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WISCONSIN ADMINISTRATIVE CODE
DEPARTMENT OF HEALTH SERVICES
CHAPTER DHS 134. FACILITIES SERVING PEOPLE WITH DEVELOPMENTAL DISABILITIES
SUBCHAPTER IV -- ADMISSION, RETENTION AND REMOVAL
Date:
08/31/2009
Document:
DHS 134.52 Admission-related requirements.
(1) EXCEPTION. The procedures in this section apply to all persons admitted to facilities except persons admitted for short-term care. Section DHS 134.70 (2) applies to persons admitted for short-term care.
(2) CONDITIONS FOR ADMISSION. A facility may not admit an individual unless each of the following conditions has been met:
(a) An interdisciplinary team has conducted or updated a comprehensive preadmission evaluation of the individual as specified in sub. (3) and has determined that residential care is the best available plan for the individual;
(b) Except in an emergency, for an individual who is under age 65, there is a written recommendation of the county department established under s. 46.23, 51.42 or 51.437, Stats., in the individual's county of residence, that residential care in the facility is the best available placement for the individual;
(c) If the individual's medical condition and diagnosis require on-going monitoring and physician supervision, the facility has obtained the concurrence of a physician in the admission decision and information about the person's current medical condition and diagnosis, a physician's plan of care as required by s. 50.04 (2m), Stats., and any orders from a physician for immediate care have been received by the facility before or on the day of admission;
(d) The facility has received written certification from a physician, physician assistant or advanced practice nurse prescriber that the individual has been screened for communicable diseases detrimental to other residents or a physician, physician assistant or advanced practice nurse prescriber has ordered procedures to treat and limit the spread of any communicable diseases the person may be found to have; and
(e) Court-ordered protective placement has been obtained in accordance with s. 55.06, Stats., for a person who has been found by a court to be incompetent.
(3) PREADMISSION EVALUATION. (a) Within 90 days before the date of admission, an interdisciplinary team shall conduct or update a comprehensive evaluation of the individual. The evaluation shall include consideration of the individual's:
1. Physical development and health;
2. Sensorimotor development;
3. Affective development;
4. Speech and language development and auditory functioning;
5. Cognitive development;
6. Vocational skills; and
7. Adaptive behaviors or independent living skills necessary for the individual to be able to function in the community.
(b) The interdisciplinary team shall:
1. Identify the presenting problems and disabilities and, where possible, their causes;
2. Identify the individual's developmental strengths;
3. Identify the individual's developmental and behavioral modification needs;
4. Define the individual's need for services without regard to availability of those services;
5. Review all available and applicable programs of care, treatment and training for the individual; and
6. Record the evaluation findings.
(4) PHYSICAL EXAMINATION BY PHYSICIAN. (a) Examination. Each resident shall have a physical examination by a physician or physician extender within 48 hours following admission unless an examination was performed within 15 days before admission.
(b) Evaluation. Within 48 hours after admission the physician or physician extender shall complete the resident's medical and physical examination record.
(5) FAMILY CARE INFORMATION AND REFERRAL. If the secretary of the department has certified that a resource center, as defined in s. DHS 10.13 (42), is available for the facility under s. DHS 10.71, the facility shall provide information to prospective residents and refer residents and prospective residents to the aging and disability resource center as required under s. 50.04 (2g) to (2i), Stats., and s. DHS 10.73.
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