Catalog Number : ngd1744
Title : Discharge Planning Standards and Worksheet
Speaker : Sue Dill

Webplay Recording Date : 7-22-2016
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:
This webinar will discuss the final surveyor worksheet for assessing compliance with the CMS hospital Conditions of Participation (CoPs) for discharge planning. This worksheet is used by State and Federal surveyors on all survey activity in hospitals assessing compliance with the discharge planning standards. The worksheet will be revised in 2017 to reflect the proposed discharged planning guidelines when finalized. This webinar will discuss what has changed based on the IMPACT Act and the proposed discharge planning standards which are significant.

Webinar Objectives:

• discuss that CMS has published a worksheet on discharge planning
• discuss that the IMPACT Act and the CMS proposed changes to discharge planning will result in many changes for hospitals
• recall that CMS has discharge planning standards that every hospital must follow
• discuss that one in every five Medicare patients is readmitted within 30 days of discharge and many suffer adverse events

Target Audience:

Discharge Planners, Transitional Care Nurses, Social Workers, Chief Nursing Officer, Compliance Officer, Chief Operation Officer, Chief Medical Officers, Physicians, all nurses with direct patient care, Risk Managers, Regulatory Officer, Physician Advisor, UR nurses, Joint Commission Coordinator, Nurse Educators, Chief Executive Officer, staff nurses, Nurse Managers, PI Director, Health Information Director, Billing Office Director, Patient Safety Officer, and anyone else involved with the discharge planning. Any person serving on a hospital committee to redesign the discharge process to prevent unnecessary readmissions should also attend.

A few of the topics to be discussed:

• 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
• Introduction
• 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
  • Patient transfers
• Discharge planning evaluation
  • Evaluation of likelihood of needing post hospital services
  • Self-care assessment
  • Screening verses evaluation
  • Evaluation requirements
  • Returns to the LTC facility
  • Developing collaborative partnerships with post hospital providers
  • Ability to pay out of pocket expenses must be discussed
  • Right to participate in the development of their plan of care
  • Interviews of patients to show awareness of right to request discharge planning
• RN, social worker or qualified person to develop evaluation
• Timely evaluation
• Discussion of evaluation with patient or individual acting on their behalf
• Discharge evaluation must be in the medical record
• Discharge plan
• Physician request for discharge planning
• Implementation of the patient’s discharge plan
• Reassessment of the discharge plan
• Freedom of choice for LTC or home health agencies
• Transfer or referral
• crosswalk

Discharge Planning Worksheet

• Completion of intake form; name, CCN number, deemed status
• Complete form in advance of survey
• Discharge planning policies for all inpatients
• Discharge planning for certain outpatients
• Preparation of discharge plan for all inpatients
• Discharge planning policy requirements
• Process to notify patients and doctors can request an evaluation
• Interview of patients and questions asked
• Interview questions for physicians
• Reassessment of the discharge plan
• Feedback process from post-acute hospital providers (LTC, home health)
• Criteria and screening process for discharge planning evaluations
• Qualified social workers and discharge planners
• Self-care evaluation
• Assessment of ADL
• Medical equipment for home
• Patient representative involvement
• Medication reconciliation
• Written and legible discharge instructions
• Referrals and transfers
• Readmissions within 30 days
• Any tests pending when patient discharged and process
• Changes for 2017

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.