Discharge Planning for Patients Presenting to the Emergency Department with a Behavioral Health Crisis Policy (UD)
PURPOSE
To provide safe discharge planning for patients presenting to the emergency room with a Behavioral Health crisis or are hospitalized for mental health treatment.
POLICY
Patients presenting in the emergency room and/or behavior health inpatient unit will be discharged in a safe manner that is in accordance with OR House Bill 3090, Oregon Laws 2017, chapter 272.
Requirements:
- The following procedures are to be used when discharging patients from an inpatient behavioral health unit and/or Emergency Department.
a. The patient will be encouraged to sign an authorization form and identify a lay caregiver (“discharge support person”) that may participate in the patient’s discharge planning.
b. The patient will be provided information on benefits of involving a lay caregiver (“discharge support person”), disclosing health information, and limits to the disclosure.
c. A patient risk assessment for suicidal ideation will be performed prior to discharge.
d. A long-term needs assessment will be performed prior to the patient’s discharge.
e. Care Coordination including transition to outpatient treatment that includes at least one of the following: community-based providers, peer support, lay caregiver (“discharge support person”), or others who can implement the plan of care
f. This policy, or summary of the policy, will be publicly available by posting to the hospital web site and a copy of this information will be provided to the patient at admission and at discharge.
g. In the emergency room: (Additional Requirements)
i. Same as 1.a thru 1.g
ii. A behavioral health assessment must be performed by a behavioral health clinician.
iii. If indicated by the patient risk assessment, the patient will not be discharged without a safety plan and lethal prevention counseling plan.
iv. A process for case management involvement in after care will be established and provided to the patient prior to discharge.
v. A process for including caring contacts to transition to outpatient services must be attempted within 48 hours of patient discharge. “Caring contacts” are defined as brief communications between the patient and a provider to successfully transition the patient to outpatient services. (Clinician, peer-support specialist, peer wellness, family support or youth support specialist certified by the Oregon Health Authority, Health Systems Division
1. Facilitated through a contract with a qualified community based behavioral health provider or through suicide prevention hotline.
2. May be through telemedicine or phone
3. Must be performed within 48 hours of discharge from an emergency room if a patient has a recent suicide attempt or current expression of suicidal ideation.
HELP:
For questions about this policy, or assistance with understanding your obligations under this policy, please contact the manager of Emergency Department and/or Behavioral Health Services.
DEFINITIONS
Patient: An individual receiving care at a PHD.
PeaceHealth Division (PHD): A medical center, clinic, operating unit, or operating division of PeaceHealth that maintains day-to-day management oversight of a designated portion of PeaceHealth System operations. PHDs may be based on a geographic market or dedication to a service line or business.
APPROVALS
Initial Approval: 11/20/2018
CNO UD 11/20/2018
CNO RB 11/20/2018
Nursing Director CG 11/20/2018
Nursing Director PH 11/20/2018
Map and Directions
Sign In