Current through Register Vol. 50, No. 9, September 20, 2024
A. Hospice provides
adequate and appropriate patient/family information at discharge, revocation,
or transfer.
B. Discharge. Patient
shall be discharged only in the following circumstance:
1. change in terminal status;
2. patient relocates from the hospice's
defined geographical service area;
3. if the safety of the patient or of the
hospice staff is compromised. The hospice shall make every effort to resolve
these problems satisfactorily before discharge. All efforts by the hospice to
resolve the problem shall be documented in detail in the patient's clinical
record; and
4. if the patient
enters a non-contracted nursing facility or hospital and all options have been
exhausted (a contract is not attainable or the patient chooses not to transfer
to a facility with which the hospice has a contract, the hospice shall then
discharge the patient. The hospice shall notify the payor source to document
that all options have been pursued and that the hospice is not "dumping" the
patient;
5. the hospice shall
clearly document why the hospice found it necessary to discharge the
patient.
C. Revocation.
Occurs when the patient or representative makes a decision to discontinue
receiving hospices services:
1. a recipient
may revoke hospice care at any time. This is a right that belongs solely and
exclusively to the patient or representative;
2. an effective date earlier than the actual
date the revocation is made and signed cannot be designated;
3. if a patient or representative chooses to
revoke from hospice care, the patient shall sign a statement that he or she is
aware of the revocation and stating why revocation is chosen.
D. Non Compliance. When a patient
is non-compliant, the hospice may counsel the patient/family on the option to
revoke and any advantages or disadvantages of the decision that is made. A
patient is considered non-compliant if:
1.
the patient seeks or receives curative treatment for the illness; or
2. the patient seeks treatment related to the
terminal illness in a facility that does not have a contract with the
hospice;
3. the patient seeks
treatment related to the terminal illness that is not in the POC, or is not
pre-approved by the hospice.
E. Transfer. To change the designation of
hospice programs, the individual must file with the hospice from which he/she
has received care and with the newly designated hospice, a signed statement
which includes the following information:
1.
the name of the hospice from which the individual has received care;
2. the name of the hospice to which he/she
plans to receive care;
3. the date
of discharge from the first hospice and the date of admission to the second
hospice; and
4. the reason for the
transfer;
5. appropriate discharge
plan/summary is to be written, and appropriate continuity of care is to be
arranged.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2181-2191.
