15 Miss. Code. R. 16-1-1.19.8 - Discharge/Revocation/Transfer
The hospice must provide adequate and appropriate patient/family information at discharge, revocation or transfer.
1. Discharge - The patient shall be
discharged only in the following circumstances:
a. The patient is determined to no longer be
terminally Ill with a life expectancy of six months or less;
b. Patient relocates from the hospice's
geographically defined service area;
c. If the safety of the patient or of the
hospice staff is compromised. The hospice shall make every effort to resolve
these problems satisfactorily before discharge. All efforts by the hospice to
resolve the problem must be documented in detail in the patient's clinical
record; and
d. If the patient
enters a non-contracted nursing home or hospital and all options have been
exhausted (a contract is not attainable, the patient chooses not to transfer to
a facility with which the hospice has a contract, or to a hospice with which
the SNF has a contract), the hospice shall then discharge the patient.
e. The hospice must clearly
document reasons for discharge.
2. Revocation - Occurs when the patient or
representative makes a decision to discontinue receiving hospices services:
a. A recipient may revoke hospice care at any
time;
b. If a patient or
representative chooses to revoke from hospice care, the patient must sign a
statement which states that he or she is aware of the revocation and stating
why revocation is chosen. The effective date of discharge cannot be earlier
than the signed revocation date.
3. Non compliance - When a patient is
non-compliant, the hospice must counsel the patient/family on the option to
revoke and any advantages or disadvantages of the decision that is made. A
patient is considered non-compliant if:
a.
The patient seeks or receives curative treatment for the illness;
b. The patient seeks treatment related to the
terminal illness in a facility that does not have a contract with the hospice;
or
c. The patient seeks treatment
related to the terminal illness that is not in the POC, or is not pre-approved
by the hospice.
4.
Transfer - The hospice must document the reason for such transfer and an
appropriate discharge plan/summary is to be written. Appropriate continuity of
care is to be arranged prior to such transfer.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.