Resumption of care

[teton1898]

Hi--

I work for a new home care company. I had a patient who was admitted to the hospital for a 23 hour observation. My boss is saying I need to discharge him and do a ROC. Is this correct? It sounds wrong to me.

[berube]

i always thought less than 24hrs no transfer oasis is completed therefore no ROC, just treated as a regular SN visit.

[KateRN1]

No. A ROC is only when the patient has been in the hospital for 24 hours. Under 24 is considered observation, not an admission. We have a visit category called "post hospitalization assessment" that we use when they've had an outpatient procedure or a less-than-24-hours stay.

[chenoaspirit, ASN, RN]

Nope, we dont do that either. An observation is not an admission so there is no need to do ROC.

Is this boss new? Is this a new HH agency? Maybe she doesnt know better?

[HmarieD]

There is a new reg in the State of Illinois for IL Medicaid patients, when they are admitted then a discharge and re-admit is now required. However, I think this only applies for an admission >23 hours.

[berube]

There is a new reg in the State of Illinois for IL Medicaid patients, when they are admitted then a discharge and re-admit is now required. However, I think this only applies for an admission >23 hours.

is this for medicaid skilled patient or medicaid personal care? just curious,,,as this is the way we handled our personal care side.

[HmarieD]

is this for medicaid skilled patient or medicaid personal care? just curious,,,as this is the way we handled our personal care side.

For skilled care.

[berube]

MORE PAPERWORK!!!!!! i imagine we will see this in other states, if not all, soon

[tabster224]

I live in CA (but the same thing went in Indiana and Arizona) We only do a resumption if the patient has been in the hospital for more than 23 hours. If the patient is admitted for 24 hours or more we do a transfer to inpatient, when they come out we do a resumption. They are not discharged just because of a hospital admission. Hope this helps.