Medical Complexity
IF THE FACILITY IS CONCERNED ABOUT
According to the Medical and Scientific Advisory Council (MASAC) Document 289, if a person with a bleeding disorder is stable and has an established treatment protocol from a hematologist, the daily ongoing treatment of the condition is straightforward and not complex.
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“Our country’s national experts in bleeding disorders issued a national statement that if a person with a bleeding disorder is stable and has an established treatment protocol from a hematologist, the daily, ongoing management of the condition is straightforward and not complex, and should not be a reason for denying them access to treatment. My patient is medically stable and as long as you permit them to stay on their bleeding disorder medication while admitted, they are not actually medically complex, and their bleeding disorder should not be a reason for exclusion from care.”
“I am happy to send you the national recommendation from that National Bleeding Disorder Foundation’s Medical and Scientific Advisory Council (MASAC) approved October 2024 and walk you through it.”
“The Medical and Scientific Advisory Council (MASAC) to the National Bleeding Disorders Foundation has weighed in on this issue and clarified in Document 289 that a stable, well managed person with a BD should have access to any residential or inpatient behavioral health treatment facility. ‘The presence of an underlying bleeding disorder alone does not make a patient medically unfit or medically unstable and should not preclude them from admission to a mental health or a substance use disorder treatment facility.’”
Responding to Facility Concerns:
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