Policy Manual sample

MDT Home Health Care Agency, Inc. POLICY ON DISCHARGE AND TRANSFER POLICY: To establish the reason and notification according current regulations, for Patient’s transfer or discharge from our Agency. The Patient will be notified of transfer and/or discharge reason(s) which may include the following: 1. We can no longer meet the patient’s needs, based on patient’s acuity. We must arrange a safe, appropriate transfer. 2. The patient or payer will no longer pay 3. The physician agrees that the patient no longer needs the Agency’s services: The physician that is responsible for the plan of care and the Agency(HHA) agree that the measurable outcomes and goals in the plan of care have been achieved, and the Agency(HHA) and the physician who is responsible for the home health plan of care agree that the patient no longer needs the services of the Agency(HHA) 4. The patient refuses services, or elects to be transferred or discharge 5. Under our policy, behavior is disruptive, abusive, or uncooperative to the extent that delivery of care to the patient, or the ability of the Agency to operate effectively is seriously impaired. We will: a. Advise the patient, representative. b. Make efforts to resolve the problem(s). c. Provide contact information for other agencies or providers. d. Document the problem(s) and efforts made. Discharge for cause : the patient (or other persons in the patient’s home) behavior is disruptive, abusive, or uncooperative to the extent that delivery of care to the patient or the ability of the HHA to operate effectively is seriously impaired. We will advise the patient, representative (if any), the physician(s) issuing orders for the home health plan of care, and the patient’s primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) that a discharge for cause is being considered. We will make an effort to resolve the problem(s) presented by the patient’s behavior, the behavior of other persons in the patient’s home or situation; provide the patient and representative (if any), with contact information for other agencies or providers who may be able to provide care; and document the problem(s) and efforts made to resolve the problem(s), and enter this documentation into its clinical records. 6. The patient dies. 7. The HHA ceases to operate. Home Health Agency Policies A-188