Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 62 - Therapeutic Group Homes › Subchapter E - Admission, Transfer, and Discharge › Section I-6261 - Transfer and Discharge Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The goal of the TGH is to return the
					 client to a less restrictive level of service as early as possible in the
					 development of the plan.
B.
					 Discharge planning begins at the date of admission, and goals toward discharge
					 shall be continually addressed in the multi-disciplinary team meetings and when
					 the comprehensive treatment plan is reviewed. Discharge may be determined based
					 on the client no longer making adequate improvement in this TGH (and another
					 TGH being recommended) or the client no longer having medical necessity at this
					 level of care.
C. Continued TGH
					 stay should be based on a clinical expectation that continued treatment in the
					 TGH can reasonably be expected to achieve treatment goals and improve or
					 stabilize the client's behavior, such that this level of care will no longer be
					 needed and the client can return to the community.
D. Transition should occur to a more
					 appropriate level of care if the client is not making progress toward treatment
					 goals and there is no reasonable expectation of progress at this level of care
					 (e.g., client's behavior and/or safety needs requires a more restrictive level
					 of care or, alternatively, client's behavior is linked to family functioning
					 and can be better addressed through a family/home-based treatment).
E. Voluntary Transfer or Discharge. Upon
					 notice by the client or authorized representative that the client has selected
					 another provider or has decided to discontinue services, the TGH shall have the
					 responsibility of planning for a client's voluntary transfer or discharge.
1. The transfer or discharge responsibilities
					 of the TGH shall include:
a. holding a
					 transfer or discharge planning conference with the client, family, support
					 coordinator, legal representative and advocate, if such are known, in order to
					 facilitate a smooth transfer or discharge, unless the client declines such a
					 meeting;
b. providing a current
					 comprehensive treatment plan. Upon written request and authorization by the
					 client or authorized representative, a copy of the current comprehensive
					 treatment plan shall be provided to the client or receiving provider;
c. preparing a written discharge summary. The
					 discharge summary shall include, at a minimum, a summary on the health,
					 developmental issues, behavioral issues, social issues, and nutritional status
					 of the client. Upon written request and authorization by the client or
					 authorized representative, a copy of the discharge summary shall be disclosed
					 to the client or receiving provider. The written discharge summary shall be
					 completed within five business days of the notice by the client or authorized
					 representative that the client has selected another provider or has decided to
					 discontinue services. The providers preparation of the discharge summary shall
					 not impede or impair the clients right to be transferred or discharged
					 immediately if the client so chooses; and
d. not coercing or interfering with the
					 client's decision to transfer. Failure to cooperate with the client's decision
					 to transfer to another provider will result in adverse action by the
					 department.