Levels of Care: Routine, Continuous Home Care, Respite and General Inpatient
Sets out the four levels of hospice care and when each is used: continuous home care only in a period of crisis, at least 8 hours a day and more than half nursing, after a registered nurse assessment; respite for not more than five consecutive days; short-term general inpatient care for symptoms that cannot be managed elsewhere; with 7-day plan of care reviews and the Medicare and Medicaid 20 percent inpatient limit.
About this policy
- Policy number
- LA-HSP-LOC-01
- Version
- 1.0
- Main rule
- LAC 48:I §8201 (Continuous Home Care; Respite Care; Acute/General Inpatient Care)
- Library
- Louisiana hospice · 60 policies
- Category
- Hospice care
- Sections
- 18
In short
- There are four levels of care: routine home care, continuous home care, respite and general inpatient care.
- Continuous home care is only for a crisis: at least 8 hours in the day, with nursing for more than half.
- A registered nurse assesses the patient before an LPN, aide or homemaker is assigned to continuous care.
- Respite gives the family a break and is covered for no more than five days in a row.
- Record start and end times and the reason for the level of care every day.
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 (LAC 48:I §8201 (Continuous Home Care; Respite Care; Acute/General Inpatient Care))
- 5. The Four Levels of Care
- 6. Choosing and Ordering the Level of Care
- 7. Continuous Home Care
- 8. Inpatient Respite Care
- 9. General Inpatient Care
- 10. Limits the Agency Monitors
- 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
- Who decided this patient needed continuous home care, and where is the RN assessment?
- Show me the hours of care and who provided them on each continuous care day.
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