Policy Manual sample

MDT Home Health Care Agency, Inc. POLICY ON PATIENT TRANSFER It is the Policy of the Agency that no information may be disclosed from the patient’s file without the written consent of the patient or the patient’s guardian. All information received by any employee, contractor, or AHCA employee regarding a patient of the Agency is confidential. If the patient transfers to another home health agency, Hospital or In-patient facility, a copy of his record must be transferred at his request/authorization, if needed for continuing care (the Medication Record must be reconciled/updated before the transfer). In all cases, when the Patient is transferred to a Hospital or In-Patient facility, if the home care episode is not ending, at discretion of the Director of Nursing, Clinical Manager and/or Doctor order, the patient may be Discharge or not from our Agency, the hold period depend only of the episode ending date, if the patient still hospitalized on/or after episode ending date, the patient must be Discharge from Agency, an In-Office Discharge form must be completed by a qualified staff, not OASIS discharge assessment will be completed. When a patient is transferred or referred to any other provider of health care services, the information given will include the Medication Record (reconciled/verified), whether the patient has Advance Directives or does not have Advance Directives. Reasons for patient transfer may include the patient moves outside of the Agency’s geographic service area, the patient requires care not provided by our Agency, or our Agency is not a preferred provider by the patient’s insurance company. A transfer summary is completed and a copy maintained in the patient record and a copy forwarded to the receiving service entity and the patient’s Physician. A transfer summary includes, but is not limited to: Date of transfer Patient identifying information Emergency contact Destination of patient transferred Date and name of person completing report Patient’s physician and phone number Diagnosis related to the transfer Significant health history Transfer orders and instructions A brief description of services provided and ongoing needs that cannot be met Patient’s Status Our Home Health Agency, shall in compliance of Federal conditions of participation, enroll in collect and report the Outcome and Assessment Information Set, (OASIS) data (if applicable, Home Health Agency Policies A-189