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The key principles of effective discharge planning The 10 steps of discharge planning. ... Start planning before or on admission. ... Identify whether the patient has simple or complex needs. ... Develop a clinical management plan within 24 hours of admission. ... Coordinate the discharge or transfer process.
"From a malpractice and medical board standpoint, a physician can basically discharge a patient for any reason he wants, as long as it is nondiscriminatory and doesn't violate [the Emergency Medical Treatment and Labor Act] or other laws, or puts the patient's health, safety, and welfare at risk," says Kabler.
The hospital only needs to tell you, or your family caregiver representative, once the discharge order is issued, and when you are discharged. Although hospitals may have different practices, Medi-Cal/Medicare/the hospital does not have to give you or your representative a written discharge notice.
PURPOSE: To comply with the Centers for Medicare and Medicaid Services (CMS) regulatory requirement that hospitals notify Medicare beneficiaries who are hospital inpatients about their hospital discharge rights.
What is hospital discharge? When you leave a hospital after treatment, you go through a process called hospital discharge. A hospital will discharge you when you no longer need to receive inpatient care and can go home. Or, a hospital will discharge you to send you to another type of facility.
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An Important Message from Medicare is a notice you receive from the hospital and sign within two days of being admitted as an inpatient. This notice explains your rights as a patient, and you should receive another copy up to two days, and no later than four hours, before you are discharged.
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Do I get a copy of the hospital discharge letter? Yes,you should receive a copy. If you're not offered one before you go home, ask your nurse of doctor to make sure that you get one.

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