HospitalInspections.org

Bringing transparency to federal inspections

SELECT SPECIALTY HOSPITAL OF LONGVIEW

700 EAST MARSHALL AVE FIRST FLOOR WEST WING

LONGVIEW, TX null

PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING

Tag No.: A0130

Based on interview and document review the facility failed to establish either by direct (in person) or by indirect (by phone) a process that included patient/family/representative in establishing the immediate, intermittent and longterm care needs of the patient (patient #1) for the month of March 2023. The facility failed to include and involve the patient and/or their representative in the care planning process with the interdisciplinary team for patient #1.

This deficient practice had the likelihood to effect all patients of the facility.


Findings included

On 4/19/2023 in the conference room an interview with the case management director occurred (CMD).

The CMD was asked, How is the patient/family involved or included in the care planning process?

The CMD stated, " We hold IDT (Interdisciplinary Meeting) every Wednesday. Those who attend are Case management, Director of Pharmacy, Respiratory Therapist, Physical Therapist, Nurse, Wound Care, with or without family".

The CMD CM-I-01 revised date of 01/01/2023.
Purpose:
Item #3: To align the Interdisciplinary Team processes with the patient and patient representative goals of care and treatment preferences.

COMPOSITION OF THE INTERDISCIPLINARY TEAM (IDT)
1, Case Management
2. Nursing Representative
3. Rehabilitation Therapy Representatives
4. Respiratory Therapist
5. Dietician
6. Pharmacist
7. Wound Care
8. Other team members as required or designated

It is noted the IDT does not include patient/family/representative in the facility's policy.

The CMD was asked if the patient/patient family representative attended the IDT meeting. The CMD state, "No, we review all patient's at that meeting".

The CMD was asked if evidence of having reached or attempted to reach patient/family/representative by phone for IDT input could be provided? The CMD state, "No".

The CMD was asked if a signature, from any patient/family/representative who had attended a Care planning meeting, be provided? The CMD state, "No".

The facility had a process for creating the patient care plan, but had no process for educating patient/family/representatives or otherwise maintain evidence of patient/family/representative participation on how and when they could make their treatment preferences known to the IDT.