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. 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. So, in practice, sending the letter by regular mail and keeping a copy in your files is often the best approach. Doctors can use patient termination letters to discharge patients from the hospital. A simple patient-directed letter delivered during a brief discussion improves patient understanding of their hospitalisation and post-discharge recommendations, which is otherwise limited. letteris a formal notice of dismissal or discharge given to a physician’s subject hbspt.cta._relativeUrls=true;hbspt.cta.load(2623073, 'ab9578f5-2874-48a1-b024-685ceb781a7e', {}); Topics: 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. Although it’s never easy, there are times when terminating a patient from a medical practice is absolutely necessary. If you’ve done everything by the book, terminating your physician-patient relationship should go relatively smoothly (though it’s never easy). 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. Practice Management, Even physicians who thoroughly cover their bases may see professional, legal, and reputational consequences. 2. A Detailed Notice of Discharge (DND) is given only if a beneficiary requests an appeal. Examples include welcome letters for new patients, patient discharge letters, letters about privacy protections, and letters notifying patients of pediatrician retirement . Discharge letter or employee termination letter is written to inform the employee that his or her employment is terminated. Check your state’s laws for more specific requirements - the state of Texas only requires “reasonable” notice. 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. 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. 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. So, start by running through this list: Make sure to document alternative steps you’ve taken to avoid terminating the patient. 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. What’s the best way to send a letter of patient termination? 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. You CANNOT fire a patient effective immediately. Before proceeding with termination, we ALWAYS recommend exploring alternative options and communicating with the patient, for the benefit of your practice AND your patients. Dear (Patient), You will recall that we discussed our physician-patient relationship in my office on (date of last visit or discussion). Provide the reason (s) for the discharge. Write a Formal Discharge Letter You are required by law to notify the patient in writing of the termination. The following points should be taken into consideration for issuing disccharge letter: 1. Your patient is always entitled to receive a copy of his medical records. A bad patient dismissal letter neglects to mention medical records. Patients' preferences for letter receipt could be logged in their health records. Here are some tips for writing a patient termination letter for non-compliance. Being discharged from hospital Each hospital has its own discharge policy. '—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 To enable positive outcomes letters should have a clear and accessible format that reflects the priorities an … Even if the patient has an outstanding bill, never hold medical records hostage. … Further evaluation of this brief and well-received intervention is indicated, with the goal of improving patien … ‹ › Discharge Letter Example 2 Letter … 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. You may want to include an authorization to release medical records form with the letter of termination. u niform patient discharge. Some doctors prefer to send the letter by certified mail, but there is no legal requirement for doing that. Hospital discharge papers include the information of the patient and the doctor at the topmost part of the document. Once you’ve exhausted your options and checked all these boxes, termination is the next step. But doctors aren’t the only people who can use free termination letters. Give a clear, documented warning with consequences explicitly outlined. 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. If the issue is procedural, are there any internal practice operations that could be interfering with patients making/keeping appointments? A few situations, however, may require additional steps or a delay or even prohibit patient dismissal. 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. Send the letter by certified mail and request a return receipt, which is evidence the addressee received the letter. 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. Attempt to understand WHY the patient is non-compliant. Be sure to place a copy of the letter in the patient’s chart. 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. Another note is the fact even if you are true only specialist around, you’ll probably still discharge an unhealthy patient. Letters of discharge are also common in the healthcare industry when a patient changes their physician. Once you're admitted to hospital, your treatment plan, including details for discharge or transfer, will be developed and discussed with you. Department in which the patient was admitted and treated is also mentioned after the diagnosis is mentioned in bold and prominent ways. It provides critical patient information and is key to seamless patient care. Otherwise, you may still have an obligation to provide care. To have OMIC review your letter, please fax it to 415-771-1095 or email it to riskmanagement@omic.com. 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. What is a hospital discharge letter? 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. Seal the chart and indicate in the patient ledger t hat the patient has been discharged. Terminating a patient is a serious decision that comes with ethical and legal risk. Most patients value receiving copies of hospital discharge letters, and should be consistently offered them. You are required by law to notify the patient in writing of the termination. If the patient refuses the certified letter place it unopened in the chart with the seal intact. Does the patient understand their behavior is creating an issue? 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. Discharge of each patient must be determined by the physician on an individual basis and based on reasonable documentation in the medical record. We are writing to inform you that effective [LetterSentDate] you will no longer be a patient of Dr. [PhysicianLastName]’s or [Practice Name]. Hospital discharge letter. “You were admitted to hospital because of worsening shortness of breath and swelling of your ankles. To Patient Termination Letter. Don’t beat around the bush. Examples of these circumstances include the following: 1. ¶ÚıÎï@ ŞÆ Øù²GªGsSmõ¬grÊmf+¼¯+˜ÜGÊa9ş? This is a good example of a very codeable discharge summary with a good patient history identifying any relevant co-morbidities . A discharge letter, or transfer letter, is one of the most important forms of written communication in healthcare. Explain the discharge is due to the patient’s failure to comply - with your treatment plan, office regulations, operations, or other grievance. 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