Controls over Records Per the Westchester County Contract the Organization did not keep individual records of program participants
Statement of Concurrence or Nonconcurr nce: Concur
1. Corrective Action: Team Leader Chris Rivera will review all notes on a weekly basis and sign off on documentation after review.
2. Best practice standards are that notes should be entered by the end of the next business day for the previous day's encounters.
3. The deadline for notes to be entered for the previous week's encounters is Monday at noon. If staff have not completed notes by Monday morning, they are mandated to complete notes prior to leaving the office for visits and other staff members will help with coverage needs.
4. Staff will identify an hour on their schedule daily to stay up to date on documentation.
5. The Program Assistant will run a monthly report of open participants in the Westchester Crisis Stabilization Team program on the last day of every month. Inactive participants or discharges will be completed at the time of discharge. Review of the monthly open participants will ensure that any inactive participants are quickly identified, and proper discharge process will occur by the 5th of every month.
6. Current caseload rosters will be provided to team members and Team Leader for review and printed out by Program Assistant by the 1st of every month.
7. Program Assistant will provide an update of completed discharges to the Team Leader upon completing discharge.
8. Quarterly waste, fraud, abuse audits will be completed by Quality Assurance and the Team Leader
9. Routine monthly audits of 2 charts at random will be completed by the Team Leader
Responsible Person to Oversee Corrective Action Plan: Tammy Robson Assistant Executive Director 845-264-7399 Christopher River Westchester Crisis Stabilization Team
Date Corrective Plan will be put in Place: Corrective action measures are currently being implemented and will be in effect as of 7/1/24. Chart audits and discharges of inactive participants will be completed by 7/15/24.