03. How do criteria differ for discharge destinations other than home?

a. HOMERuN institutions

While these depend on the criteria of the receiving facilities, some hospitals use the CDC criteria for removal of quarantine as the default, with the following additional themes: 1) when facilities are willing and able to accept patients with active COVID-19, then criteria resemble those of discharge to home or even earlier (e.g., still requiring supplemental oxygen), although some still required 3 days of no fever and 7-10 days since symptom onset; 2) other hospitals had much stricter criteria for discharge to skilled nursing facility (SNF) or long-term acute care (LTAC); and 3) some hospitals reserved their strictest criteria (e.g., two negative COVID-19 results) for patients being discharged to congregate settings such as group homes or for homeless patients, with the latter generally recommended for discharge to a respite facility, field hospital, or other facility. We recommend customizing these guidelines based on the capabilities and requirements of local facilities.