Wis. Admin. Code Department of Health Services § DHS 133.09 - Acceptance and discharge of patients
(1) ACCEPTANCE OF
PATIENTS. A patient shall be accepted for service on the basis of a reasonable
expectation that the patient's medical, nursing and social needs can be met
adequately by the home health agency. No patient may be provided services
except under a plan of care established by a physician, an advanced practice
nurse prescriber, or a physician assistant.
(2) SERVICE AGREEMENT. Before care is
initiated, the home health agency shall inform the patient, orally and in
writing, of the extent to which payment may be expected from other sources, the
charges for services that will not be covered by other sources and charges that
the individual may have to pay.
(3)
DISCHARGE OF PATIENTS.
(a)
Notice of
discharge.
1. A home health agency
may not discharge a patient for any reason until the agency has discussed the
discharge with the patient or the patient's legal representative and the
patient's attending physician, advanced practice nurse prescriber, or physician
assistant, and has provided written notice to the patient or the patient's
legal representative in the timelines specified in this paragraph.
2. The home health agency shall provide the
written notice, except when a patient is discharged due to hospital admission
that occurs near the end of a 60-day episode of treatment, required under subd.
1. to the patient or the patient's legal representative at least 10 working
days in advance of discharge if the reason for discharge is any of the
following:
a. Payment has not been made for
the patient's care, following reasonable opportunity to pay any unpaid
billings.
b. The home health agency
is unable to provide the care required by the patient due to a change in the
patient's condition that is not an emergency.
3. The home health agency shall provide the
written notice under subd. 1. to the patient or the patient's legal
representative at the time of discharge if the reason for discharge is any of
the following:
a. The safety of staff is
compromised, as documented by the home health agency.
b. The attending physician, advanced practice
nurse prescriber, or physician assistant orders the discharge for emergency
medical reasons.
c. The patient no
longer needs home health care as determined by the attending physician,
advanced practice nurse prescriber, or physician assistant.
4. The home health agency shall
insert a copy of the written discharge notice in the patient's medical
record.
5. The home health agency
shall include in every written discharge notice to a patient or the patient's
legal representative all of the following:
a.
The reason for discharge.
b. A
notice of the patient's right to file a complaint with the department and the
department's toll-free home health hotline telephone number and the address and
telephone number of the department's division of quality assurance.
Note: A complaint may be filed by writing the Bureau of Health Services, Division of Quality Assurance, P.O. Box 2969, Madison, Wisconsin 53701-2969 or by calling the Wisconsin Home Health Hotline toll free at 1-800-642-6552.
(b)
Discharge summary. The
home health agency shall complete a written discharge summary within 30
calendar days following discharge of a patient. The discharge summary shall
include a description of the care provided and the reason for discharge. The
home health agency shall place a copy of the discharge summary in the former
patient's medical record. Upon request, the home health agency shall provide a
copy of the discharge summary to the former patient, the patient's legal
representative, the attending physician, advanced practice nurse prescriber, or
physician assistant.
Notes
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