Hello Michael,
I know when I’ve had similar obstacles, I make sure all communication is in writing and not phone calls because it gets shoved under the carpet. If things escalate and management is broken down, I usually file a grievance in the hospital or facility and if a family wants to go further I make them aware of CDPH grievances.
I also have filed a Medicare grievance due to an unsafe early discharge. Actually, I called them and the hospital denied they were going to discharge the patient when speaking with Medicare. Patient stayed the weekend until out of harms way.
You are doing an amazing job. You can consult with CDPH.
Also, if she has any type of disability or discrimination, you can consult with Disability Rights of California. And/or
Adult Protective Services consultation
I will have to educate myself on OPAT as I am unfamiliar. I have worked with people that have been discharged on IV antibiotics.
My last case took a few meetings with staff/management and physicians. Words get denied but paper trail confirming conversations after meetings is helpful.
If things get sticky, I always add welfare institution codes for facilities and hospitals into my correspondence to the facility.
Facilities that don’t do right do not want to paper trail. I’m not sure if any of this will help you, but I wish you well and they’re lucky to have you on their side. I’m in California so reach out if you need to
