Action Plan_0512 Slideshows
1. Develop a policy for provider-patient termination that is made available to patients at the initiation of service.
Alternative Providers_0512 Slideshows
9. Provide names and contact information for suggested potential alternate providers.
Detailed Records_0512 Slideshows
2. Keep accurate and detailed documentation.
Patient discussion_0512 Slideshows
5. Explain to the patient that he or she is being terminated from care, and provide an explicit reason. Do not delegate this task; speak directly with the patient.
Legal advice_0512 Slideshow
4. Discuss the situation with a colleague, risk-management professional, or legal advisor.
Patient termination_0512 Slideshow
6. Inform clinic staff of the termination.
Certified letter_0512 Slideshow
7. Send a certified letter with return receipt to the patient and the insurance carrier stating the termination, and that care will be discontinued in thirty days’ time, noting the specific date.
Interim care_0512 Slideshows
8. Offer the patient interim care.
Transferring records_0512 Slideshows
10. Offer to transfer records when given written permission.
Prewithdrawal letter_0512 Slideshow
3. Consider sending a “pre-withdrawal letter” that gently expresses your concern about the patient
Have you ever wanted to fire a difficult patient? You know, those patients who fail to complete indicated tests, refuse necessary treatments, miss appointments, do not pay bills, are rude, unreasonably demanding, dissatisfied, dishonest, threatening, violent or litigious?
When the patient-provider relationship is unable to continue towards a therapeutic goal, termination may become an attractive option for both parties.There is no official guideline for terminating the NP/PA-patient relationship, but this 10-point plan can make the process easier.