LAC 50:VII.30705
LAC 50:VII.30705. Medical Records
Cite as La. Admin. Code tit. 50, pt. VII, § 30705
A. General Requirements. The ICF/MR shall maintain medical records which include clinical, medical, and psychosocial information on each client.
B. Components of Medical Records. Each client's record shall consist of a current active medical section and the ICF/MR's medical files or folders.
1. Active Medical Section. The active medical section shall contain the following information:
a. at least six months of current pertinent information relating to the active ongoing medical care;
b. physician certification of the clients' need for admission to the ICF/MR;
c. physician recertification that the client continues to require the services of the ICF/MR;
d. nurses quarterly physical assessment. See §31101, Client Health and Habilitative Services;
e. quarterly, the pharmacy consultant must review the drug regimen of each client;
f. certification that each IHP has been periodically reviewed and revised.
2. Medical Files. As the active medical section becomes bulky, the outdated information shall be removed and filed in the ICF/MR's medical files.