Residential and Outpatient Handbook - Plymouth - 66

Ensuring Your Rights
documents are posted throughout the treatment program. Each patient's
status as a vulnerable person is clearly explained at the time of admission
and patients are encouraged to sign the Maltreatment Reporting Release
Form (not applicable to minor patients). Patients may voice their concerns at
any time via individual appointments with workforce, a community meeting
with the peer group, HEART cards, or the formal grievance process.
Assessment of the Physical Plant as Relates to Safety of Patients
All patient service buildings are in excellent condition and meet life/safety
codes per the Statement of Conditions required by the Joint Commission.
Building construction complies with Minnesota state license regulations
for supervised living and board and lodging facilities, as applicable to
services provided. The campus consists of a contiguous, two story building.
The medical services unit (MSU) occupies one level only. Treatment units
have an upper and lower level, with treatment services provided on each.
Workforce offices are also on each level to enhance ability to monitor
activity, and cameras covering common areas are also connected to central
monitoring stations on each unit. Building layout on each floor favors
large open spaces to facilitate observation of activity while maintaining a
comfortable atmosphere with appropriate opportunity for privacy. Areas
of the building that are difficult to supervise include enclosed stairwells,
maintenance/utility spaces, office areas during evening hours, unused group
rooms, parking lots, and public restrooms. To minimize risk, the following
measures are taken:
* Maintenance, utility, unused group rooms and offices are locked when not
in use and require key access
* A video monitoring system (periodically viewed; not a replacement
for head counts and not monitored 24/7; footage review is possible for
designated staff)
* Routine head counts by trained personnel throughout the building
Our accrediting and licensing agencies routinely inspect buildings and
grounds for conformance with their safety standards. All service areas are
contiguous and buildings are designed to promote safety through therapeutic
interaction and community living and supervised 24 hours. A video
monitoring system allows monitoring of common areas. All service and
business areas are locked and monitored when not in use and monitored to
prevent unsupervised access. The main entrance of the building is secured
and accessible via badge access only. Should an individual need access
to the facility, the entrance has a call system available 24/7. The building
and grounds are entirely designated as tobacco/nicotine free. Through the
facility's ongoing hazard surveillance program hazards to safety are identified
and corrected. Incident reports are investigated promptly, and safety
processes are modified when needed based on the findings.
Personal safety is promoted through the peer group concept and emphasis
on therapeutic peer relationships. A variety of activities routinely occur
to assure the well-being of patients. These include community meetings,
support of peers and workforce in resolution of concerns or grievances, use
of questionnaires and other reporting mechanisms to elicit information on
patients' experiences in treatment.
Assessment of the Environment
The campus is located in Plymouth, Minnesota on private land; accessibility
to the public is limited. There are wooded areas of the property and Medicine
Lake is adjacent to the property. While patients cannot be completely
prevented from accessing these areas, workforce routinely checks them,
and all patients are accounted for a minimum of every 45-60 minutes. If a
patient is not found a search is immediately begun.
Access to enter the building is controlled through security routines and a
security system. The treatment programs maintain staffing patterns and
utilize professional workforce in accordance with the needs of those served
and the services provided, and with requirements of licensure. Staffing is
sufficient to allow for appropriate monitoring of patients and response to
any emergency situations. A primary counselor is assigned to each patient
to assure adequacy and continuity of care. Members of the workforce
who work on the Plymouth campus are subject to the state of Minnesota's
enhanced background check. Workforce are trained in the Vulnerable Adult
law and other abuse and neglect reporting laws at time of hire and annually
thereafter. Workforce also receive additional training to de-escalate crisis
situations. Specially trained medical and nursing professionals supervise
detoxification processes; treatment protocols are consistent with accepted
medical practice.
All patients are treated with dignity and respect, and excessive confrontation
or other demeaning interactions are not tolerated. None of the programs
use procedures that might potentially inflict physical or mental harm,
for example, restraints or seclusion, electro-convulsive therapy, psychosurgery
or other surgical procedures, use of painful stimuli for behavioral
modification, use of unusual or investigational drugs, or research procedures
that involve inconvenience or risk.
Through Hazelden Betty Ford Foundation's own in-service training, as well
as through education requirements of professional certification, workforce
maintains an awareness of the needs of people served in the treatment
programs. These include patients' rights and ethics, confidentiality, grievance
mechanisms, and other pertinent subjects, all of which comply with
accreditation and State licensing requirements.
Virtual Services Considerations
Population: There are no changes related to the patient population. As
part of the screening and placement process, workforce will determine
an applicant's appropriateness for virtual non-residential services based
upon several factors, including but not limited to significant transportation
barriers, travel distance, legal barriers, medical, mental health, childcare or
other clinical considerations that contraindicate in-person services.
Physical Plant: The physical plant for virtual services is limited to the area
where the clinician is providing services from and where patients are
receiving services. Clinicians may facilitate programming from a licensed
location or potentially from a home office when necessary to do so (with
approval via a variance). Patients may participate in programming from
their home or other appropriate private location. In both scenarios, spaces
occupied by the patient and the clinician must meet both minimum privacy
standards (consistent with patient-clinician interaction) and confidentiality.
At the beginning of each session, the clinician confirms the physical address
of each participant. The clinician may also ask the patient to " scan " the room
using their webcam, phone, tablet, laptop, etc. to ensure no one else is in the
room from which the patient will join non-residential services. The clinician
is able to contact individual group members via secure private chat message
during the group if the clinician has a specific concern during the group.
If the patient were to experience a crisis or an emergency during a virtual
session, the clinician would follow the Virtual Emergency/Crisis Response
procedure.
Environment: The location of the program is via a virtual telemedicine
platform. This platform is both HIPAA and 42 CFR Part 2 compliant. The
platform vendor also has signed a BA/QSOA agreement with Hazelden Betty
Ford. Confidentiality requirements applicable to written medical records shall
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Residential and Outpatient Handbook - Plymouth

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