A. The provider shall have written policies and procedures regarding the discharge or termination of individuals from the service. These policies and procedures shall include medical and clinical criteria for discharge.

B. Discharge instructions shall be provided in writing to the individual, the individual's authorized representative, and the successor provider, as applicable. Discharge instructions shall include, at a minimum, medications and dosages; names, telephone numbers, and addresses of any providers to whom the individual is referred; current medical issues or conditions; and the identity of the treating health care providers.

C. 제공자는 해당 개인의 예정된 퇴원일 전에 퇴원 계획에 명시된 모든 서비스 제공자에게 적절한 조치 또는 연결을 제공해야 합니다.

D. A provider of an inpatient or residential substance abuse (substance use disorder) treatment program shall prepare and record a valid discharge plan prior to discharge or withdrawal of any individual who has received substance use disorder treatment from the service. The discharge plan shall (i) identify, and describe the coordination by the provider with, public and private agencies or persons able to deliver any needed services; and (ii) provide care coordination with the individual’s payor to assist the individual in executing the discharge plan. Failure to prepare and record valid discharge plans in accordance with this section may result in issuance of a licensing report, reduction in license status, or sanctions enumerated in § 37.2-419 of the Code of Virginia, as deemed appropriate by the department.

D. E. The content of the discharge plan and the determination to discharge the individual shall be consistent with the ISP and the criteria for discharge.

E. F. The provider shall document in the individual's service record that the individual, the individual's authorized representative, and the individual's family members, as appropriate, have been involved in the discharge planning process.

F. G. A written discharge summary shall be completed within 30 days of discharge and shall include, at a minimum, the following:

1. 개인의 입소 및 퇴소 사유;

2. Description of the individual's or the individual's authorized representative's participation in discharge planning;

3. 개인의 현재 기능 수준 또는 기능 제한 사항(해당되는 경우);

4. 개인의 기능 유지 또는 개선 및 독립성 증진을 돕기 위해 권장되는 절차, 활동 또는 다른 전문가로의 소개;

5. 미래 서비스에 대한 현재 상태, 위치 및 준비 사항;

6. 개인이 ISP에 명시된 목표 및 목표 달성을 위해 이룬 진전과 서비스 제공 기간 중 발생한 주요 사건의 요약;

7. 퇴원일;

8. Discharge medications prescribed by the provider, if applicable;

9. 퇴원 요약서가 실제로 작성되거나 기록된 날짜; 및

10. 요약서를 작성한 사람의 서명.

지. H. This section does not apply to crisis services as crisis services shall comply with Part VIII of this chapter.