La. Admin. Code tit. 48 § I-8459

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8459 - Treatment Requirements

A. Admission

1. Each facility shall develop and implement written criteria to apply when any patient is referred for dialysis treatment or seeks admission, to include:

a. payment guidelines, and alternate resources;

b. exceptions to apply when the patient would have to travel great distances, or suffer undue hardship to be treated at another facility; and

c. consideration of the patient's health and welfare.

2. Each facility shall develop a process that includes:

a. perpetual logging of applicants to assure that all patients are treated equally and offered equal access;

b. referral to appropriate facilities or outside resources;

c. written contracts with those patients who have a history of problems at other facilities, such as disruptive, threatening and abusive behavior to staff or other patients ; and

d. professional interaction with other facilities when a patient has financial or behavior problems that cannot be resolved.

B. Patient Care [] Miscellaneous

1. Patients must be informed whenever there is an error or incident that exposes them to an infectious illness or the potential for death or serious illness.

2. Facility staff should inform patients of current changes in the dialysis field when those changes could positively or negatively affect the patient.

C. Discharge/Transfer

1. Each facility shall develop and implement written criteria to apply when a patient is discharged without consent to include:

a. reason for discharge (such as, non-compliance or illegal behavior);

b. progressive procedures to assist the patient in making improvements;

c. assistance to aid the patient in finding a new facility; and

e. evaluation of each situation to improve outcomes.

2. A written, patient specific discharge process plan shall be accessible that provides reasonable protection and continuity of services.

La. Admin. Code tit. 48, § I-8459

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 28:2201 (October 2002), amended LR 30:434 (March 2004).

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:153 and R.S. 40:2117.4.