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901 WEST BEN WHITE BLVD

AUSTIN, TX 78704

CONTRACTED SERVICES

Tag No.: A0083

Based on observation and a review of documentation, the governing body failed to be responsible for all services furnished in the hospital.

Findings were:

Review of facility policy CC-015 titled, "Discharge of the Patient from the Hospital " states, in part, " Once the physician ' s order for discharge is received, the patient ' s nurse or his/her designee will: ...13. Accompany or call for a volunteer to accompany the patient to the vehicle of transportation. 14. Assist the patient to transfer to the vehicle as needed. "

During the review of the clinical record for patient #1, documentation reveals that the discharge instructions, as well as warnings and medication instructions were provided and reviewed with the patient. Documentation states, " The patient was discharged home and unaccompanied at time of discharge. The patient left the Emergency Department ambulatory. "

The above was confirmed in an interview with the Director of Quality Outcomes Management on the afternoon of 4-2-12 in the facility conference room.