SECTION 414.413. Monitoring Compliance with Policies and Procedures

(a) Each service setting will implement policies and procedures in accordance with this subchapter.

(b) Self-monitoring of compliance will include the following components:

(1) procedures to audit records for compliance;

(2) procedures to analyze and report audit results to staff responsible for the informed consent process; and

(3) procedures to improve the performance of individual employees, contractors, and agents, and to improve overall facility performance.

(c) Each service setting will collect information related to obtaining consent to treatment with psychoactive medication and the use of psychoactive medication in psychiatric emergencies as may be required by the medical director of TDMHMR.

(d) Each service setting will maintain a record of self-monitoring of compliance and may present these records to licensing or oversight authorities when requested.

Source Note: The provisions of this §414.413 adopted to be effective August 31, 2004, 29 TexReg 8317