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (10A NCAC 13K .0208)
- 5. When a Surveyor Arrives
- 5.1 Electronic records
- 6. Surveyor Visits to Patients' Homes
- 7. The Patient's Right to Object to State Review of Records
- 7.1 Confidentiality of what the Department sees
- 8. Exit Conference and Plan of Correction
- 9. Responsibilities
- 10. Records and Compliance Monitoring
- 11. Staff Training
- 12. References
- 13. Related Policies and Forms
- 14. Approval
- 15. Revision History
An inspector may ask
- Who is in charge today, and how quickly can you give us the records we ask for?
- How do you tell patients that they may object to our review of their records? Show me where that notice is in the record.
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