HospitalInspections.org

Based on review of documentation and interview, it was determined that the facility failed to provide for follow up care as ordered by the physician.

Findings were:

Facility policy entitled "Transition of Care Planning or Discharge" stated its purpose as to "Ensure effective transition of patients from hospital to health care practitioners, health care settings, and/or home, as their condition and care needs change, in a manner that provides for the continuation of safe quality care for patients in all settings.

Policy: Transition of care planning is to begin on admission, identifying patient transmission of care needs, and continues throughout the entire hospital stay. Patient will be discharged from the hospital per physician's order.

Procedure: The primary nurse will review HER for discharge order. Notify all consultants on the case of pending discharge. Contact Case Management if patient requires durable medical equipment and/or home health services immediately upon identification of need."

On 8/11/24, staff member # 5 (MD) wrote an order that read, "Discharge to home with home health." Patient # 1 never received home health services. This was confirmed in an interview with the Patient Safety officer on 10/1/2024.