خانه فرم‌ها، قوانین و نشریات  قوانین و مقررات ترخیص انتقالی و امتناع از پذیرش مجدد واحد​​ 

انتقال ترخیص و امتناع از پذیرش مجدد​​ 

دفتر رسیدگی و استیناف اداری (OAHA) مسئول رسیدگی به درخواست‌های ساکنانی است که با انتقال یا ترخیص از مرکز پرستاری خود توسط مرکز مواجه می‌شوند یا مرکز پرستاری آنها از پذیرش مجدد ساکن پس از یک دوره بستری یا مرخصی درمانی خودداری کرده است.​​ 

درخواست تجدیدنظر انتقال یا ترخیص (TDA)​​ 

Under federal and state law, when a nursing facility initiates the transfer or discharge of a nursing home resident, the resident has established rights that must be addressed in order to ensure that the discharge is fair and appropriate.   An essential component to these rights is the right to request a hearing.  Only the resident or a resident’s authorized representative may request a transfer/discharge hearing.  Residents desiring a hearing should submit a request as soon as possible in order for a decision in the matter to be rendered before the proposed date of discharge.​​      

منابع​​ 

امتناع از پذیرش مجدد (RTR) تجدید نظر​​ 

Under federal and state law, when a resident is transferred to the hospital or approved for therapeutic leave, they have a right to return to the nursing facility after they are hospitalized or when the period of therapeutic leave has concluded.  When the resident is hospitalized and the nursing facility refuses to readmit the resident, the resident may request a hearing.  Only the resident or a resident’s authorized representative may request a RTR hearing.  Preferably, an RTR hearing request is submitted to OAHA while the resident is still hospitalized. OAHA conducts RTR hearings only for those residents who wish to return to their nursing facility.​​ 

منابع​​ 

جلسات TDA و RTR​​ 

OAHA’s hearing officers conduct the TDA and RTR hearings.  Generally, the hearing is held via telephone. The resident or his/her authorized representative must be present at the hearing.​​ 

The hearing officer controls the course of the proceedings, digitally records the hearing, and takes sworn testimony from participants who are in attendance.  The burden of proof is on the nursing facility to present evidence to support that its action is appropriate and in compliance with prevailing federal and state law.  The resident or his/her representative will have the opportunity to present testimony, including from witnesses that they compel to appear at the hearing.  Only testimony that is relevant to the action will be allowed, at the hearing officer’s discretion.   After conclusion of the hearing, the hearing officer writes the final administrative decision of the Department, known as a Decision & Order.  The Decision & Order will either “grant,” “deny,” or “dismiss” the residents’ appeal and outline the remedy that has been ordered. RTR hearings that are granted in favor of the resident will require the facility to submit a Certification of Compliance with the Department of Health Care Services.​​ 

منابع​​ 

درخواست استماع​​ 

هنگام ارسال درخواست استماع، یک نماینده OAHA از شما یک سری سوالات می پرسد.  برای جلوگیری از تأخیر غیرضروری، لطفاً اطلاعات زیر را قبل از درخواست خود در دسترس داشته باشید:​​ 

  • نام کامل و تاریخ تولد ساکنین آسیب دیده​​ 
  • The name of the resident’s nursing facility and address (if you have it)​​ 
  • نام بیمارستان در صورتی که رزیدنت در حال حاضر بستری باشد​​ 
  • If filing an appeal on behalf of a resident, be prepared to provide your contact information and information to demonstrate that you are authorized to make the hearing request. For example, the resident asked you to request the hearing on his or her behalf, or you have a Durable Power of Attorney for the resident’s health care.​​  
  • برای درخواست‌های TDA، ترجیحاً در زمان تماس، اخطار کتبی انتقال/تخلیه در دسترس باشد.  اگر SNF اخطار کتبی به شما ارائه نکرده است، از آنها بخواهید این کار را انجام دهند.​​  
  • برای درخواست‌های RTR، تاریخ انتقال خود از مرکز پرستاری به بیمارستان و تاریخ یا تاریخ‌هایی را که مرکز پرستاری از پذیرش مجدد شما خودداری کرد، ارائه کنید.​​ 

درخواست استماع زمانی تکمیل می شود که تمام اطلاعات لازم دریافت شود.  OAHA کتباً به ساکن و مرکز پرستاری از زمان، تاریخ و مکان جلسه اطلاع می دهد.​​        

To request a hearing, residents or their authorized representative can contact OAHA via telephone at (916) 445-9775, fax at (916) 440-5105, or email at OAHAefax@dhcs.ca.gov, or by using the OAHAE-Filing Portal (coming soon).​​