<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".27" citation="COMAR 10.07.01.27" title_num="10" subtitle_num="07" chapter_num="01" heading="Discharge Planning Requirements.">
  <paragraph num="A.">
    <text>Discharge Options. A hospital may discharge a patient:</text>
    <paragraph num="(1)">
      <text>Entirely;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To another level of care, treatment, or services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>To different health care professionals; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>To settings for continued services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A hospital's process for transfer or discharge shall be based on a patient's assessed needs at the time of discharge.</text>
  </paragraph>
  <paragraph num="C.">
    <text>To facilitate discharge or transfer, the hospital shall:</text>
    <paragraph num="(1)">
      <text>Assess the patient's needs beginning at an early stage of the patient's hospitalization and as the patient's needs change throughout the hospitalization;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Develop plans for the patient's discharge or transfer with input, if appropriate, from the patient, the family, or other interested party;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Identify appropriately qualified staff, such as registered nurses or licensed social workers, who have the knowledge and experience necessary to determine what services or type of providers can best meet the patient's discharge needs;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Arrange or help to arrange for services needed to meet the patient's needs after discharge; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Provide the patient, or the provider who is responsible for providing continuing care to the patient, with written discharge instructions and other necessary medical information in a form the patient or provider can understand.</text>
    </paragraph>
  </paragraph>
</regulation>