Case Management

Case Management Q&A

Case Management Weekly, May 23, 2012

Q. What is the appropriate response when a patient refuses discharge planning efforts?


A. Patients may refuse discharge planning efforts. Hospitals must ensure that patients receive proper post-hospital care within their authority pursuant to state licensing rules and within the limits of a patient’s right to refuse discharge planning services. The provider should document a patient’s decision to refuse discharge planning. Hospital policies should address this potential situation. Minimally, physicians should counsel their patients about potential adverse outcomes in the absence of a discharge plan for postacute care.


This week’s tip is adapted from Discharge Planning Guide: Tools for Compliance, Third Edition, published by HCPro, Inc.

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