HospitalInspections.org

Based on Record Review and Staff Interview, the Facility failed to ensure that the name of the Attending Physician responsible for addressing the mental health issues of his/her patient was listed next to each psychiatrist intervention on the Master Treatment Plans (MTPs) for 7 of 8 active sample patients (A1, A5, A7,A9, A13, A16, and A17). This practice resulted in the facility's inability to monitor this staff's accountability for specific treatment modalities.

Findings include:


A. Record Review

Review of the following Master Treatment plans (dates of the plans in parenthesis) did not include the name of the psychiatrist responsible for the physician interventions related to mental health issues: patient A1 (8/8/11), A5 (8/8/11), A7 (8/6/11), A9 (8/12/11), A13 (8/5/11), A16 (8/12/11), and A17 (8/12/11).


B. Staff Interview

In an interview on 8/16/11 at 9:55a.m., the lack of physician names and signatures on the physician interventions related to mental health issues was discussed with the Medical Director. He agreed that the responsible physicians' names should be on the Master Treatment Plans.