Ariz. Admin. Code § 9-10-709

Current through Register Vol. 30, No. 21, May 24, 2024

Section R9-10-709 - Discharge

A. An administrator shall ensure that a discharge plan for a resident is:

1. Developed that:

a. Identifies any specific needs of the resident after discharge,

b. Is completed before discharge occurs, and

c. Includes a description of the level of care that may meet the resident's assessed and anticipated needs after discharge;

2. Documented in the resident's medical record within 48 hours after the discharge plan is completed; and

3. Provided to the resident or the resident's representative before the discharge occurs.

B. An administrator shall ensure that:

1. A request for participation in developing a resident's discharge plan is made to the resident or the resident's representative,

2. An opportunity for participation in developing the resident's discharge plan is provided to the resident or the resident's representative, and

3. The request in subsection (B)(1) and the opportunity in subsection (B)(2) are documented in the resident's medical record.

C. An administrator shall ensure that a resident is discharged from a behavioral health residential facility

when the resident's treatment needs are not consistent with the services that the behavioral health residential facility is authorized and able to provide.

D. An administrator shall ensure that there is a documented discharge order by a medical practitioner or behavioral health professional before a resident is discharged unless the resident leaves the behavioral health residential facility against a medical practitioner's or behavioral health professional's advice.

E. An administrator shall ensure that, at the time of discharge, a resident receives a referral for treatment or ancillary services that the resident may need after discharge, if applicable.

F. If a resident is discharged to any location other than a health care institution, an administrator shall ensure that:

1. Discharge instructions are documented, and

2. The resident or the resident's representative is provided with a copy of the discharge instructions.

G. An administrator shall ensure that a discharge summary for a resident:

1. Is entered into the resident's medical record within 10 working days after a resident's discharge; and

2. Includes:

a. The following information authenticated by a medical practitioner or behavioral health professional:

i. The resident's presenting issue and other physical health and behavioral health issues identified in the resident's treatment plan;

ii. A summary of the treatment provided to the resident;

iii. The resident's progress in meeting treatment goals, including treatment goals that were and were not achieved; and

iv. The name, dosage, and frequency of each medication ordered for the resident by a medical practitioner at the behavioral health residential facility at the time of the resident's discharge; and

b. A description of the disposition of the resident's possessions, funds, or medications brought to the behavioral health residential facility by the resident.

H. An administrator shall ensure that a resident who is dependent upon a prescribed medication is offered a written referral to detoxification services or opioid treatment before the resident is discharged from the behavioral health residential facility if a medical practitioner for the behavioral health residential facility will not be prescribing the medication for the resident at or after discharge.

Ariz. Admin. Code § R9-10-709

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section R9-10-709 repealed, new Section R9-10-709 adopted effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). . Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.

The following Section was repealed and a new Article adopted under an exemption from the provisions of the Administrative Procedure Act which means these rules were not reviewed by the Governor's Regulatory Review Council; the Department did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; and the Department was not required to hold public hearings on these rules (Supp. 98-4).