Short-Term Inpatient and Respite Care Arrangements
Sets out how the Agency arranges short inpatient stays, a basic service every California hospice must provide or arrange: general inpatient care for pain and symptoms that cannot be managed elsewhere, and inpatient respite when the caregiver needs relief. Covers the facilities that qualify, the written agreement with each facility, the Agency's continuing responsibility during the stay, the five-day respite limit and, if the Agency is Medicare-certified, the 20 percent inpatient day limit.
About this policy
- Policy number
- CA-HSP-FAC-02
- Version
- 1.0
- Main rule
- Cal. Health & Safety Code §1746(f)
- Library
- California hospice · 60 policies
- Category
- Hospice care
- Sections
- 18
In short
- A short inpatient stay is for pain or symptoms that cannot be managed at home, or to give the caregiver a rest (respite).
- Use only facilities that have a written agreement with the Agency.
- Send the plan of care, orders and medication list with the patient, and keep visiting or calling every day.
- Respite is short: plan the return home before the stay begins.
- When the patient leaves the facility, get the discharge summary for the record.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (Health & Safety Code §1746(f); 42 CFR §418.108)
- 5. Facilities That Qualify (42 CFR §418.108(a)-(b))
- 6. The Written Agreement (42 CFR §418.108(c); 22 CCR §74880(d)(3)(C)(iii))
- 7. Arranging a General Inpatient Stay
- 8. Arranging Inpatient Respite
- 9. Training of Facility Staff and Verification (42 CFR §418.108(c)(5)-(6))
- 10. Inpatient Day Limit (If Medicare-Certified)
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Where do your patients go for general inpatient care and respite? Show me the written agreements.
- How does the facility know your plan of care and palliative protocols?
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