SB1157 Assisted Living Facility/Group Home Documentation
Arizona Senate Bill – SB1157 Patients Residing in Assisted Living/Group Homes
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
Tip Sheet: FirstNet ED Changes for Patients Residing in Assisted Living Facilities/Group Home - Arizona Senate Bill – SB1157 Overview: Arizona Senate Bill/Law – SB1157 requires hospitals to ensure Assisted Living Facilities (ALF) and Group Homes (GH) can care for patients coming from the hospital to their ALF/GH. Hospitals are required to provide hospital-visit-specific treatment and medication information upon discharge and provide a point of contact number for the ALF or GH for inquiries for 48 hours after discharge. Cerner changes have been made to provide appropriate documentation and maintain compliance for SB1157 ▪ Identify patients coming from and returning to ALFs and GHs for ED, Inpatient, Obs, OPIB, PACU (rare) ▪ Communicate with the ALFs and GHs to confirm post-discharge acceptance ▪ Assemble the required visit-related documentation at time of discharge ▪ Provide point of contact to receive post-discharge ALF and GH inquiry calls for each Banner Arizona hospitals for 48-hour post-discharge Read the entire Arizona Senate Bill 1157 here
Cerner changes will be implemented on January 2, 2024
ED RNs: New mandatory field added to ED Intake Forms – Adult and Peds. ED RN clicks Yes/No for “Patient resides in assisted living or group home”. This sets the pa tient’s living status to ALF/GH which fires an orange alert on LaunchPoint in room column.
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
ED RN continues to print at discharge: ➢ Patient Discharge Instructions/Depart AND ➢ Hospital Visit Summary Outpatient For all patients going to: ➢ ALF/GH (AZ only) ➢ Skilled Nursing Facility (SNF) ➢ Inpatient Rehab Facility (IRF) ➢ Long Term Acute Care Hospital (LTACH)
These documents will include the call back number monitored by Care Coordination to cover a 48-hour inquiry period for ALFs/GHs personnel to ask any questions or concerns about post-discharge treatment and medications. Both documents are provided to patient, representative, or transport.
ED Disposition System and Check Out – Assisted Living/Group Home
ED Providers: AZ ED Providers enter appropriate order “ED Discharge To Assisted Living/Group Home” for patients going to/returning to ALF/GH.
Selecting “ED Discharge to Home” will not trigger the 48 -hour phone number for callback, which puts Banner out of compliance.
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
NOTE: Patient education documentation (in FirstNet) will no longer generate the ED Discharge to Home order for the system.
If patient is designated ALF/GH and has “Discharge to Home” order, on -screen alert appears. The alert allows ordering provider to modify original “Discharge to Home” order and change to “Discharge to Assisted Living/Group Home”.
Care Coordination – 48 Hour Inquiry Line Care Coordination will monitor voicemail for callbacks from ALFs/GHs personnel that may be calling with questions or concerns about post-discharge treatment and medications. B e sure to click “Post - discharge follow up” beneath Narrative Note in Transitions Planning Ongoing Assessment.
For more details, read Arizona SB/Law 1157: Improving Patient Discharge Communication – Acute Care with Assisted Living/Group Home
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
Tip Sheet: Cerner Inpatient/Observation Changes for Patients Residing in Assisted Living Facilities/Group Home – Arizona Senate Bill – SB1157 Overview: Arizona Senate Bill/Law – SB1157 requires hospitals to ensure Assisted Living Facilities (ALF) and Group Homes (GH) can care for patients coming from the hospital to their ALF/GH. Hospitals are required to provide hospital-visit-specific treatment and medication information upon discharge and provide a point of contact number for the ALF or GH for inquiries for 48 hours after discharge. Cerner changes have been made to provide appropriate documentation and maintain compliance for SB1157 ▪ Identify patients coming from and returning to ALFs and GHs for ED, Inpatient, Obs, OPIB, PACU (rare) ▪ Communicate with the ALFs and GHs to confirm post-discharge acceptance ▪ Assemble the required visit-related documentation at time of discharge ▪ Provide point of contact to receive post-discharge ALF and GH inquiry calls for each Banner Arizona hospitals for 48-hour post-discharge Read the entire Arizona Senate Bill 1157 here
Cerner changes will be implemented on January 2, 2024
Acute RNs: A new mandatory field has been added to: ➢ Admission History Forms Adult, Adult OBS, Peds, Obstetric ➢ Behavioral Health Admission History Adult, Peds
When Acute RNs click Yes to “Patient resides in assisted living or group home” it creates a task to Care Coordination to complete Initial Assessment – see below under Care Coordination.
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
RNs will continue to print the Patient Discharge Instructions. These documents will automagically include the call back number to voice mail monitored by Care Coordination to cover a 48-hour inquiry period. Discharge instructions are provided to the patient, representative, or transport.
Depart also includes the call back number for Assisted Living Facilities or Group Homes.
Care Coordination: This bill establishes a standardized process for effective communication and seamless hand-offs to post-acute sites. When Assisted living/Group home is Yes, it generates a task on the Multi-Patient Task List (MPTL), Discharge Planner tab, to have a discussion with the ALF/GH regarding patient’s plan of care and eligibility to return to ALF/GH.
This provides ALF/GH time to assess ability to accept patient back. ▪
Document in Transition Planning Initial Assessment Form, in Home Environment, under Living Situation
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
▪ Utilize the Hospital Visit Summary, Dispositions Section, to select Assisted Living/Group home
48 Hour Inquiry Line: Care Coordination will monitor voicemail for callbacks from ALFs/GHs personnel that may be calling with questions or concerns about post-discharge treatment and medications . Be sure to click “Post - discharge follow up” beneath Narrative Note i n Transitions Planning Ongoing Assessment.
Acute Providers: AZ Providers need to select the appropriate “Discharge To Assisted Living/Group Home” order for patients going to/returning to ALFs and GHs.
Selecting “Discharge to Home” will not trigger the 48-hour phone number for callback on discharge instructions, which puts Banner out of compliance.
Single Discharge To order
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
Discharge Orders [pp]
If patient is designated ALF/GH and has “Discharge to Home” order, an on -screen alert appears. The alert allows o rdering provider to modify original “Discharge to Home” order and change to “Discharge to Assisted Living/Group Home”.
For more details, read Arizona SB/Law 1157: Improving Patient Discharge Communication – Acute Care with Assisted Living/Group Home
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
Tip Sheet Post Surgical Cerner Changes for Patients Residing in Assisted Living Facilities/Group Home - Arizona Senate Bill – SB1157 Overview: Arizona Senate Bill/Law – SB1157 requires hospitals to ensure Assisted Living Facilities (ALF) and Group Homes (GH) can care for patients coming from the hospital to their ALF/GH. Hospitals are required to provide hospital-visit-specific treatment and medication information upon discharge and provide a point of contact number for the ALF or GH for inquiries for 48 hours after discharge. Cerner changes have been made to provide appropriate documentation and maintain compliance for SB1157 ▪ Identify patients coming from and returning to ALFs and GHs for ED, Inpatient, OBS, OPIB, PACU (rare) ▪ Communicate with the ALFs and GHs to confirm post-discharge acceptance ▪ Assemble the required visit-related documentation at time of discharge ▪ Provide point of contact to receive post-discharge ALF and GH inquiry calls for each Banner Arizona hospitals for 48-hour post-discharge Read the entire Arizona Senate Bill 1157 here
Cerner changes will be implemented on January 2, 2024
Target Audience: Any RN in PACU, OB PACU, Endo PACU, or Pain Procedure who need to provide a Hospital Visit Summary for patients with a discharge destination to Assisted Living/Group Home. This only applies to patients that have come from the ED.
PACU documentation new reminder: Print Hospital Visit Summary if destination is Assisted Living/Group Home
Discharge Uplift Hospital Visit Summary: ▪ Go to the Discharge mPage then Discharge Forms component.
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
▪ Click on Hospital Visit Summary and Sign the form
▪ Click on the Documents component within the Discharge mPage ▪ Click on Hospital Visit Summary ▪ Click Print
Depart Process Hospital Visit Summary: ▪ Click on Depart Door ▪ Click on the Hospital Visit Summary and sign the form
▪
Print from Forms Browser
For more details, read Arizona SB/Law 1157: Improving Patient Discharge Communication – Acute Care with Assisted Living/Group Home
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IT CLINICAL APPLICATIONS EDUCATION MANAGEMENT TEAM | NEED HELP? CALL 602.747.4444 OPTION 3
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