Page 95 - CHHA Binder 2.3.20

4/11/2019

VNSNY Discharge Criteria

Patients should be discharged from home health services when:

 Physician orders patient to be discharged
 Patient discontinues/refuses service with physician or nurse
 Patient is not compliant with the treatment plan, despite appropriate
provider interventions
 Patient/family requests discharge
 The treatment objectives and stated functional outcome goals have
been attained or are no longer attainable
 The patient is no longer homebound
 Other appropriate discharge protocols, e.g., the patient moves or is
transferring to another agency, etc.
 Upon discharge, establish a maintenance program, if appropriate.

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Knowledge Check

State two reasons why Policies and Procedures are necessary
and in place.

Answer:
 To establish standards and processes by which a patient can be
evaluated and accepted for home care admission.
 To comply with Medicare Conditions of Participation (CoP) for Home
Health Agencies
 To ensure VNSNY and its staff comply with accepted professional
standards and principles of care.
 To ensure an appropriate timely and safe transition to the community
or other health care provider.
 To provide essential patient information to ensure continuity of patient
care.

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