Involuntary Discharge Checklist 1 – Does Resident Want to Return to NH? Advocacy Notes Ask resident at time of admission if s/he wants to return to the NH If YES, go to (2) If NO, start own discharge planning process, discuss options & preferences with resident Resources 2 – Is There a Bed Hold Notice? Advocacy Notes Review Bed Hold Notice sent with resident upon transfer to hospital ASAP to identify any problems now If HOLDING bed, call NH & state resident plans to return post-hospitalization to same bed If NO bed hold notice, assist resident in obtaining copy of notice from NH If NH refuses to issue a bed hold notice, contact the LTC Ombudsman Resources Supplement: Page 7 Appendices C and D Website: http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_164542 OOLTC: 1-800-657-3591 Bed Hold defines who pays for resident bed at NH while hospitalized Must be in writing Should be signed by resident or legal representative Should be included in transfer paperwork from NH LTC Ombudsman can help 3 – Speak to Administrator Advocacy Notes Relay resident’s request to return to NH If Administrator refuses to allow resident to return, ask if a proper Notice of Involuntary Discharge has been issued and effective date Resources Supplement: Page 6 Appendices B and E Usually 30 day notice is required but exceptions exist (see Supplement) Must be in writing and has specific legal requirements 30 days to appeal the discharge notice to MDH