Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-104 - Specialty Hospital-Long-Term Acute Care
Section R432-104-8 - Admission and Discharge Policy
Universal Citation: UT Admin Code R 432-104-8
Current through Bulletin 2024-06, March 15, 2024
(1) The LTA C licensee shall implement an average inpatient length of stay greater than 25 days, in the admission policy of the hospital..
(2) Patients who have one or more of the following conditions may be admitted to an LTAC:
(a) medical instability due to chronic
illness requiring weekly physician visits;
(b) a requirement of continuous drug therapy
monitoring by a licensed healthcare professional;
(c) a condition that requires dangerous drug
therapy, continuous use of a respirator or ventilator, or suctioning or
nasopharyngeal aspiration at least once per nursing shift; or
(d) a condition that requires skilled nursing
services and care that requires a registered nurse present for care 24 hours a
day for at least three of the following treatments at the specified frequency:
(i) daily extensive dressings for deep
decubiti, surgical wounds, or vascular ulcers;
(ii) 24-hour isolation for infectious
disease;
(iii) suctioning three
days per week;
(iv) occupational
therapy, physical therapy, or speech therapy five days per week;
(v) respiratory therapy;
(vi) daily special ostomy care;
(vii) daily oxygen;
(viii) traction; or
(ix) daily catheter or wound
irrigation.
(3) Within 24 hours of admission, the attending physician shall document:
(a) the patient's current medical and
respiratory status, including pertinent clinical parameters;
(b) treatment plan and goals;
(c) estimated length of stay; and
(d) anticipated discharge
plan.
(4) The LTAC licensee shall discharge the patient from the facility if:
(a) the physician documents that the patient:
(i) requires additional intensive services in
an acute hospital;
(ii) exhibits no
evidence of progress toward current, documented goals over an eight-week period
and a medically appropriate alternative for discharge exists; or
(iii) has met documented goals established at
or modified following admission and medically appropriate alternatives for
discharge exist; or
(b)
the patient or caregiver exhibits the ability to care for the patient's
physical needs.
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