Nursefriendly.com: Patient Dumping

Sunday, December 26, 2010

Guides help recovering patients find long-term care | The Salt Lake Tribune

An uncomfortable truth for anyone facing disability for a year or more: If you go into a nursing home, you might never get out.

Under patchwork Medicare provisions, says Utah Commission on Aging Director Maureen Henry, it is more convenient for hospitals to discharge patients to nursing homes than to figure out how they might live in their homes and communities.

But what looks like the easy solution can be costly. Nursing home bills may drive more people onto Medicaid, which costs taxpayers more, and the move can unnecessarily disrupt the community and impoverish the lives of patients, Henry says.

“You’re shifting residence; you’re shifting family structure out of the community and into the nursing facility,” she says.

Now, with the help of a $700,000 grant from the federal Administration on Aging, the Utah commission is linking hospital discharge staff with “options planners,” who help guide patients and their families through a complicated array of choices for extended care.

The way Medicare and Medicaid law works, people are guaranteed care in nursing homes. But there is no similar guarantee of coverage for care outside an institution, meaning family finances may limit the choices.

“People have the right to decide where and when they receive long-term care,” Henry says. “Our objective is to try to catch people before they are scrambling in a crisis, stop giving people the runaround.”

via sltrib.com

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Patient rights overlooked in nursing home evictions | courier-journal.com | The Courier-Journal

An investigation by The Indianapolis Star found numerous examples of what the state's ombudsman for long-term care calls “a major problem”: nursing homes evicting patients without regard for their rights.
In one case, an Auburn facility dumped a resident at an emergency room and refused to take him back, leaving him stranded at the hospital for three weeks until he could find another home. In another case, a Bedford home tried to evict a brain-damaged teenager who had no safe place to go.
The newspaper also found that the state almost never punishes nursing homes, even after it has been made aware that a facility is violating state and federal laws.
“I think if we had a better enforcement system or a more punitive enforcement system, people would quit” wrongly evicting residents, said long-term care ombudsman Arlene Franklin of the state's Family and Social Services Administration. “If there were a harsher penalty for that, they wouldn't do so many inappropriate discharges.”

via courier-journal.com