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<regulation prefix="Regulation" num=".39" citation="COMAR 10.07.02.39" title_num="10" subtitle_num="07" chapter_num="02" heading="Transfer Agreement.">
  <paragraph num="A.">
    <text>Written Agreement. A written agreement with at least one acute hospital shall be effected which shall provide for the following actions:</text>
    <paragraph num="(1)">
      <text>Planning to ensure that all services required for the continuity of resident care will be made available promptly;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Advance discussion with the resident regarding the reason for the transfer and any available alternatives;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Notification to the next of kin or responsible person regarding the anticipated transfer;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Interchange of medical and other information necessary in the care and treatment of residents transferred between facilities, including notification of the licensed pharmacist of resident transfer;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Safe and timely transportation and care of the resident during transfer;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Security and accountability for the resident’s personal effects;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Prompt readmission to the nursing home at the end of the hospital stay;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Annual review of transfer arrangements by a utilization review committee or other designated group to ensure that each party is fulfilling the needs of the residents, the providers, the hospital, and the nursing home;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>If needs are not being met, the administrator of the nursing home shall act on recommendations of the reviewing group to effect compliance;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Before licensure, the comprehensive care facility or the extended care facility shall submit to the Department a copy of the written agreement, signed by persons authorized to execute the agreement on behalf of the facilities;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Each facility shall maintain a signed copy of the agreement.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Facilities Under Common Control. If two facilities are under common control, a written agreement is not required; policies and procedures of both facilities shall provide assurance that §A(1)—(12) will be the practice of the facilities.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Human remains shall be transported pursuant to COMAR 10.29.21.</text>
  </paragraph>
</regulation>