MHA Policy Templates
Transitional Care Resources
MHA, Leading Age Missouri, Missouri Health Care Association and the Department of Health and Senior Services, have collaborated to develop the following tools to be used when transferring patients from one care facility to another. Using guidance from the CDC and CMS, these forms capture pertinent information related to a patient’s COVID-19 status to expedite transfers, keep health care staff safe and informed, and reduce inappropriate testing requests prior to acceptance.
These tools should be:
- completed by the health care team with the signature of the provider overseeing care
- provided to the facility as part of the inquiry for discharge placement
- used regardless of COVID-19 diagnosis while in the hospital
- provided to EMS
DHSS can provide direction if a facility is refusing to take back a patient after transferring that patient to the hospital; however, DHSS cannot require a facility to accept new admissions. A facility may refuse new admissions for a variety of reasons, including an internal event or upon direction from the department. Hospitals can contact Shelly Williamson, email@example.com
, or Tracy Niekamp, Tracy.Niekamp@health.mo.gov
, with concerns related to a specific facility, or call 573-526-8524.
Visitor & Volunteer Sample Policies
*For customizable hospital signage, see the PR & Media tab.