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Current Hospital Discharge Guidance for Long-Term Care Facilities - IHCA

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Current Hospital Discharge Guidance for Long-Term Care Facilities

Posted Dec 8, 20202 min Read

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On December 8, 2020, the Indiana Department of Health (IDH) updated the COVID-19 Guidance for Hospital Discharge to Long-Term Care Facilities.  This document was first developed during the first weeks of the pandemic to assist with communications between hospitals and LTC facilities regarding patient discharge.  While the document does not reference how admissions are to be treated upon arrival at LTC facilities, new admissions are required to be placed in 14-day quarantine in transmission based precautions due to likely exposure (See Unknown COVID-19 Status (Yellow) section of the IDH Infection Control Guidance).

The guidance slightly revises language for Category 4 transfers, removes outdated direction on testing, and includes the most current link for requesting an IDH Strike Team if testing assistance is needed.  Strike Team requests can now be made here.

As Indiana currently experiences widespread community outbreaks, recently ranking 2nd in the nation for hospitalizations per 1,000 people, hospitals are experiencing increasing pressures.  These pressures are expected to increase and last for many more weeks.  As you determine capabilities and resources to admit new residents, which is a decision each facility can make based on local circumstances, please refer to this document when discussing admissions to LTC from hospitals.  IHCA recommends that LTC facilities communicate the reasons why admissions may be limited or periodically stopped due to staffing shortages and/or space limitations due to cohorting procedures and when those limitations may be lifted.  Being clear about your facility’s limitations will help avoid confusion and misperception that LTC facilities are not following guidelines.