{"ref":"LA-HSP-FAC-02","title":"Short-Term Inpatient Care and Respite Arrangements","category":"Hospice care","summary":"Sets out how the Agency makes short-term general inpatient and respite care available: the settings allowed, the facility standards checked, the Louisiana and federal terms every inpatient agreement must contain, how a stay is arranged and managed (with the plan of care reviewed every 7 days), what the facility returns at discharge, the federal respite and 20 percent inpatient limits, and the Agency’s own inpatient facility.","inShort":["General inpatient care and respite care are given only in our own licensed inpatient unit or in a facility with a written agreement.","Before a stay, send the facility the plan of care, current orders, medication list and advance directives, including LaPOST.","Make sure the facility staff caring for the patient have had hospice training, and record it.","Visit during the stay. The plan of care for general inpatient care is reviewed at least every 7 days.","Respite is occasional, and Medicare pays for no more than five days in a row. At discharge, get the discharge summary for the record."],"primaryCitation":"LAC 48:I §8221.C.7","citations":["LAC 48:I §8221.C.7.c","LAC 48:I §8221.B","LAC 48:I §8221.C.6","LAC 48:I §8237.D","LAC 48:I §8237.B, E, G","LAC 48:I §8235.D.2.n-o","LAC 48:I §8247.A, G","LAC 48:I §8233.J","LAC 48:I §8201 (Respite Care; Acute/General Inpatient Care; Hospice Inpatient Services)"],"federalCitations":["42 CFR §418.108","42 CFR §418.110(b), (f)","42 CFR §418.104(e)","42 CFR §418.204(b)"],"surveyorAsks":["Where would this patient go tonight for general inpatient care, and show me the agreement with that facility.","How do you make sure the facility follows your plan of care and that its staff have hospice training?"],"forms":[{"ref":"LA-HSP-FAC-02-A","title":"Inpatient and Respite Agreement Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8221.C.7)","5. Where Inpatient Care May Be Provided","6. Facility Standards the Agency Checks","7. The Written Agreement","8. Arranging an Inpatient or Respite Stay","9. During the Stay","10. Leaving the Facility","11. Limits on Inpatient and Respite Care (if Medicare-certified)","12. The Agency’s Own Inpatient Facility","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"la-hospice","state":"Louisiana","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}}