48 Pre-Discharge Notification of Right to Appeal

[NurseRotten]

In rounds an MD asked me for ideas on how our hospital can implement a process for notifying Medicare patients of thier right to appeal their upcoming discharge. We are struggling to get physicians on-board to provide us with notification of the anticipated discharge (48 hrs prior) and how we can insure that all the Medicare patients are notified.

What have you tried that made the process easy? Are the case managers responsible for the notifications or is the responsibility placed on the staff nurses?

[JR816, BSN, RN]

lol. we can't even get the doc's to pull labs from the computer. staff nurse responsibilty all the way. however, our facility is very good at keeping abreast of discharge planning.

[IngyRN]

In rounds an MD asked me for ideas on how our hospital can implement a process for notifying Medicare patients of thier right to appeal their upcoming discharge. We are struggling to get physicians on-board to provide us with notification of the anticipated discharge (48 hrs prior) and how we can insure that all the Medicare patients are notified.

What have you tried that made the process easy? Are the case managers responsible for the notifications or is the responsibility placed on the staff nurses?

Both. But primarily the case managers. Most of the units didnt even inservice the staff nurses.