Md. Code Regs. 10.07.21.12 - Transfer or Discharge
A. If the
hospice care program does not provide inpatient hospice services directly, the
hospice care program shall have a written transfer agreement with a hospice
care program which provides those services.
B. The hospice care program shall provide
adequate and appropriate information about the patient and family at the time
of transfer or discharge.
C. When a
patient and family transfers from one hospice care program to another or from
home-based service to inpatient service, or vice versa, the current care
provider shall provide a written summary of:
(1) The services being provided;
(2) The specific medical, psychosocial,
spiritual, or other problems that require intervention or follow-up;
and
(3) Any scheduled follow-up by
a current interdisciplinary care team member.
D. The hospice care program shall document
the specific reasons for transferring or discharging a patient from its
program. These reasons may include:
(1) The
patient moves from the service area;
(2) There is a change in terminal
status;
(3) The patient and family
are unwilling to comply with the interdisciplinary plan of care or consistently
act in a way which compromises the standards of care;
(4) Issues of patient safety cannot be
resolved;
(5) Issues of staff
safety cannot be resolved; or
(6)
Patient and family desire for discharge.
E. The hospice care program shall prepare a
written discharge summary which shall be provided to the patient or the
patient's family before the patient's discharge.
F. Before discharge, the hospice care program
shall assess the patient's and family's continuing care needs and make
referrals to appropriate services.
Notes
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No prior version found.