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<section article="ghg" article_name="Health - General" number="19-305" title_number="19" title_name="Health Care Facilities" subtitle_number="3" subtitle_name="Hospitals and Related Institutions">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Adverse event” means an unexpected occurrence that:</text>
      <level label="i">
        <text>Is related to a resident’s medical or behavioral treatment; and</text>
      </level>
      <level label="ii">
        <text>Is not related to the natural course of the resident’s illness or underlying disease condition.</text>
      </level>
    </level>
    <level label="3">
      <text>“Change in condition” means a significant change in a resident’s physical, mental, or psychological status including:</text>
      <level label="i">
        <text>Life-threatening conditions;</text>
      </level>
      <level label="ii">
        <text>Clinical complications including significant somatic symptoms that require the assessment of or treatment by qualified medical personnel;</text>
      </level>
      <level label="iii">
        <text>The need to discontinue a medication or treatment because of:</text>
        <level label="1">
          <text>Adverse consequences; or</text>
        </level>
        <level label="2">
          <text>The need to begin a new form of treatment;</text>
        </level>
      </level>
      <level label="iv">
        <text>Evaluation at or admission to a hospital;</text>
      </level>
      <level label="v">
        <text>Injuries that require the assessment of or treatment by qualified medical personnel;</text>
      </level>
      <level label="vi">
        <text>The use of restraint or seclusion; and</text>
      </level>
      <level label="vii">
        <text>Suicide attempts.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>Within 24 hours, in accordance with State and federal confidentiality laws, a residential treatment center shall attempt to notify a resident and a resident’s representative, family member, legal guardian, or custodian of:</text>
      <level label="i">
        <text>A change in condition;</text>
      </level>
      <level label="ii">
        <text>An adverse event; and</text>
      </level>
      <level label="iii">
        <text>Corrective action, if appropriate.</text>
      </level>
    </level>
    <level label="2">
      <text>If a residential treatment center sends a notice to an individual under paragraph (1) of this subsection, the individual may send a written response to the residential treatment center instructing the residential treatment center that:</text>
      <level label="i">
        <text>The individual waives the notification required under paragraph (1) of this subsection; or</text>
      </level>
      <level label="ii">
        <text>The individual requires notification only in the circumstances specified in writing by the individual.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>A residential treatment center shall document the notification required under subsection (b)(1) of this section and the response of the resident and the resident’s representative, family member, legal guardian, or custodian in the resident’s medical record.</text>
  </level>
  <level label="d">
    <text>If the Department determines that a residential treatment center failed to notify a resident and a resident’s representative, family member, legal guardian, or custodian under subsection (b)(1) of this section, the Department shall require the residential treatment center, as part of a plan of correction, to notify the resident and the resident’s representative, family member, legal guardian, or custodian as soon as possible.</text>
  </level>
</section>
