ການຍົກຍ້າຍແລະການປະຕິເສດກັບຫນ່ວຍ Readmit
ຫ້ອງການໄຕ່ສວນແລະການອຸທອນທາງບໍລິຫານ (OAHA) ຮັບຜິດຊອບໃນການພິຈາລະນາຄໍາອຸທອນຂອງຜູ້ຢູ່ອາໄສທີ່ປະເຊີນກັບການຍົກຍ້າຍຫຼືອອກຈາກສະຖານທີ່ພະຍາບານຂອງພວກເຂົາ, ຫຼືສະຖານທີ່ພະຍາບານໄດ້ປະຕິເສດການອ່ານຜູ້ຢູ່ອາໄສຫຼັງຈາກໄລຍະເວລາຂອງການເຂົ້າໂຮງຫມໍຫຼືການພັກຜ່ອນການປິ່ນປົວ.
ການອຸທອນການຍົກຍ້າຍ ຫຼືການຖອນຕົວ (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.
ຊັບພະຍາກອນ
- 42 ລະຫັດຂອງລະບຽບການຂອງລັດຖະບານກາງພາກສ່ວນ 483.15 – ສິດເຂົ້າ, ການຍົກຍ້າຍແລະການປ່ອຍສິດ
- 42 ລະຫັດຂອງລະບຽບການຂອງລັດຖະບານກາງ ພາກທີ 483.21(c) – ການວາງແຜນການປ່ອຍ
- California Code of Regulations, title 22, section 72527 – Patients’ Rights
- Directory of Local Ombudsman Programs
ການປະຕິເສດຕໍ່ການອຸທອນ Readmit (RTR).
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.
ຊັບພະຍາກອນ
- 42 ລະຫັດຂອງລະບຽບການຂອງລັດຖະບານກາງພາກສ່ວນ 483.15 – ສິດເຂົ້າ, ການຍົກຍ້າຍແລະການປ່ອຍສິດ
- 42 ລະຫັດຂອງລະບຽບການຂອງລັດຖະບານກາງ ພາກທີ 483.21(c) – ການວາງແຜນການປ່ອຍ
- California Code of Regulations, title 22, section 72520 – Bed Hold
- California Code of Regulations, title 22, section 72527 – Patients’ Rights
- ລະຫັດສຸຂະພາບ ແລະຄວາມປອດໄພຂອງລັດຄາລິຟໍເນຍ ພາກ 1599.1
- Directory of Local Ombudsman Programs
TDA ແລະ RTR ໄຕ່ສວນ
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.
ຊັບພະຍາກອນ
- 42 Code of Federal Regulations (CFR), Section 431. Subpart E – Fair Hearings for Applicants and Recipients
- 42 ລະຫັດຂອງລະບຽບການຂອງລັດຖະບານກາງພາກສ່ວນ 435.923 – ຜູ້ຕາງຫນ້າທີ່ມີອໍານາດ
- ການຢັ້ງຢືນການປະຕິບັດຕາມ
ຮ້ອງຂໍການໄຕ່ສວນ
ເມື່ອສົ່ງຄໍາຮ້ອງຂໍການໄຕ່ສວນ, ຜູ້ຕາງຫນ້າ OAHA ຈະຖາມທ່ານຫຼາຍໆຄໍາຖາມ. ເພື່ອຫຼີກເວັ້ນການຊັກຊ້າທີ່ບໍ່ຈໍາເປັນ, ກະລຸນາມີຂໍ້ມູນຕໍ່ໄປນີ້ກ່ອນການຮ້ອງຂໍຂອງທ່ານ:
- ຊື່ເຕັມ ແລະວັນເດືອນປີເກີດຂອງຜູ້ໄດ້ຮັບຜົນກະທົບ
- The name of the resident’s nursing facility and address (if you have it)
- ຊື່ໂຮງໝໍ ຖ້າຜູ້ຢູ່ເປັນຄົນເຈັບໃນຂະນະນີ້
- 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.
- ສໍາລັບການຮ້ອງຂໍ TDA, ມັນດີກວ່າທີ່ຈະມີຫນັງສືແຈ້ງການກ່ຽວກັບການໂອນ / ການໄຫຼອອກມີຢູ່ໃນເວລາທີ່ທ່ານໂທຫາ. ຖ້າ SNF ບໍ່ໄດ້ແຈ້ງໃຫ້ເຈົ້າຮູ້ເປັນລາຍລັກອັກສອນ, ຂໍໃຫ້ເຂົາເຈົ້າເຮັດແນວນັ້ນ.
- ສຳລັບການຮ້ອງຂໍ RTR, ໃຫ້ລະບຸວັນທີຂອງການໂອນເຈົ້າຈາກສະຖານພະຍາບານໄປໂຮງໝໍ ແລະວັນທີທີ່ສະຖານພະຍາບານປະຕິເສດບໍ່ຮັບທ່ານ.
ການຮ້ອງຂໍການໄຕ່ສວນແມ່ນສໍາເລັດເມື່ອໄດ້ຮັບຂໍ້ມູນທີ່ຈໍາເປັນທັງຫມົດ. OAHA ຈະແຈ້ງໃຫ້ຜູ້ຢູ່ອາໄສ ແລະສະຖານທີ່ພະຍາບານເປັນລາຍລັກອັກສອນກ່ຽວກັບເວລາ, ວັນທີ, ແລະສະຖານທີ່ຂອງການໄຕ່ສວນ.
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).