ROI
Ring ring!
"I am patient 1000M's sister, Jane Doe, and I need to talk to someone about his medication"
What do you do?
1. "I cannot confirm or deny"
2. Check for ROI
3. You are welcome to take information as long as you do not confirm knowledge of pt or provide information
Your patient is going on a vacatino to Virgina but wants to continue telephonic session with your while they are away. What do you need to do?
1. Do not provide telephonic services until pt is back in NC, reschedule for return date.
2. 1. Outreach the VA board to see about credentialing options
This federal regulation protects the confidentiality of substance use treatment records
42 CFR Part 2
A police officer arrives to SSOB and requests to know if pt 8000 as been into treatment today. What do you do?
"I cannot confirm or deny knowledge of that individual"
You receive a formal letter form DSS for your pt informing them they have opened an investigation of child abuse/neglect. They are requesting a letter from you with date of admission, treatment dates, and progress towards goals. There is no ROI but you have verified with pt that there is an open case and they have given you verbal permission to disclose. What do you do?
do not disclose. obtain ROI
You are a CADC/LCAS with the NCASPPB and would like to work and conduct counseling sessions via telehealth on your upcoming vacation in South Carolina. What steps do you need to take?
1. Ensure that your pt is physically located in the state you are credentialed in
*You can be physically located anywhere, as long as your patient is located in the state you are credential in
You are a credentialed addiction counselor with the NCASPPB and licensed clinical social worker with the NASW. Your NCASPPB code says you can engage in sexual relationship with former patient after 5 years, while your NASW prohibits this. Since you are working at SSOB and primarily providing SU cousneling services, you engage in sexual relationsihp after 5 years. Did you violate ethics?
Yes - follow the strictest provision when your ethical codes conflict
A current client sends you a friend request on Facebook and messages you about their cravings late at night.
1. do not accept
2. address boundaries in session
3. provide after hours resources
You receive a fax request for records to be sent to HCCH for PT 1000M. They provide a fax number for their main office. What do you do?
do not disclose - roi is only for Dr. Feelgood. Unless you have Dr. Feelgood's direct fax line, we cannot share.
Make sure you make your ROIs general to a practice and not a specific provider
You begin a telehealth session and have confirmed the patient's identity. What other info must you obtain before beginning the session?
Current address in case of an emergency
You discover that your personal issues are interfering with client care. What should you do?
Seek supervision, consultation, personal treatment.
Assess for impairment
1. do not accept
Signed To Be comes to your ofifce and requests a letter of treatment for Daymark Recovery Services. They say that their primary counselor wrote one today and he just needs it printed so he can take it to them. What do you do?
1. check for letter
2. Check ROI
What are the acceptable ways to verify identity in a telehealth session according to Pinnacle?
DOB
Address
Last 4 of SS#
According to your NCASPPB ehthica code, The substance use disorder professional shall not accept a private fee or any other gift or gratuity having a cumulative value of what?
Same question, but according to Pinnacle policy?
Which one do you follow?
1. $25
2. we never accept gifts
3. Pinnacle (the more stringent)
You met with pt from 8:00am-08:12am. Your supervisor suggests your "bump up" your counseling time to reach an even 15 minutes. What do you do?
1. refuse
2. document accurately
3. seek consultation or report if pressure continues
4. PROTECT YOUR LICENSE!!