Ariz. Admin. Code § 9-10-209

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-209 - Discharge Planning; Discharge

A. For an inpatient, an administrator shall ensure that discharge planning:

1. Is completed before discharge occurs;

2. Identifies the specific needs of the patient after discharge, if applicable;

3. Includes the participation of the patient or patient's representative and, if applicable, the patient's aftercare provider;

4. If the patient is being discharged to the patient's residence, which is not part of a health care institution:

a. Includes at least one attempt, which is documented in the patient's medical record, to notify the patient's aftercare provider, if designated, before the patient's discharge; and

b. Prepares the patient, the patient's representative, or the patient's aftercare provider, as applicable, to carry out the discharge instructions required in subsection (B)(3)(a), including:

i. Answering questions about the discharge instructions and aftercare; and

ii. Providing a demonstration of the aftercare tasks to the patient, the patient's representative, or the patient's aftercare provider, as applicable;

5. Provides the patient or the patient's representative with written information identifying classes or subclasses of health care institutions and the level of care that the health care institutions provide that may meet the patient's assessed and anticipated needs after discharge, if applicable; and

6. Is documented in the patient's medical record.

B. For an inpatient discharge or a transfer of an inpatient, an administrator shall ensure that:

1. There is a discharge summary that includes:

a. A description of the patient's medical condition and the medical services provided to the patient, and

b. The signature of the medical practitioner coordinating the patient's medical services;

2. There is a documented discharge order for the patient by a medical practitioner coordinating the patient's medical services before discharge unless the patient leaves the hospital against a medical staff member's advice;

3. If the patient is not being transferred:

a. There are documented discharge instructions; and

b. The patient or patient's representative and the patient's aftercare provider, if designated, is provided with a copy of the discharge instructions; and

4. If the patient is being transferred, the transfer complies with R9-10-211.

C. For an inpatient discharge or a transfer of an inpatient who was admitted after a suicide attempt or who exhibits suicidal ideation, an administrator shall ensure that the requirements in R9-10-225(B) are met as part of discharge planning.

D. Except as provided in subsection (E), an administrator shall ensure that an outpatient is discharged according to policies and procedures.

E. For a discharge of an outpatient receiving emergency services, an administrator shall ensure that:

1. A discharge order is documented by a medical practitioner who provided medical services to the patient before the patient is discharged , unless the patient leaves against a medical staff member's advice; and

2. Discharge instructions are documented and provided to the patient or patient's representative and the patient's aftercare provider, if designated before the patient is discharged, unless the patient leaves the hospital against a medical staff member's advice.

Ariz. Admin. Code § R9-10-209

New Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Amended by final rulemaking at 11 A.A.R. 536, effective March 5, 2005 (Supp. 05-1). Section R9-10-209 renumbered to R9-10-212; new Section R9-10-209 renumbered from R9-10-211and amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by final rulemaking at 26 A.A.R. 2797, effective 1/1/2021. Amended by exempt rulemaking at 27 A.A.R. 661, effective 5/1/2021.