Discharge, Transfer and Discontinuance of Hospice Care

Names the specific circumstances in which the Agency discharges a patient (death, a move out of the service area, transfer to another hospice, no longer terminally ill, discharge for cause, and discontinuance by the patient), and sets out ongoing discharge planning, the steps required before a discharge for cause, the physician discharge order, Missouri's requirements to notify the patient or legal representative immediately with the effective date, to assess continuing care needs and refer, to notify the attending physician in every instance, and to send the receiving provider the medication profile, advance directive, problems needing follow-up and current plan of care, and the Medicare notices, notice of termination and discharge summary.