{"ref":"DC-HC-DC-01","title":"Discharge, Transfer, and Referral","category":"Service delivery","summary":"Sets out the Agency's criteria and procedures for discharging, transferring or referring a client: the reasons for which services may end, the written notice at least seven days before the action and the four situations in which oral notice may be given at any time (22-B DCMR §9912.2), what the notice says, how a client asks the Director to review a discharge decision, discharge planning and hand-over to another provider, discharges to protect staff, client-initiated discharges, and the discharge summary that closes the client record.","inShort":["A client receives written notice at least 7 days before a discharge or referral the Agency starts, including for non-payment.","Oral notice at any time is allowed only for an emergency, a doctor's order to admit the client to a hospital or facility, staff safety, or when the client refuses further services.","Keep giving the agreed services until the discharge date.","If a client tells you he or she wants to stop services, tell the office the same day.","If you are in danger in a home, leave at once, get safe, call 911 if needed, and then call the office."],"primaryCitation":"22-B DCMR §9912.2","citations":["22-B DCMR §9908.2(c)","22-B DCMR §9910.3","22-B DCMR §9911.1(a)(4)","22-B DCMR §9912.1","22-B DCMR §9912.2","22-B DCMR §9912.3","22-B DCMR §9914.2(m)","22-B DCMR §9914.2(n)","22-B DCMR §9915.4","22-B DCMR §9916.2(c)(3)","22-B DCMR §9916.2(g)","22-B DCMR §9916.2(k)","22-B DCMR §9916.6","22-B DCMR §9917.3","22-B DCMR §9917.6","22-B DCMR §9999.1","D.C. Code §2-1402.31","D.C. Code §7-1903"],"federalCitations":[],"surveyorAsks":["Show me the discharge notice for this client. How many days before the discharge was it given?","This client was discharged with oral notice only. Which exception in §9912.2 applied, and where is it recorded?"],"forms":[{"ref":"DC-HC-DC-01-A","title":"Notice of Discharge, Transfer, or Referral"},{"ref":"DC-HC-DC-01-B","title":"Discharge Summary"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §9912.2)","5. Reasons for Discharge, Transfer, or Referral","6. Giving Notice","7. What the Written Notice Says","8. Asking the Director to Review a Discharge","9. Discharge Planning","10. Moving to Another Provider","11. Discharge to Protect Staff","12. When the Client Ends Services","13. Hospital Admission and Death","14. Closing the Record","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"dc-hca","state":"Washington, DC","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}