{"ref":"GA-HSP-DC-01","title":"Discharge, Involuntary Discharge and Transfer","category":"Hospice care","summary":"Sets the Georgia limits on discharge (only at the patient’s free request or as an involuntary discharge under the rules), the duty to make every effort to resolve safety issues first and document them, at least 14 days’ notice of an involuntary discharge except in imminent danger or immediate peril, notice to the Department at the time the patient is told, no discharge for inability to pay or during a coordinated hospital admission, and help with continued care; and the Medicare discharge reasons, physician discharge order, discharge planning, discharge summary, notice of termination within 5 calendar days and the advance notice of non-coverage.","inShort":["We discharge only when the patient freely asks, or under the rules for involuntary discharge. Never for inability to pay or during a coordinated hospital stay.","If safety is a problem, try every way to fix it first and write it all down.","Involuntary discharge needs a physician order and at least 14 days’ written notice (Form GA-HSP-DC-01-A), except in imminent danger.","The Administrator tells the Department at the same time the patient is told.","Help arrange continued care and send the discharge summary within 2 business days."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-37-.14(6)","citations":["Ga. Comp. R. & Regs. 111-8-37-.14(6)","Ga. Comp. R. & Regs. 111-8-37-.06(6)","Ga. Comp. R. & Regs. 111-8-37-.17(2)(k)","Ga. Comp. R. & Regs. 111-8-37-.10(1)(n), (r)","Ga. Comp. R. & Regs. 111-8-37-.09(2)(a)"],"federalCitations":["42 CFR §418.26","42 CFR §418.104(e)","42 CFR §405.1200","42 CFR §405.1202"],"surveyorAsks":["Show me every involuntary discharge in the last year. Where are the efforts to resolve the problem, the 14-day notice and the notice to the Department?","Show me the written physician discharge order and the attending physician’s review for this live discharge."],"forms":[{"ref":"GA-HSP-DC-01-A","title":"Notice of Involuntary Discharge"},{"ref":"GA-HSP-DC-01-B","title":"Hospice Discharge Summary"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.14(6))","5. Permitted Reasons for Discharge","6. Involuntary Discharge: Required Steps","7. Safety Issues and Discharge for Cause","8. Discharge Planning","9. Discharge Summary and Records","10. Effect of Discharge","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}