Section R432-101-17 - Admission and Discharge(1) The license shall develop written admission, exclusion, and discharge policies consistent with the plan for patient care services and the utilization review plan. These policies shall be available to the public upon request.(2) The licensee shall ensure the following are available to the public and each potential patient: (a) the various services provided;(b) methods and therapies used by the hospital; and(c) associated costs of services.(3) The licensee shall ensure admission criteria is clearly stated in writing in hospital policies.(4) The licensee shall assess each potential patient before admission to ensure the facility is the least restrictive to meet the patient's needs.(5) The licensee shall screen and evaluate each potential patient's history of criminal and violent behavior before admission.(6)(a) The licensee shall admit a patient for treatment and care only if the hospital is properly licensed for the treatment required and has the staff and resources to meet the medical, physical, and emotional needs of the patient.(b) The licensee shall admit a patient and ensure the patient remains under the care of a member of the medical staff.(c) The licensee shall ensure there is a written order for admission and care of the patient at the time of admission. A documented telephone order is acceptable.(d) The licensee shall develop procedures to govern the referral of ineligible patients to alternate sources of treatment where possible.(e) A licensee conducting an involuntary commitment shall ensure it is done in accordance with Section 26B-6-608.(f) The licensee shall process and monitor any out of state adjudicated delinquent juveniles admitted to the hospital only in accordance with Title 80, Chapter 6 Interstate Compact for Juveniles.(7)(a) The licensee shall discharge a patient when the licensee is no longer able to meet the patient's identified needs, when care can be delivered in a less restrictive setting, or when the patient no longer needs care.(b) The licensee shall ensure a member of the medical staff creates an order for patient discharge, except as indicated in Subsection R432-101-17(6)(c).(c) In cases of discharge against medical advice, AMA, the licensee shall ensure the attending physician or qualified designee is contacted and the response documented in the patient record.(d) The licensee shall ensure discharge planning is coordinated with the patient, family, and other parties or agencies who are able to meet the patient's needs.(e) Upon discharge of a patient, the licensee shall surrender any money and valuables of that patient that have been entrusted to the hospital to the parties listed in Subsection R432-101-17(7)(d) in exchange for a signed receipt.Utah Admin. Code R432-101-17
Amended by Utah State Bulletin Number 2023-22, effective 11/1/2023