Levels of Care and Short-Term Inpatient Care
Sets out the four levels of hospice care (routine home care, continuous home care, inpatient respite care and general inpatient care), when each is used, where short-term inpatient care may be provided under Ohio and federal rules, the Ohio limit on respite stays and the Medicare five-day respite payment rule, the standards inpatient facilities must meet, and the limits the Agency monitors.
About this policy
- Policy number
- OH-HSP-LOC-01
- Version
- 1.0
- Main rule
- OAC 3701-19-22
- Library
- Ohio hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- There are four levels of care: routine home care, continuous home care, inpatient respite and general inpatient care.
- Choose the level and place based on the patient's needs, never for the Agency's convenience.
- Continuous home care is for short crises, is mostly nursing care, and needs at least 8 hours in a day.
- Ohio limits inpatient respite to seven days in a row; Medicare pays for no more than five days in a row.
- Reassess patients in general inpatient or continuous care every day and return them to routine care when ready.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (ORC 3712.06(H); OAC 3701-19-22)
- 5. The Four Levels of Care
- 6. Choosing the Level and the Setting
- 7. General Inpatient Care
- 8. Continuous Home Care
- 9. Respite Care
- 10. Standards for Every Inpatient Facility the Agency Uses
- 11. Limits the Agency Monitors
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- How does the team decide that a patient needs general inpatient care, and where is that decision documented?
- Which facilities do you use for general inpatient care and for respite care, and how do they meet the Ohio and federal standards?
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