Your discharge is determined based on medical advice.
Whenever possible, it is anticipated and organized with you and your relatives. You may contact the department's head nurse for any further information.

However, you may leave the hospital against medical advice. In that case, you will be required to sign a document releasing the University Hospital (CHU) from any liability.

Upon your departure, please remember to go to the admissions office, bringing the individual discharge form provided by the medical secretary, in order to complete the administrative formalities:

• pay the daily hospital fee and any co-payment if they are your responsibility,

• obtain a hospitalization certificate stating the duration of your stay.

This certificate is essential for Social Security bodies, health insurance providers, and potentially your employer.

Transportation costs will be covered only with a medical prescription and upon presentation of the hospitalization certificate. If your health condition justifies it, the attending physician can issue a transportation certificate specifying the most appropriate means of transport for your condition: ambulance, light medical vehicle (VSL), taxi, or private car.

This medical certificate will allow you to obtain reimbursement from the health insurance fund or your mutual insurance. The choice of transporter is yours, and for guidance, you may contact the department’s head nurse and/or the admissions office.

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Source : ameli.fr

The necessary medical certificates and prescriptions for your follow-up care will be provided to you in your hospital ward by the medical secretary, the head nurse, or the nurse. Your primary care physician will be informed of your discharge. They will receive a letter containing the relevant information from your file to allow them to continue your monitoring.

If your health condition requires it, and/or if needed, a social worker can assist in organizing the formalities of your departure (return home or transfer to another facility).

Medical certificates, letters, and prescriptions necessary for follow-up care are given to you at discharge in the hospital ward. Your primary care physician will receive, by mail and/or email, a discharge summary including your post-hospitalization treatment to enable continued patient management.

If the patient’s health condition requires it, and/or if needed, a social worker can assist in organizing the discharge formalities.

Support After Hospitalization
The scheduling and follow-up of patients’ stays after hospitalization are given the utmost attention by the care teams. Medical, paramedical, and social staff will discuss a tailored discharge plan with the patient as soon as they are admitted, if the need arises.

• Post-hospital care (follow-up care and rehabilitation, home hospitalization, accommodation for the elderly, etc.)

For post-hospital care, patients will be asked to select several options for care facilities that correspond to the prescribed care. The first facility to accept the patient will be chosen for discharge. To prepare for admission to another facility, patient data are transmitted electronically using a referral software called ViaTrajectoire.

Medical and administrative information is handled by healthcare professionals with strict respect for medical confidentiality.

• Home Assistance

Setting up a home assistance plan may be considered. A meeting with the social services department can be offered.

• Home Hospitalization

Home hospitalization allows patients from the Puy-de-Dôme area to receive care at home provided by a multidisciplinary healthcare team capable of coordinating care. The Home Hospitalization Service (HAD) offers patients a team of paramedics (nurses, physiotherapists, psychologists, etc.) supervised by a coordinating physician responsible for the quality of care delivered. A head nurse organizes coordination among all involved parties with the help of a social worker who anticipates the social needs of vulnerable individuals. Referrals to HAD are also managed through the ViaTrajectoire software.

The goals of HAD are to avoid hospitalization or to allow patients already hospitalized in traditional care facilities to shorten their hospital stay. Patients eligible for HAD require intensive care regardless of age, which, without home hospitalization, would require traditional hospital care. Hospitalization costs are covered by the HAD, with no upfront payment required from the patient.