Hospice care is available 24 hours a day, 7 days a week, and services continue without interruption if the patient care setting changes. If a patient transfers from one hospice program to another or from home care service to inpatient service (or vice versa), the service transferring care provides a written summary which includes information about: • Services being provided • Specific medical, psychosocial, spiritual, or other problems that require intervention or follow-up • Planned follow-up by an interdisciplinary team member from the service transferring care. A hospice patient should be discharged only in the following very specific circumstances: • Patient moves from the service area • Change in terminal status • Patient and family is unwilling to comply with the hospice plan of care and consistently acts in a way which compromises the hospice standards of care • Issues of patient safety cannot be resolved • Issues of staff safety cannot be resolved • Patient and family desire discharge |