HospitalInspections.org

Based on review of facility documents, medical records (MR) and staff interviews (EMP), it was determined the facility failed to arrange for the initial implementation of the patient's discharge plan.

Findings include:

Review on February 14, 2017, of the facility's Administration policy for "Discharge Planning", dated, July 15, 2015, revealed "Purposes ... Develop with patients and their families/responsible party appropriate discharge care plans. Assist patients and their families in planning for the most appropriate environment needed to meet the patient's post hospital care needs ... Components ... 6. Plan Coordination and Implementation ... the social worker wll collaborate with the care coordination manager for discharge planning for complex cases ... 8. Monitoring of the discharge planning process by the Care Coordination Management/Social Work Department and/or Quality Assuarnce program ... Again, since the discharge planning is a dynamic process and since discharge planning is a multidisciplinary process, active monitoring of the process should be undertaken by the Care Coordination Management/Social Work Department and/or the hospital's quality assurance program. ...Responsibilities of Social Workers...5. Contact with community agencies to coordinate the implementation of the defined plan of care."

Review on February 14, 2017, of the facility's Care Coordination Management/Social Work "Discharge Planning Policy", dated August 18, 2015, revealed "Care Corrdination Management Procedure ... 9. Assure that the patient and or responsible party have received and understand patient's post discharge care needs prior to discharge."

Review of the medical record for (MR1) revealed he was brought to ER (Emergency Room) by EMS (Emergency Medical Services) on December 20, 2016, "for evaluation after sustaining a fall at home ... that occurred about 10:30 PM on December 19, 2016 ... he fell backwards and hit his head on the frame of the doorway."

Review on February 15, 2017 of "CM Discharge Assessment" for MR1 dated December 21, 2016, revealed, possible d/c (discharge) to SNF, possible Hospice.

Review on February 14, 2017 of "Care Coordination Manager Progress Notes" dated December 22, 2016, revealed " ... patient has been accepted for hospice care at Sunrise Dresher for admission 12/23...patient will need equipment (hospital bed, oxygen, wheelchair)...will contact 12/23 to arrange their RN liaison to evaluate and order equipment." Further review of MR1 revealed there was no documented evidence that the equipment that patient required was ordered prior to discharge.

Interview with EMP3, on February 15, 2017, at 2:32 PM confirmed there was no documented evidence that EMP5 contacted RN liaison on 12/23 to evaluate and order equipment that would be needed at facility patient was discharged to.