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Standards Improvement Initiative

Standards Improvement Initiative Attachment A Chapter Outline Chapter: Record of Care, Treatment, and Services (RC) Program: Behavioral Health Care SII Chapter Outline: RC I. Plan A. Clinical/Case Record Components (revised ) B. Authentication (revised ) C. Timeliness (revised ) D. Audit (revised ) E. Retention (revised ) II. Implement A. Care, Treatment, or Services (revised , ) (revised , , , , , , , , , , , are not applicable to Behavioral Health Care) B. Not applicable to Behavioral Health Care (revised ) C. Orders (revised ) D. Discharge Information (revised ) III. Foster Care A. Agency Documentation (revised , ) Revised ChapterRecord of Care, Treatment, and ServicesBehavioral Health Care Accreditation ProgramAttachment BThe [organization] maintains complete and accurate clinical/case Standard Elements of Performance for organization defines the components of a complete clinical/case clinical/case record contains the information needed to support the diagnosis and condition of the individual clinical/case record contains the information

Revised Chapter Record of Care, Treatment, and Services Behavioral Health Care Accreditation Program Attachment B The [organization] maintains complete and accurate clinical/case records.

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