House
File
252
-
Introduced
HOUSE
FILE
252
BY
FORBES
A
BILL
FOR
An
Act
relating
to
improved
transitions
from
hospital
discharge
1
to
a
nursing
facility.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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252
Section
1.
Section
135C.14,
Code
2015,
is
amended
by
adding
1
the
following
new
subsection:
2
NEW
SUBSECTION
.
9.
Requirements
for
readmissions
of
3
residents
to
a
nursing
facility
following
an
inpatient
hospital
4
stay.
The
rules
shall
require
that
if
a
resident
is
discharged
5
from
a
nursing
facility
for
an
inpatient
hospital
stay,
upon
6
return
to
the
nursing
facility,
the
nursing
facility
staff
7
shall
do
all
of
the
following:
8
a.
Obtain
signed
copies
of
the
hospital
history
and
physical
9
discharge
summary,
which
may
consist
of
the
hospital
transfer
10
summary,
and
verify
the
content
of
the
summary
with
the
11
discharging
hospital.
12
b.
Contact
the
resident’s
attending
physician
to
review
and
13
reconcile
the
resident’s
hospital
orders
with
the
resident’s
14
previous
orders
including
those
relating
to
medications,
15
therapy,
and
dietary
needs
and
requirements.
Following
such
16
review,
the
resident’s
attending
physician
shall
sign
and
17
authorize
current
physician
orders
for
the
resident
and
the
18
nursing
facility
shall
administer
the
orders
as
directed.
19
c.
Include
a
descriptive
assessment
of
the
resident’s
20
condition
in
the
resident’s
clinical
record.
21
d.
Include
any
changes
in
diagnoses
in
the
resident’s
22
clinical
record.
23
e.
Complete
a
new
resident
assessment
instrument.
24
Additionally,
if
the
evaluation
of
the
resident
indicates
a
25
significant
change
which
appears
to
be
permanent,
the
nursing
26
facility
staff
shall
update
the
resident’s
comprehensive
care
27
plan.
28
EXPLANATION
29
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
30
the
explanation’s
substance
by
the
members
of
the
general
assembly.
31
This
bill
directs
the
department
of
inspections
and
appeals
32
to
adopt
rules
for
nursing
facilities
relating
to
requirements
33
for
readmission
of
residents
to
a
nursing
facility
following
34
an
inpatient
hospital
stay.
The
rules
are
to
require
that
35
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2
H.F.
252
if
a
resident
is
discharged
from
a
nursing
facility
for
an
1
inpatient
hospital
stay,
upon
return
to
the
nursing
facility,
2
the
nursing
facility
staff
shall:
obtain
signed
copies
of
3
the
hospital
history
and
physical
discharge
summary,
which
4
may
consist
of
the
hospital
transfer
summary,
and
verify
the
5
content
of
the
summary
with
the
discharging
hospital;
contact
6
the
resident’s
attending
physician
to
review
and
reconcile
the
7
resident’s
hospital
orders
with
the
resident’s
previous
orders
8
including
those
relating
to
medications,
therapy,
and
dietary
9
needs
and
requirements;
include
a
descriptive
assessment
of
10
the
resident’s
condition
in
the
resident’s
clinical
record
and
11
include
any
changes
in
diagnoses
in
such
record;
and
complete
12
a
new
resident
assessment
instrument.
Additionally,
if
the
13
evaluation
of
the
resident
indicates
a
significant
change
which
14
appears
to
be
permanent,
the
nursing
facility
staff
shall
15
update
the
resident’s
comprehensive
care
plan.
16
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