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DHS 75.15(5) (5)Admission.
DHS 75.15(8) (8)Research.
DHS 75.15(8)(b)2. 2. Protect the confidentiality of treatment records in accordance with s. 51.30, Stats., and ch. DHS 92.
DHS 75.15(8)(b)3. 3. Ensure that no patient may be approached to participate in the research unless the patient's participation is approved by the person responsible for the patient's treatment plan.
DHS 75.15(9) (9)Medical services.
DHS 75.15(9)(b) (b) The medical director of a service is responsible for all of the following:
DHS 75.15(9)(b)1. 1. Administering all medical services provided by the service.
DHS 75.15(9)(b)2. 2. Ensuring that the service complies with all federal, state, and local statutes, ordinances and regulations regarding medical treatment of narcotic addiction.
DHS 75.15(9)(b)3. 3. Ensuring that evidence of current physiological or psychological dependence, length of history of addiction and exceptions as granted by the state methadone authority to criteria for admission are documented in the patient's case record before the initial dose is administered.
DHS 75.15(9)(b)4. 4. Ensuring that a medical evaluation including a medical history and a physical examination have been completed for a patient before the initial dose is administered.
DHS 75.15(9)(b)5. 5. Ensuring that appropriate laboratory studies have been performed and reviewed.
DHS 75.15(9)(b)6. 6. Signing or countersigning all medical orders as required by federal or state law, including all of the following:
DHS 75.15(9)(b)6.a. a. Initial medical orders and all subsequent medical order changes.
DHS 75.15(9)(b)6.b. b. Approval of all take-home medications.
DHS 75.15(9)(b)6.c. c. Approval of all changes in frequency of take-home medication.
DHS 75.15(9)(b)6.d. d. Prescriptions for additional take-home medication for an emergency situation.
DHS 75.15(9)(b)7. 7. Reviewing and countersigning each treatment plan 4 times annually.
DHS 75.15(9)(b)8. 8. Ensuring that justification is recorded in the patient's case record for reducing the frequency of service visits for observed drug ingesting and providing additional take-home medication under exceptional circumstances or when there is physical disability, as well as when any medication is prescribed for physical health or psychiatric problems.
DHS 75.15(9)(b)9. 9. The amount of narcotic drug administered or dispensed, and for recording, signing and dating each change in the dosage schedule in a patient's case record.
DHS 75.15(9)(c) (c) A service physician is responsible for all of the following:
DHS 75.15(9)(c)1. 1. Determining the amount of the narcotic drug to be administered or dispensed and recording, signing and dating each change in a patient's dosage schedule in the patient's case record.
DHS 75.15(9)(c)2. 2. Ensuring that written justification is included in a patient's case record for a daily dose greater than 100 milligrams.
DHS 75.15(9)(c)3. 3. Approving, by signature and date, any request for an exception to the requirements under sub. (11) relating to take-home medications.
DHS 75.15(9)(c)4. 4. Detoxification of a patient from narcotic drugs and administering the narcotic drug or authorizing an agent to administer it under physician supervision and physician orders in a manner that prevents the onset of withdrawal symptoms.
DHS 75.15(9)(c)5. 5. Making a clinical judgment that treatment is medically justified for a person who has resided in a penal or chronic care institution for one month or longer, under the following conditions:
DHS 75.15(9)(c)5.a. a. The person is admitted to treatment within 14 days before release or discharge or within 6 months after release without documented evidence to support findings of physiological dependence.
DHS 75.15(9)(c)5.b. b. The person would be eligible for admission if he or she were not incarcerated or institutionalized before eligibility was established.
DHS 75.15(9)(c)5.c. c. The admitting service physician or service personnel supervised by the service physician records in the new patient's case record evidence of the person's prior residence in a penal or chronic care institution and evidence of all other findings of addiction.
DHS 75.15(9)(c)5.d. d. The service physician signs and dates the recordings under subd. 5. c. before the initial dose is administered to the patient or within 48 hours after administration of the initial dose to the patient.
DHS 75.15(9)(d) (d) A patient's history and physical examination shall support a judgment on the part of the service physician that the patient is a suitable candidate for narcotic addiction treatment.
DHS 75.15(9)(e) (e) A service shall provide narcotic addiction treatment to a patient for a maximum of 2 years from the date of the person's admission to the service, unless clear justification for longer service provision is documented in the treatment plan and progress notes. Clear justification for longer service shall include documentation of all of the following:
DHS 75.15(9)(e)1. 1. The patient continues to benefit from the treatment.
DHS 75.15(9)(e)2. 2. The risk of relapse is no longer present.
DHS 75.15(9)(e)3. 3. The patient exhibits no side effects from the treatment.
DHS 75.15(9)(e)4. 4. Continued treatment is medically necessary in the professional judgment of the service physician.