keyglobeiollogoPhone (319) 626-2302

Catalog Number : ngd1793
Title : CMS Discharge Planning Standards and Worksheets
Speaker : Sue Dill

Duration : 90 minutes

Webplay Recording Date : 1-15-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

Imagine a CMS (Center for Medicare and Medicaid Services) surveyor who shows up at the hospital to do a CMS survey such as a validation survey. The surveyor pulls out the three worksheets to complete. The surveyor then goes through the checklist with the hospital. Imagine a hospital that is well prepared and has completed the three worksheets in advance and has all of the attachments prepared. This is a great way to impress the surveyors and not be surprised by the CMS surveyor's expectations. These new tools will promote a more in-depth but consistent approach to assessing hospital compliance.

Webinar Objectives:

  • Recall that CMS has three revised worksheets that include infection control, performance improvement, and discharge planning
  • Discuss that the work sheets contain a list of items that will be assessed during the on-site survey in order to determine compliance
  • Describe the recommendation that medical record information or the discharge summary should be in the hands of the primary care provider before the first post hospital visit
  • Describe that the surveyor will review documentation and interview hospital staff, patients, families, and support person and review the medical records to ensure compliance with the three worksheets

    • Target Audience:

    • It should be mandatory for the Infection Preventionist, Director of Social Work and Discharge Planning and the PI Director. Others who should attend include Compliance Officer, Chief Nursing Officer, Chief Medical Officer, Patient Safety Director, Nurse Educator, PI staff, Infection control committee, hospital leadership, nurse managers, nurses, physicians, Regulatory Director, Laundry Director, discharge planners, social workers, OR staff, Environmental Services Director, Joint Commission or accreditation director and staff, Chief Operating Officer, ICU and CCU nurses, respiratory therapists, CRNA, anesthesiologists, Director of Distribution, central supply staff, employee health nurse, and anyone else who is responsible to ensure that the CMS CoPs related to infection control, discharge planning and PI are met

    Webinar Agenda/Outline:

    • Discharge Planning
      • Completion of intake form; name, CCN number, deemed status
      • Complete form in advance of survey
      • Discharge planning policies for all inpatients and certain outpatients
      • 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
    • Infection Control
      • Infection preventionist identified and qualified
      • Infection control policies required (many)
      • Follows national recognized standards (CDC, APIC, etc.)
      • PI process
      • HAI reported thru PI
      • Training program and must include problems identified
      • Leadership involvement
      • Systems to prevent MDRO and correct antibiotic usage
        • Antibiotic orders include indications for use
        • Prompt for clinicians to review after 72 hours
        • Log of incidents (may rescind standard in 2012)
        • CAUTI, VAP, SSI, MRSA, D-DIFF, CLABSI are identified and new tracers on HAI
        • Process to identify present on admission or POA
        • HCP competency assessments
        • Identify and report and control infections
      • Module on hand hygiene
      • Injection practices and sharps safety
      • Environmental cleaning and disinfection
        • Disinfectants used correctly
        • High touch environmental surfaces
        • Reusable noncritical items (BP cuffs, pulse ox probes)
        • Single use devices
        • Laundry requirements
        • Policies and procedures required
      • Point of care devices (blood glucose monitors and INR monitors)
      • Sharps
      • Reprocessing non critical items
      • Single use devices
      • Urinary catheter tracer
      • Central venous catheter tracer
      • Protective environment (bone marrow patients)
      • Isolation contact precautions
      • Isolation droplet precautions
      • Isolation airborne precautions
      • Critical care module
        • Hand hygiene, sharps safety, injection safety, personal protection equipment, etc.)
      • Ventilator/respiratory therapy tracer
      • Spinal injection practices
      • Invasive procedure module
      • Infection control in the Operating Room
      • Hydrotherapy equipment
      • Infection control tool
      • Infection control questions to ask
      • Questions for employee health nurse in worksheet one
      • Questions for director of education in worksheet one
    • Quality Assessment and Performance Improvement (PI)
      • Indicators selected
      • Evidence quality indicator is related to outcomes
      • Scope of data collection
      • Collection methodology
      • Number of projects
      • Focus on severity, high volume, etc.
      • Interventions etc.

    Contact Hours:

    • Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339.
    • All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

    Completion of offering required prior to awarding certificate.

    Refund Policy:

    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.