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Guardianship Issues in Healthcare


                                                                                    Healthcare issues of                          • The right to present evi-
                                                                                  guardianship arise when a                      dence and confront and
                                                                                  patient cannot think or                        cross-examine witnesses;
                                                                                  decide for themselves.                          • The right to a second
                                                                                  Healthcare professionals                       independent medical opin-
                                                                                  and administrators are                         ion;
                                                                                                                                  • The right to a closed
                     Specializing in Medically                                    often uncertain about how                      hearing; and
                                                                                  the law and the rules of
                                                                                  guardianship work and the                       • The right not to attend
                            Complex Patients                                      process involved. Often                        the hearing
                                                                                  hospitals, long term care
                                Kindred Hospitals are owned by Kindred            and mental health facili-                      What happens if
                             Healthcare, Inc., a national network of Long Term    ties, have to deal with inca-  BY BEN ASSAD MIRZA,   guardianship is
                             Acute Care Hospitals (LTACH's).                      pacity and guardianship    ESQ., LLM, CPA,     determined to be
                                                                                  issues when it comes to      MPHA, CHC         necessary?
                                Kindred Hospitals provide specialized, high quality    patient care. The following                When guardianship is
                             care for acutely ill patients. For more than a decade,    is a legal perspective on how to navigate   ordered by the court, the named guardian
                             we have fine-tuned the art of medically complex care.
                                                                                  that maze:                          becomes an officer of the court and is sub-
                                Our services range from complex catastrophic                                          ject to the oversight of the court.
                             illnesses that require intensive care, post-surgical medical    Guardianship?              If guardianship is of the person only, the
           rehabilitation to patients suffering from chronic diseases requiring respiratory and    Adult guardianship is the legal process   guardian is required to:
           rehabilitative therapies. Kindred Hospitals provide outcome-oriented   by which an individual assumes the role of   • Execute a no surety bond or an Oath
           cost effective care for patients with a wide spectrum of               decision-maker for an adult who becomes   of Office; and
           medical conditions.                                                    unable to make such decisions for him-  • Report annually on the mental and
                                                                                  self/herself.                       physical condition of the ward.
                  Admissions to Kindred Hospitals may be                            Guardianship can take several forms   If guardianship includes the ward’s
           recommended by physicians, acute-care hospitals,                       involving various aspects of the ward’s life,   estate, the guardian is required to:
           rehabilitation hospitals, managed care providers, case                 whether it be health, wealth or how to live   • Execute a surety bond in an amount
           management companies or by the patient’s family.                       out the person’s day to day life. The   determined by statute;
           In all cases family tours are encouraged.                              responsibilities can be divided up or cen-  • Present an annual budget and an ini-
                                                                                  tralized under one guardian.        tial inventory of the estate’s assets; and
                                                                                                                        • Present an annual accounting of the
                                                                                  Who can be a guardian:              ward’s assets to the court.
             Kindred Hospital                  Kindred Hospital             Kindred Hospital             Kindred Hospital   • Must be 18 years of age; United States
               Fort Lauderdale                      Hollywood                     Coral Gables               The Palm Beaches   resident, of sound mind, does not have a   Who pays for the guardianship?
             1516 East Las Olas Blvd.                         1859 Van Buren St.                 5190 Southwest Eighth St.          5555 West Blue Heron Blvd
             Ft. Lauderdale FL 33301                       Hollywood, FL 33020                 Coral Gables, FL 33134               Riviera Beach, FL 33418   disability and has not been convicted of a   Generally, if guardianship is of the per-
          954-764-8900, ext. 5136                    954-920-9000                       305-448-1585                       561-904-8451   felony involving harm or threat to others,   son only, and the ward has no assets, the
          www.khfortlauderdale.com           www.khsfhollywood.com         www.khcoralgables.com        www.khthepalmbeaches.com  may serve as guardian of the estate.   petitioner usually bears the cost burden. If
                                                                                                                      the ward has an estate, the costs of gaining
                                                                                  Determination of guardianship:      and maintaining the guardianship are
                                                                                    Though the process differs by state, the   borne by the ward’s estate.
                                                                                  person seeking guardianship must:
                                                                                    • File a petition for guardianship of the   What are the limitations
                                                                                  alleged person with disabilities nominat-  of guardianship?
                                                                                  ing the qualified person to act as guardian;   Examples of the limitations of guardian-
                                                                                    • Have the petition served. Service is   ship include, but are not limited to:
                                                                                  usually performed either by the sheriff of   • No authority for permanent place-
                                                                                  the county in which the petition is filed, or   ment in a care facility without court
                                                                                  by private service (in some jurisdictions   approval;
                                                                                  private service requires court approval)   • Ward cannot be forcibly medicated,
                                                                                  and must be accomplished by some speci-  except by order of the court;
                                                                                  fied number of days prior to the hearing   • Ward cannot be kept isolated from any
                                                                                  date;”                              person, except at their request, or by order
                                                                                    • Provide notice by mail to the respon-  of the court for the ward’s safety;
                                                                                  dent’s nearest relatives; and         • Ward cannot be prevented from
                                                                                    • Obtain a medical report from a   requesting a hearing to seek restoration of
                                                                                  licensed physician detailing the reason   rights.
                                                                                  guardianship is necessary.            Guardianship is a deprivation of indi-
                                                                                    The law takes the revocation of a citi-  vidual rights and should be sought only as
                                                                                  zen’s rights very seriously and provides the   a last resort.
                                                                                  respondent with legal protection in
                                                                                  guardianship cases, which are spelled out   If you have questions about how guardian-
                                                                                  in the governing statute.             ships work, or how to navigate that area of
                                                                                    These rights are as follows:        law, contact Healthcare Law Partners, LLC,
                                                                                    • The right to object to guardianship;      directly for a free consultation at
           Isn’t it time for an independent expert opinion                          • The right to counsel, either chosen by               (954)634-2370 or
               on your malpractice insurance coverage?                            the Respondent or appointed by the court;      Ben@HealthcareAttorney.Net.
                                                                                    • The right to a jury of six persons;
            Not all policies are created equally.  There are many factors to consider when
            shopping for your malpractice insurance – proper liability limits, tails, triggers,
            retroactive coverage, regulatory and cyber protection, purchasing programs... the
            options are daunting, and the wrong fit can be disastrous to your practice.

            As independent agents specializing in malpractice insurance placement, we are strong
            enough within the malpractice insurance marketplace to fully and competently ne-
            gotiate the best coverage and pricing for you with the top insurers in the state.
                                  Call Danna-Gracey at 800.966.2120 for a no-obligation
                                  assessment of your current malpractice insurance
                                  policy. Your practice is worth it.
                Delray: 54 SE Sixth Avenue, Delray Beach, FL  33483 • 800.966.2120 • Fax 888.235.5008
                Orlando: 541 Lake Como Circle, Orlando , FL   32803 • 888.496.0059 • Fax 407.896.0079
                 Delray Beach • Jacksonville • Miami • Orlando • Panama City
                             info@dannagracey.com • www.dannagracey.com
                  800.966.2120 • info@dannagracey.com • www.dannagracey.com

         4                         December 2020                                                        southfloridahospitalnews.com                                                                       South Florida Hospital News
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