Case Management

Case management Q&A

Case Management Weekly, September 19, 2012

Q. If a patient leaves against medical advice and the patient’s physician determines a need for post-acute care services, should a discharge planner make a referral for continuing care? 

A. Hospitals should implement a policy or procedure that addresses patients who voluntarily refuse medically recommended hospital treatment but who clearly need continuing or post-acute care services. 

Hospitals should consult legal counsel, the medical staff office, and the administrator who oversees the discharge planning process when implementing these policies and procedures. Clinicians who perform discharge planning, nurses, and social workers also should participate in the development of these policies and procedures. 

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

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