Short-Term Inpatient Care and Respite Arrangements
Sets out how the Agency makes short-term inpatient care available for pain control, symptom management and respite in participating Medicare or Medicaid facilities, the written agreements it must have with those facilities under 42 CFR §418.108(c), the training and verification it remains responsible for, the five-consecutive-day respite limit, and how it tracks the 20 percent inpatient limit for Medicare and DC Medicaid patients.
About this policy
- Policy number
- DC-HSP-FAC-02
- Version
- 1.0
- Main rule
- 42 CFR §418.108
- Library
- Washington, DC hospice · 60 policies
- Category
- Hospice care
- Sections
- 17
In short
- Patients can go to an inpatient facility for pain or symptom control, or for respite to give caregivers a break.
- Use only the facilities in the Agency’s written agreements.
- Send the plan of care, medication list, orders and advance directives with the patient.
- Contact the facility every day during a general inpatient stay and document it.
- Respite stays are limited to five days in a row.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.108)
- 5. Where Inpatient Care May Be Provided
- 6. Written Agreements
- 7. Arranging an Inpatient Stay
- 8. Training and Verification
- 9. Inpatient Limits
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Where do your patients go for general inpatient care and respite? Show me the agreements.
- How do you make sure the facility follows your plan of care and palliative protocols?
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