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(d) “Hospital” has the meaning given in s. 50.33 (2).
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(e) “Incapacitated” has the meaning given in s. 50.94 (1) (b).
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(f) “Residence” means a dwelling that the patient considers to be his or her
17home. “Residence” does not include any rehabilitation facility, hospital, nursing
18home, assisted living facility, or group home licensed by the department.
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19(2) Caregiver designation. (a) A hospital shall provide a patient or, if
20applicable, a patient's legal guardian at least one opportunity to designate at least
21one caregiver no later than 24 hours following the patient's admission to a hospital
22and before the patient's discharge or transfer to another hospital or facility licensed
23by the department.
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(b) If a patient is unconscious or otherwise incapacitated upon admission to the
25hospital, the hospital shall provide the patient or, if applicable, the patient's legal
1guardian with an opportunity to designate a caregiver within 24 hours following the
2patient's recovery of his or her consciousness or capacity.
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(c) If a patient or a patient's legal guardian declines to designate a caregiver
4under this section, the hospital shall promptly document that information in the
5patient's medical record.
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(d) If a patient or the patient's legal guardian designates a caregiver under this
7section, the hospital shall promptly record the designation of the caregiver, the
8relationship of the caregiver to the patient, and the name, telephone number, and
9address of the caregiver in the patient's medical record.
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(e) Nothing in this section requires a patient or a patient's legal guardian to
11designate a caregiver.
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(f) A patient may elect to change a designated caregiver at any time. The
13hospital shall, within 24 hours, record in the patient's medical record any
14designation change and any new information required under par. (d).
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(g) Designation of a caregiver under the provisions of this section does not
16obligate any individual to perform aftercare assistance for the patient.
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17(3) Release of medical information. (a) If a patient or a patient's legal
18guardian designates an individual as a caregiver under this section, the hospital
19shall promptly request the written consent of the patient or the patient's legal
20guardian to release medical information to the patient's designated caregiver
21following the hospital's established procedures for releasing personal health
22information and in accordance with applicable federal and state law.
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(b) If a patient or the patient's legal guardian declines to consent to the release
24of medical information to the patient's designated caregiver, the hospital is not
1required to provide notice to the caregiver or provide information contained in the
2patient's discharge plan as required under subs. (4) and (5).
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3(4) Notification and instruction to designated caregiver. Subject to sub. (3),
4if a patient or a patient's legal guardian designates a caregiver under this section,
5a hospital shall do all of the following:
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(a) Notify the patient's designated caregiver of the patient's discharge or
7transfer to another hospital or facility licensed by the department as soon as possible,
8which may be after the patient's physician issues a discharge order, but not less than
94 hours before the patient's actual discharge or transfer to the other hospital or
10facility.
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(b) No less than 24 hours before a patient's discharge from a hospital, consult
12with the designated caregiver along with the patient regarding the caregiver's
13capabilities and limitations and issue a written discharge plan that describes a
14patient's aftercare assistance needs at the patient's residence.
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15(5) Discharge plan. (a) For purposes of this section, a hospital shall include
16in a discharge plan at least all of the following:
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1. The name and contact information of the caregiver designated under this
18section.
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2. A description of all aftercare assistance tasks necessary to maintain the
20patient's ability to reside at home, taking into account the capabilities of the
21caregiver.
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3. Contact information for any health care, community resources, and
23long-term services and supports necessary to successfully carry out the patient's
24discharge plan.
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1(b) A hospital issuing a discharge plan under this section shall provide
2caregivers with instruction in all aftercare assistance tasks described in the
3discharge plan, and must include at least all of the following:
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1. A live demonstration of the tasks performed by a hospital employee or
5individual with whom the hospital has a contractual relationship authorized to
6perform the aftercare assistance task, provided in a culturally competent manner
7and in accordance with the hospital's requirements to provide language access
8services under state and federal law.
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2. An opportunity for the caregiver and patient to ask questions about the
10aftercare assistance tasks.
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3. Answers to the caregiver's and patient's questions provided in a culturally
12competent manner and in accordance with the hospital's requirements to provide
13language access services under state and federal law.
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14(6) No interference with authorized decision making. Nothing in this section
15shall be construed to interfere with the rights of a person authorized by law to make
16health care decisions on behalf of a patient.
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17(7) No right of action. Nothing in this section shall be construed to create a
18private right of action against a hospital, a hospital employee, or any authorized
19agent of the hospital, or to otherwise supercede or replace existing rights or remedies.
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20Section
1061. 51.035 of the statutes is created to read:
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2151.035 Crisis response system; grants. (1) From the appropriation under
22s. 20.435 (5) (ch), the department shall award grants under this section to entities
23to provide a continuum of crisis response services, including mental health crisis
24urgent care and observation centers, crisis stabilization and inpatient psychiatric
25beds, and crisis stabilization facilities.
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1(2) From the appropriation under s. 20.435 (5) (ch), the department shall award
2no more than 5 grants to fund services at facilities providing crisis stabilization
3services, based on criteria established by the department.
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4Section
1062. 51.036 of the statutes is created to read: