Current through Register Vol. 50, No. 9, September 20, 2024
A. Each provider shall develop, implement and
comply with policies and procedures that address:
1. discharge;
2. transition to another level of care;
and
3. transfer to another licensed
provider.
B. The BHS
provider shall ensure that a client is discharged:
1. when the clients treatment goals are
achieved, as documented in the clients treatment plan;
2. when the clients issues or treatment needs
are not consistent with the services the provider is authorized or able to
provide;
3. according to the
providers established written discharge criteria; or
4. when the voluntarily-admitted client, or
clients parent or legal guardian, if applicable, requests discharge.
C. Discharge planning shall begin
upon admission.
D. Discharge Plan.
The provider shall submit a written discharge plan to each client upon
discharge or, if unable to submit at discharge, within seven days after
discharge. The discharge plan shall provide reasonable protection of continuity
of services that includes:
1. the clients
transfer or referral to outside resources, continuing care appointments, and
crisis intervention assistance;
2.
documented attempts to involve family or an alternate support system in the
discharge planning process;
3. the
clients goals or activities to sustain recovery;
4. signature of the client or, if applicable,
the clients parent or guardian;
5.
name, dosage, route and frequency of clients medications ordered at the time of
discharge; and
6. the disposition
of the clients possessions, funds and/or medications, if applicable.
E. Discharge Summary. The BHS
provider shall ensure that each client record contains a written discharge
summary that includes:
1. the clients
presenting needs and issues identified at the time of admission;
2. the services provided to the
client;
3. the providers assessment
of the client's progress towards goals;
4. the discharge disposition; and
5. the continuity of care recommended
following discharge, supporting documentation and referral or transfer
information.
F. When a
request for discharge is received or when the client leaves the provider
against the providers advice, the provider shall:
1. have and comply with written procedures
for handling discharges and discharge requests;
2. document the circumstances surrounding the
leave; and
3. complete the
discharge summary within 30 days of the clients leaving the program or sooner
for continuity of care.
G. Transitions. When a client undergoes a
transition to another level of care, the provider shall ensure that:
1. the transition to a different level of
care is documented in the clients record by a member of the direct care
staff;
2. the client is notified of
the transition; and
3. if
transitioning to a different provider, the staff coordinates transition to next
level of care.
H.
Transfer Process
1. If a residential provider
decides to transfer a client, the provider shall ensure that there is an
agreement with the receiving provider to provide continuity of care based on:
a. the compilation of client data;
or
b. the medical
history/examination/physician orders, psycho-social assessment, treatment plan,
discharge summary and other pertinent information provided upon admission to
inpatient or outpatient care.
2. The residential provider responsible for
the transfer and discharge of the client shall:
a. request and receive approval from the
receiving provider prior to the transfer;
b. notify the receiving provider prior to the
arrival of the client of any significant medical and/or psychiatric conditions
and complications or any other pertinent information that will be needed to
care for the client prior to arrival;
c. transfer all requested client information
and documents upon request; and
d.
ensure that the client has consented to the transfer.
I. If a client is involuntarily
committed to a provider, the provider shall:
1. maintain the care of the client until an
appropriate level of care becomes available; and
2. comply with the transfer and discharge
requirements in this Chapter.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2151-2161.
