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2017 CMS Proposed Changes to the Discharge Planning Standards and the IMPACT Act
IMPACT Act
- Federal law
- History and reason for law
- Four options for post-acute providers (PAC) which include home health, SNF, inpatient rehab and LTC hospitals
- Determining most appropriate setting
- Requirement to measure five things including functional status and changes, skin integrity and changes, medication reconciliation etc.
- Standardized assessment and five requirements
- Use of common standards and definitions
- Resource use measures
Proposed Changes to the CMS Discharge Planning CoPs
- History
- Discharge planning worksheet
- Prevention of hospital readmissions
- Relationship to IMPACT Act
- Focus on patient goals and preferences
- Discharge plan
- Applies to inpatients, ED, observation and same day surgery patients
- Identification of discharge needs must be done with 24 hours
- Qualified person to coordinate discharge needs evaluation
- Ability to do self-care
- Transfer form new requirements
- Redrafting the discharge planning evaluation form to include new requirements
- 5 requirements of discharge instructions
- Medication reconciliation
- Notification of side effects of medications
- Discharge summary to provider within 48 hours
Overview of the webinar
This program will discuss two issues that are of extreme importance to all hospitals including critical access hospitals. It relates to a federal law that has been passed called the IMPACT Act. The second topic to be covered is the CMS hospital proposed changes to the discharge planning standards.
These will result in more work for hospitals and hospitals need to start thinking about how they will comply with these such as rewriting the transfer form, collection of five new data elements, changes to the discharge evaluation form to collect five required five required standardized assessment elements. It will require five things to be included in all discharge instructions. CMS will require medication reconciliation upon discharge and information on side effects of new medication must be provided. This will affect not only hospitals but home health agencies, inpatient rehab, SNF and LTC hospitals. Discharge instructions and discharge summaries will be required to be sent to the physicians within 48 hours.
Who should attend?
- Discharge Planner
- Transitional Care Nurse
- Social Workers
- Chief Nursing Officer (CNO)
- Compliance Officer
- Chief Operation Officer
- Chief Medical Officer
- Physician
- All Nurses with direct patient care
- Risk Manager
- Regulatory Officer
- Physician Advisor
- UR Nurses
- Joint Commission Coordinator
- Nurse Educator
- Chief Executive Officer
- Staff Nurses
- Physicians
- Nurse Manager
- PI Director
- Health Information Director
- Billing Office Director
- Patient Safety Officer
- Anyone else involved with the discharge planning
- Any person serving on a hospital committee to redesign the discharge process to prevent unnecessary readmissions
Why should you attend?
- Why the IMPACT Act was passed
- Reporting of Quality Measures for Long-term care, SNF, inpatient rehab & home health
- 2016 CMS Discharge Planning proposed changes
- Who does the hospital discharge planning process apply to
- 8 things to consider in evaluating the patient’s discharge needs
- RARE: Reducing Avoidable Readmissions
- AHRQ Resources on hospital discharge and reducing readmissions
- What’s in your discharge planning P&P
- The 5 things that you can’t miss in the discharge instructions
- What are the many things now required to be included in the transfer form
- Identify that the discharge summary and instructions will need to be sent to the primary care practítioner within 48 hours of discharge
- Five things that must be in the standardized assessment form as required by the federal IMPACT law
- Patient transfers and the 21 things you need to know
- Care transition tools
- Written discharge instructions
Faculty - Ms.Sue Dill Calloway
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 healthcare 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.