Mich. Admin. Code R. 325.45169

Current through Vol. 24-22, December 15, 2024

Section R. 325.45169 - Proposed closure of a health facility or agency; notification; closure plan; patient referral package

Rule 169.

(1) At least 30 days prior to the proposed closure date, a licensee shall notify the department in writing and identify all of the following:

(a) The name and address of the health facility or agency.

(b) The proposed closure date.

(c) The patient census at the time of notification.

(d) The name, title, telephone number, and email address of the individual who is designated by the governing body to serve as the contact person for the closure process.

(2) The department may modify, at its discretion, requirements and timeframes set forth in this rule upon a showing of good cause and solely for the purposes of an involuntary or emergency closure. The department shall not modify any provision that will affect the safety and welfare of patients.

(3) A licensee shall submit a closure plan to the department. The licensee shall not initiate any closure activity until the department reviews and approves the closure plan. If the department disapproves a closure plan, the licensee will have the opportunity to correct and resubmit the plan for additional review.

(4) The closure plan must include all the following as applicable to the services offered:

(a) A timeline and system to discontinue admissions.

(b) A method to ensure adequate staffing throughout the closure process.

(c) Provisions for the maintenance, storage, and safekeeping of patient records and, if applicable, by including the name of the organization, the address, and the contact information where patient records will be stored, pursuant to sections 20175 and 20175a of the code, MCL 333.20175 and 333.20175a.

(d) Provisions for notifying all affected state, federal, and local governmental authorities of the proposed closure.

(e) The voluntary surrendering of any license and federal certification, including any de-licensure or transfer of licensed beds.

(f) The disposition of onsite drugs, biologicals, chemicals, and radioactive materials.

(g) Appropriate methods for labeling, safekeeping, and transferring patients belongings during relocation.

(h) A method to identify a new health facility or agency or other appropriate location for each patient that includes all of the following:

(i) Assessment of patient needs.

(ii) Determination regarding availability of bed space in local health facilities or agencies.

(iii) Provision of information to patients and families about other health facilities or agencies.

(iv) Evaluation of patient and family needs concerning geographic location, public transportation, and type of health facility or agency.

(5) At the time of discharge or transfer of a patient, the licensee shall prepare and deliver a referral package, in a secure manner, to each patient and individuals designated by the patient, and to a receiving facility, if applicable. The referral package must include, but is not limited to, all of the following:

(a) A current patient assessment, medical evaluation, and care plan.

(b) Medication and treatment records.

(c) Discharge summary, if the patient is being discharged.

Mich. Admin. Code R. 325.45169

2020 MR 4, Eff. 2/21/2020