Section 0720-27-.05 - ADMISSIONS, DISCHARGE, AND TRANSFERS(1) Patients shall be accepted to receive home health services on the basis of a reasonable expectation that the patient's medical, nursing and psychosocial needs can be met adequately by the organization in the patient's regular or temporary place of residence.(2) Care shall follow a written plan of care established and reviewed by a physician, and care shall continue under the supervision of a physician.(3) The agency staff shall determine if the patient's needs can be met by the organization's services and capabilities.(4) Every person admitted for care or treatment to any agency covered by these rules shall be under the supervision of a physician, as defined in this chapter, who holds a license in good standing. The name of the patient's attending physician shall be recorded in the patient's medical record.(5) The agency staff shall obtain the patient's written consent for home health services.(6) The signed consent form shall be included with the patient's individual clinical record.(7) A diagnosis must be entered in the admission records of the agency for every person admitted for care or treatment.(8) No medication or treatment shall be provided to any patient of an agency except on the order of a physician or dentist lawfully authorized to give such an order.(9) A medical record shall be developed and maintained for each patient admitted.(10) A discharge plan and summary shall be completed on each patient.(11) The agency must provide an effective discharge planning process that applies to all patients. The agency's discharge planning process, including discharge policies and procedures, must be in writing and must: (a) Be developed and/or supervised by a registered nurse, social worker or other appropriately qualified personnel;(b) Begin upon admission of any patient;(c) Include the likelihood of a patient's capacity for self-care;(d) Identify the patient's continuing physical, emotional, housekeeping, transportation, social and other needs;(e) Involve the patient, the patient's family or individual acting on the patient's behalf, the physician, nursing and social work professionals and other appropriate staff, and must be documented in the patient's medical record; and(f) Be conducted on an ongoing basis throughout the continuum of care. Coordination of services may involve promoting communication to facilitate family support, social work, nursing care, consultation, referral or other follow-up.(12) The patient and family members or interested persons must be taught and/or counseled to prepare them for post-agency care.(13) The agency shall ensure that no person on the grounds of race, color, national origin or handicap, will be excluded from participation in, be denied benefits of, or otherwise subjected to discrimination in the provision of any care or service of the agency. The agency shall protect the civil rights of residents under the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973.Tenn. Comp. R. & Regs. 0720-27-.05
: Original rule filed May 31, 2000; effective August 14, 2000. Transferred from chapter 1200-08-26 pursuant to Public Chapter 1119 of 2022 effective 7/1/2022.Authority: T.C.A. §§ 4-5-202, 4-5-204, 68-11-202, and 68-11-209.