Patients are discharged from the TCPC Program when any one or more of the following events occur:
The staff discusses possible discharge from the program in advance with the patient and family. Appropriate documentation is completed in the patient's chart including relevant actions and decisions leading to the patient's discharge from the program. Discharge plans delineate how services will be provided after the patient departs the TCPC Program.
If a patient terminates the program and subsequently re-enrolls, the patient's assessment and care plan will be updated or completed anew, as recommended by the TCPC physician.
For more information about the TriCentral Palliative Care Toolkit visit www.growthhouse.org/palliative/. All content is Copyright © 2002, 2003 by Richard D. Brumley, M.D. All rights reserved. No part of this toolkit may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without written permission from the publishers. This guide to developing home-based outpatient palliative care services was developed through a grant to the Kaiser Permanente TriCentral Service Area from The Project on Death In America. The Kaiser Permanente TriCentral Palliative Care Program is a Sustaining Member of the Inter-Institutional Collaborating Network On End-of-life Care (IICN) which links major organizations internationally.
