Access to care cases include those involving involuntary discharge, involuntary transfer, and failure to place.
Involuntary Discharge (IVD)
An involuntary discharge is a discharge initiated by the treating dialysis facility without the patient’s agreement.
- Preventing the Involuntary Discharge of Dialysis Patients Facility Guide and Checklist
- Decreasing Patient- Provider Conflict
- Voluntary Discharge Procedure
- Case Type Comparison Chart
- Assessing Patient and Provider Conflict-Breaking the Cycle
- Staff Safety with Violent Patients
- Verbal De-Escalation Techniques for Defusing or Talking Down an Explosive Situation
- Violence in the Dialysis Unit, Revisited
- Tips on Handling Unruly Dialysis Patients
- Involuntary Discharge from Dialysis: A Health Care Practice Like No Other
Involuntary Transfer (IVT)
An involuntary transfer occurs when the transferring facility temporarily or permanently closes due to a merger, or due to an emergency or disaster situation, or due to other circumstances, and the patient is dissatisfied with the transfer to another facility.
Failure to Place (F2P)
A failure to place is defined as a situation in which no outpatient dialysis facility can be located that will accept an ESRD patient for routine dialysis treatment.