CMSA Today - Issue 1, 2016 - (Page 14)

Discharge Planning Discharge Planning Regulations CMS Proposes Major Changes for Hospitals BY ELIZABETH E. HOGUE, ESQ O n November 3, 2015, the Centers for Medicare and Medicaid Services (CMS) published proposed regulations governing discharge planning by hospitals in the Federal Register. If finalized, these proposed regulations will require hospitals to devote considerably more time and resources to discharge planning activities. Comments to these proposed regulations are due 60 days from the date of publication in the Federal Register. pART 1 Proposed changes in Conditions of Participation (CoPs) for hospitals generally require: * Development and implementation of an effective discharge planning process that focuses on patients' goals and preferences, and prepares patients and their caregivers/ support person(s) to be active partners in post-discharge care. * Planning for care that is consistent with patients' goals for care and treatment preferences. * Effective transition of patients from hospitals to post-discharge care. * Reduction of factors leading to preventable hospital readmissions. Specifically, policies and procedures of hospitals governing discharge planning activities must be: * Developed with input from hospitals' medical staff, nursing leadership, and other relevant departments. * Reviewed and approved by governing bodies of hospitals. 14 CMSA TODAY * Specified in writing. The proposed regulations require the discharge planning process to be applied to: * All inpatients. * Outpatients receiving observation services. * Outpatients undergoing surgery or other same-day procedures for which anesthesia or moderate sedation is used. * Emergency department patients identified in accordance with hospitals' discharge planning policies and procedures by emergency department practitioners responsible for the care of patients who need a discharge plan. * Any other category of outpatients as recommended by the medical staff and specified in hospitals' discharge planning policies and procedures approved by hospitals' governing bodies. This change in application of discharge planning activities alone is very significant in terms of the resources and skills that will be needed to meet new requirements. Registered nurses, social workers, or other Issue 1 * 2016 * DIGITAL qualified personnel according to hospitals' discharge planning policies must coordinate an evaluation of patients' discharge needs and development of discharge plans. If finalized, hospitals will be required to identify the anticipated needs of patients following discharge within 24 hours after admission or registration. The discharge planning process must be completed prior to discharge home or transfer to another facility and without unduly delaying patients' discharge or transfer. If patients' stay is less than 24 hours, discharge needs for each patient must still be identified and the discharge planning process completed prior to discharge home or transfer to another facility without unnecessarily delaying patients' discharge or transfer. As the above indicates, these proposed regulations include major changes for discharge planners/case managers. Now is the time to review these proposed regulations and submit comments, if needed.

Table of Contents for the Digital Edition of CMSA Today - Issue 1, 2016

Community Collaboration
Discharge Planning Regulations
Patient Adherence

CMSA Today - Issue 1, 2016