A. An administrator
shall ensure that a discharge plan for a resident is:
1. Developed that:
a. Identifies any specific needs of the
resident after discharge,
b. Is
completed before discharge occurs, and
c. Includes a description of the level of
care that may meet the resident's assessed and anticipated needs after
discharge;
2. Documented
in the resident's medical record within 48 hours after the discharge plan is
completed; and
3. Provided to the
resident or the resident's representative before the discharge
occurs.
B. An
administrator shall ensure that:
1. A request
for participation in developing a resident's discharge plan is made to the
resident or the resident's representative,
2. An opportunity for participation in
developing the resident's discharge plan is provided to the resident or the
resident's representative, and
3.
The request in subsection (B)(1) and the opportunity in subsection (B)(2) are
documented in the resident's medical record.
C. An administrator shall ensure that a
resident is discharged from a behavioral health residential facility
1. When the resident's treatment
goals are achieved, as documented in the resident's treatment plan;
or
2. when the resident's
treatment needs are not consistent with the services that the behavioral health
residential facility is authorized and able to provide.
D. An administrator shall ensure that there
is a documented discharge order by a medical practitioner or behavioral health
professional before a resident is discharged unless the resident leaves the
behavioral health residential facility against a medical practitioner's or
behavioral health professional's advice.
E. An administrator shall ensure that, at the
time of discharge, a resident receives a referral for treatment or ancillary
services that the resident may need after discharge, if applicable.
F. If a resident is discharged to any
location other than a health care institution, an administrator shall ensure
that:
1. Discharge instructions are
documented, and
2. The resident or
the resident's representative is provided with a copy of the discharge
instructions.
G. An
administrator shall ensure that a discharge summary for a resident:
1. Is entered into the resident's medical
record within 10 working days after a resident's discharge; and
2. Includes:
a. The following information authenticated by
a medical practitioner or behavioral health professional:
i. The resident's presenting issue and other
physical health and behavioral health issues identified in the resident's
treatment plan;
ii. A summary of
the treatment provided to the resident;
iii. The resident's progress in meeting
treatment goals, including treatment goals that were and were not achieved;
and
iv. The name, dosage, and
frequency of each medication ordered for the resident by a medical practitioner
at the behavioral health residential facility at the time of the resident's
discharge; and
b. A
description of the disposition of the resident's possessions, funds, or
medications brought to the behavioral health residential facility by the
resident.
H.
An administrator shall ensure that a resident who is dependent upon a
prescribed medication is offered a written referral to detoxification services
or opioid treatment before the resident is discharged from the behavioral
health residential facility if a medical practitioner for the behavioral health
residential facility will not be prescribing the medication for the resident at
or after discharge.