Objectives of the Presentation
- Discuss the CMS has published a worksheet on discharge planning
- Discuss that the IMPACT Act and the CMS proposed changes to discharge planning that will result in many changes for hospitals
- Recall that CMS has discharge planning standards that every hospital must follow
- Discuss when the discharge summary and discharge instructions will have to be provided to the primary care physician under the proposed rules
Why Should you Attend?
Discharge planning is not only important to ensure compliance with the CMS standards but also for reimbursement. Optimal discharge planning can help prevent unnecessary readmissions. Hospitals that have a higher readmission rate can be financially penalized. In fact, 2,597 hospitals forfeited $528 million in 2017.
The CMS rewrote all of the interpretive guidelines on the hospital discharge planning standards in July 19, 2013, to match what is in the current worksheet. The memo consolidated the prior 24 standards into 13. The CMS proposed changes to discharge planning include 5 things to include in the admission assessment, 5 data things to measure, 5 things that must be in the discharge instruction, changes to the discharge planning evaluation, and 21 things in the transfer form. The CMS memo includes new elements, such as 'blue boxes' that contain advisory practices recommended for improving patient outcomes, and a crosswalk between the prior tags and revised tags. Medical reconciliation has been added along with providing written information on side effects of medications.
According to the proposed changes, medical record information such as the discharge summary and discharge instruction sheet will need to be in the hands of the primary care physician (PCP) or other physician within 48 hours of discharge. In addition, the hospital will need to amend the discharge planning evaluation form, which must be done on all inpatients. Is your hospital familiar with the interpretive guidelines and the worksheet information?
Join this session with expert speaker Sue Dill Calloway, RN, MSN, JD, to learn about the final surveyor worksheet for assessing compliance with the CMS hospital Conditions of Participation (CoPs) for discharge planning. This session will discuss what has changed based on the IMPACT Act and the proposed discharge planning standards which are significant. You will learn what other important things CMS has in their final worksheet which addresses preventing hospital readmissions.
Sue will also cover the CMS hospital discharge planning standards. You will learn about what your hospital has to do to be in compliance with the discharge planning standards. CMS has published showing the number of deficiencies that hospitals have already received in the discharge planning standards and this data will be provided.
- CMS issues Discharge Planning memo issued
- Transmittal issued and into final manual
- IMPACT Act and the CMS Proposed Changes to discharge planning
- How this will impact the discharge planning worksheet
- CMS Deficiency Memo shows this is a problematic area
- Blue box or advisory boxes
- CMS crosswalk to old tags
- Discharge planning
- Discharge planning process
- Discharge planning P&P required
- Transition planning or community care transitions
- Reducing number of hospital readmission
- Causes of preventable readmissions
- Inpatients verses outpatients
- Four stage discharge planning process
- Discharge planning evaluation
- Identification of patients in need of discharge planning
- Discharge plan for every patients; optional or mandatory?
- Important four factors in discharge planning
- P&P must include criteria and screening process
- Identification at early stage for discharge planning
-48 hour rule
Sue Dill Calloway ,
Patient Safety and Healthcare Consulting and Education
Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a board member. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal, patient safety, and risk management issues and writes numerous publications.
Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other health care providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, emergency department patient safety and risk, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics. She is a leading expert in the country on CMS hospital CoPs issues and does over 250 educational programs per year. She was the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program.
- Discharge planners
- Transitional care nurses
- Chief nursing officer
- Compliance officer
- Chief operation officer
- Chief medical officers
- Chief executive officer
- PI director
- Health information director
- Billing office director
- Nurses with direct patient care
- Risk managers
- Regulatory officer
- Physician advisor
- UR nurses
- Joint Commission coordinator
- Nurse educators
- Staff nurses
- Nurse managers
- Patient safety officer
- Social workers
- Anyone involved with the discharge planning
- Personnel serving on a hospital committee to redesign the discharge process to prevent unnecessary readmissions