Dear (Patient), You will recall that we discussed our physician-patient relationship in my office on (date of last visit or discussion). In this case some kind of disagreement may have occurred, but the discharge is usually mutual. What is a hospital discharge letter? Examples include welcome letters for new patients, patient discharge letters, letters about privacy protections, and letters notifying patients of pediatrician retirement . The letter must state that you will no longer provide care to the patient as of a date certain. Write a formal discharge letter to the patient. Doctors can use patient termination letters to discharge patients from the hospital. Drafting the Notification Letter The notification letter should be professional and nonconfrontational, and it should set a tone that aims to maintain the best possible relationship with the patient. 2. 4 Cost-Saving Tips to Control Medical Office Operating Expenses, Basic HIPAA Compliance Checklist for Any Private Practice. The DND explains the specific reasons for the discharge. Physician-Patient Relationship, Failure to follow practice rules or procedures, Failure to comply with your treatment plan, Failure to attempt to meet the expectations you set. †í£8è4Œ£p辌£dÄ4�ãpæ4 #€X , Ë4„ÈŞ:Àr˦2óòÇíBpC¦.Nºò4ᛸ;Ïc`ÈQ8Ê:ƒ+Â9ÓðËKŒCÈA ñ›ÃqäN� î4�ƒ`@1ͳİD‘à9 ã°Ò2/óÔø×¾’£µAA­üÙ?ôT&âÉnÈeVq(@2�´ğÏ2Œu5@9XCÊ9„hÙSÃ{ÄpÊ. Discharge Letter Example 2 Letter … Hospital discharge papers include the information of the patient and the doctor at the topmost part of the document. The date certain must be at least 30 days from the date of the letter. '—Íçôy›pmÇQ‰Ë5�¶§3›æÉ>ø�� `Ú5Œë؉4ÍCTùC”ü@M{�ø±izL¢X—/!Ë0š¡Ìàˆ:¯ã ŞƒBş1/ÃÖ2 ã¸Ü 1|J¿�@ò9�#Ò0Åï`dºÁ²ø赉€f†«ã®è³�kØ5(4‰ $á¸fÂáó Most discharge letters include a section thatsummarises the key information of the patient’s hospital stay in patient-friendly language, including investigation results, diagnoses, management and follow up. You may also offer to refill prescriptions during this period of time if you feel so inclined. Once you're admitted to hospital, your treatment plan, including details for discharge or transfer, will be developed and discussed with you. However, sometimes patients can be difficult to reach. If the issue is financial, is there any assistance or education you can provide to make payments easier for the patient? Dear [Patient Name], According to our records, Dr. [PhysicianLastName] is your assigned primary care physician (PCP). Send the letter via regular mail, and add the words “Address service requested” on the front of the envelope either below your address or above the patient’s address. When creating an official or organisation letter, discussion design as well as style is vital to earning a good first impression. You may want to include an authorization to release medical records form with the letter of termination. To have OMIC review your letter, please fax it to 415-771-1095 or email it to riskmanagement@omic.com. Some doctors prefer to send the letter by certified mail, but there is no legal requirement for doing that. The patient should immediately be aware of your letter’s purpose. I gave her the release letter personally, and she or he sitting within the waiting room steaming for the next twenty minutes. Once a decision has been made to discharge a patient from the p ractice, the practice will need to notify the patient of the termination in writing. The hospital discharge letter template here can be modified to suit your taste. A missed dental appointment letter is not all that different and from a no show letter to patients and it is usually addressed to a dental patient who did not attend a scheduled appointment and as a result may be referred to another dentist or incur a surcharge because of not cancelling the appointment prior to the allocated time slot. If you’ve done everything by the book, terminating your physician-patient relationship should go relatively smoothly (though it’s never easy). Seal the chart and indicate in the patient ledger t hat the patient has been discharged. A mortgage company will also issue a letter of discharge when the borrower has fully paid off their debt, releasing them from the obligation. Your patient is always entitled to receive a copy of his medical records. Although it’s never easy, there are times when terminating a patient from a medical practice is absolutely necessary. For example, if the patient is in the immediate postoperative stage or is in the process of a medical workup for a diagnosis, it is not advisable to end the relationship. The sample withdrawal from care letter (See sample letter “B” below) can be adapted by physicians to discharge a patient and permanently withdraw as the patient’s physician. So, in practice, sending the letter by regular mail and keeping a copy in your files is often the best approach. We are writing to inform you that effective [LetterSentDate] you will no longer be a patient of Dr. [PhysicianLastName]’s or [Practice Name]. Be sure to place a copy of the letter in the patient’s chart. Even physicians who thoroughly cover their bases may see professional, legal, and reputational consequences. The letter must state that you will no longer provide care to the patient as of a date certain. Once you’ve exhausted your options and checked all these boxes, termination is the next step. As a result… Don’t beat around the bush. Adequate reason for discharge should be given This is a good example of a very codeable discharge summary with a good patient history identifying any relevant co-morbidities . Write this type of letter to notify a patient that something is being terminated. ?k* Let the patient know that, up until the deadline you provide or until they find a new provider (whichever comes first), you WILL provide emergency care. hbspt.cta._relativeUrls=true;hbspt.cta.load(2623073, 'ab9578f5-2874-48a1-b024-685ceb781a7e', {}); Topics: Patients' preferences for letter receipt could be logged in their health records. A simple patient-directed letter delivered during a brief discussion improves patient understanding of their hospitalisation and post-discharge recommendations, which is otherwise limited. 20 Patient Discharge Letter Template Collection June 11, 2020 by diabetescured Assortment of patient discharge letter template that will flawlessly match your requirements. What’s the best way to send a letter of patient termination? A competent patient dismissal letter informs the patient … Here are some tips for writing a patient termination letter for non-compliance. Practice Management, The discharge form can be used as a proof in your working area to show that you were ill so were unable to attend the office. Check your state’s laws for more specific requirements - the state of Texas only requires “reasonable” notice. I rarely discharge patients, around 4-6 yearly, usually for noncompliance or high bills. Keep in mind that a certified letter has to be signed for and, in some cases, the person receiving a certified letter has to go to the post office to get it. ¶ÚıÎï@ ŞÆ Øù²GªGsSmõ¬grÊmf+¼¯+˜ÜGÊa9ş? A discharge letter, or transfer letter, is one of the most important forms of written communication in healthcare. Many people do ignore certified mail, and technically never “receive” it. Patients have a right to either get a copy of their medical records directly from you, or to have you transfer them to their new provider. Examples of these circumstances include the following: 1. “You were admitted to hospital because of worsening shortness of breath and swelling of your ankles. A few situations, however, may require additional steps or a delay or even prohibit patient dismissal. 2. If the issue is procedural, are there any internal practice operations that could be interfering with patients making/keeping appointments? Discharge of each patient must be determined by the physician on an individual basis and based on reasonable documentation in the medical record. The letter should be printed on officeletterhead and sent by first-classmail and by certifiedmail with a return receipt requested. Your letter should explicitly mention “This is to notify you that you are being discharged from our medical practice.” The patient should immediately be aware of your letter’s purpose. It provides critical patient information and is key to seamless patient care. Most patients value receiving copies of hospital discharge letters, and should be consistently offered them. A bad patient dismissal letter neglects to mention medical records. But doctors aren’t the only people who can use free termination letters. This is often given to the patient at discharge or posted out to the patient’s home: 1. Payment Related Letters Template letters notifying fami lies about a practice’s financial policies, outstanding balances, questions about bills, co-payments, etc. What Patients Expect to See in a Notification Letter Summary Results from Patient Notification Focus Groups (Schneider et al, J Patient Saf 2013:9;8-12 external icon).This summary summarizes information patients expect to see in a letter, their key concerns, the appropriate tone for the letter, and the amount of information to include. You must give the patient at least 30 days from the date of the letter to call you for an emergency in order to avoid charges of abandonment. Provide the reason (s) for the discharge. Document any and all alternative steps taken prior to termination, Keep your letter of termination concise & factual, Make a copy of the letter for your records, 9101 LBJ Freeway, Suite 710  Dallas, TX  75243 | (972) 792-5700 |, How to Write a Patient Termination Letter Due to Non-Compliance. Always send a copy of this certified, return receipt requested and normal mail. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients’ safety. A hospital discharge letter is a brief medical summary of your hospital admission and the treatment you received whilst in hospital.It is usually written by one of the ward doctors. Many of those instances involve non-compliance, which can take the form of: If this sounds like one of your patients, it may be time to part ways. Review internal processes before terminating the patient. … A patient discharge form includes all the details relating to a patient’s history during his/her course of stay at the hospital. You are required by law to notify the patient in writing of the termination. Letters of discharge are also common in the healthcare industry when a patient changes their physician. Explain the discharge is due to the patient’s failure to comply - with your treatment plan, office regulations, operations, or other grievance. To Patient Termination Letter. This is similar to giving an eviction notice. Operations, You should be able to get a copy from the ward manager or the hospital's Patient Advice and Liaison Service (PALS). Department in which the patient was admitted and treated is also mentioned after the diagnosis is mentioned in bold and prominent ways. We performed a number of tests which revealed that your heart wasn’t pumping as effectively as it should have been. Give a clear, documented warning with consequences explicitly outlined. You CANNOT fire a patient effective immediately. For example, if you are a medical office, you might write this letter to a patient to inform him or her that you will be terminating your doctor-patient relationship with him or her. Before proceeding with termination, we ALWAYS recommend exploring alternative options and communicating with the patient, for the benefit of your practice AND your patients. Transitions of care or episodic care management requires following up with patients after they've been discharged from the hospital, a skilled nursing facility, in-patient rehabilitation facility, etc. The letter should clearly explain the reasoning for the dismissal as well as include a timeline for continued care; typically, 30 days for emergency issues only. The essence is that you can easily check the information saved in the PDF document to ensure a patient can be discharged. Notice of your decision to terminate your relationship with the patient should be given in the form of a letter, sent by both certified mail, return receipt requested, and regular mail with a copy of the letter placed in the patient’s chart. ‹ › The following points should be taken into consideration for issuing disccharge letter: 1. Send the letter by certified mail and request a return receipt, which is evidence the addressee received the letter. Attempt to understand WHY the patient is non-compliant. Discharge letter or employee termination letter is written to inform the employee that his or her employment is terminated. These reasons should be presented factually and objectively. Note: Depending on your geographical area and the number of physicians available, or whether you are in a specialty practice that may make it difficult for the patient to find another doctor, you might want to give the patient more time. If the patient is in an acute phase of treatment, delay ending the relationship until the acute phase has passed. Parents and colleagues to sick patients can write a termination letter to a healthcare requesting that their patient be discharged immediately. to their home, rest home, or assisted living facility. Even if the patient has an outstanding bill, never hold medical records hostage. So, start by running through this list: Make sure to document alternative steps you’ve taken to avoid terminating the patient. u niform patient discharge. Further evaluation of this brief and well-received intervention is indicated, with the goal of improving patien … When the physician decides to dismiss a patient, the patient should be notifiedin writing. If the patient refuses the certified letter place it unopened in the chart with the seal intact. To enable positive outcomes letters should have a clear and accessible format that reflects the priorities an … letteris a formal notice of dismissal or discharge given to a physician’s subject Hospital discharge letter. Does the patient understand their behavior is creating an issue? Another note is the fact even if you are true only specialist around, you’ll probably still discharge an unhealthy patient. Being discharged from hospital Each hospital has its own discharge policy. A Detailed Notice of Discharge (DND) is given only if a beneficiary requests an appeal. The date certain must be at least 30 days from the date of the letter. Terminating a patient is a serious decision that comes with ethical and legal risk. Otherwise, you may still have an obligation to provide care. Discharge and referral are the most common types of OET letters for doctors and nurses so it makes sense for you to practice writing them well beforehand. Develop a Discharge Letter – Once it has been deemed that the patient will be dismissed from the practice, they should be notified of their dismissal in writing. Write a Formal Discharge Letter You are required by law to notify the patient in writing of the termination. ALSO NOTE: If the patient has not requested termination of care, you MUST provide an official notice of termination. Explain the discharge is due to the patient’s failure to comply - with your treatment plan, office regulations, operations, or other grievance.