Short-Term Inpatient Care and Respite Arrangements
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.
About this policy
- Policy number
- LA-HSP-FAC-02
- Version
- 1.0
- Main rule
- LAC 48:I §8221.C.7
- Library
- Louisiana hospice · 60 policies
- Category
- Hospice care
- Sections
- 20
In short
- 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.
What's inside
20 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 §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
An inspector may ask
- 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?
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