Any creative discharge plans for patients with TPN?

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    I'm looking for creative discharge plans for patients with TPN who are ready to advance from an acute hospital setting. LTACH (Long Term Acute Care Hospital) and home with home health and an infusion company are what we usually see, but what about those patients who don't meet LTACH criteria and are unable to transition home? Have you been able to place them in SNFs? Is there another inpatient alternative? How about those patients without a payer source or the ones with coverage but do not quite meet the criteria for TPN? Is there any organization out there that helps fund TPN? What have you tried that worked...or didn't work...Thanks in advance.

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