Wis. Admin. Code Department of Health Services § DHS 131.18 - Discharge
(1) OBLIGATION. Once a hospice has admitted a
patient to the program, and the patient or the patient's representative, if
any, has signed the acknowledgement and authorization for services under s.
DHS
131.17(4) (b), the hospice is
obligated to provide care to that patient.
(2) WRITTEN POLICY. The hospice shall have a
written policy that details the manner in which the hospice is able to end its
obligation to a patient. This policy shall be provided to the patient or
patient's representative, if any, as part of the acknowledgement and
authorization process at the time of the patient's admission. The policy shall
include all of the following as a basis for discharging a patient:
(a) The hospice may discharge a patient:
1. Upon the request or with the informed
consent of the patient or the patient's representative.
2. If the patient elects care other than
hospice care at any time.
3. If the
patient elects active treatment, inconsistent with the role of palliative
hospice care.
4. If the patient
moves out of the geographical area served by the hospice or into a facility
that does not have a contract with the hospice.
5. If the patient requests services in a
setting that exceeds the limitations of the hospice's authority.
6. For nonpayment of charges, following
reasonable opportunity to pay any deficiency.
7. For the patient's safety and welfare or
the safety and welfare of others, if the hospice determines that the behavior
of the patient or other persons in the patient's home is disruptive, abusive,
or uncooperative to the extent that delivery of care to the patient or the
ability of the hospice to operate effectively is seriously impaired.
8. If the hospice determines that the patient
is no longer terminally ill.
(b) The hospice shall do all of the following
before it seeks to discharge a patient whose behavior or the behavior of other
persons in the patient's home, is disruptive, abusive, or uncooperative to the
extent that delivery of care to the patient or the ability of the hospice to
operate effectively is seriously impaired:
1.
Advise the patient that a discharge for cause is being considered.
2. Make a serious effort to resolve the
problem or problems presented by the patient's behavior or situation.
3. Ascertain that the patient's proposed
discharge is not due to the patient's use of necessary hospice
services.
4. Document the matter
and enter this documentation into the patient's clinical record.
(3) NOTICE.
(a) When a patient is being discharged for a
reason given in sub. (2) (a) 1.,2., 3., 4., 5., 7., or 8., the hospice shall
give written notice of the discharge to the patient or patient's
representative, if any, a family representative and the attending
physician.
(b) When a patient is
being discharged for the reason given in sub. (2) (a) 6., the hospice shall
give written notice of the discharge at least 14 days prior to the date of
discharge, and indicate a proposed date for pre-discharge planning. The written
notice shall be given to the patient or patient's representative, if any, a
family representative and the attending physician.
(4) PLANNING. The hospice shall conduct the
pre-discharge planning with the patient or the patient's representative and
review the need for discharge, assess the effect of discharge on the patient,
discuss alternative placements and develop a comprehensive discharge
plan.
Notes
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No prior version found.