Return-Path: Received: from vps.transocean.com by vps.transocean.com (Dovecot) with LMTP id iWfsACmqwlkZQgAAInt2oQ ; Wed, 20 Sep 2017 10:49:29 -0700 Return-path: Envelope-to: john@transocean.com Delivery-date: Wed, 20 Sep 2017 10:49:29 -0700 Received: from [192.225.175.165] (port=2154 helo=ap1.audiowebinarmail.com) by vps.transocean.com with esmtp (Exim 4.89) (envelope-from ) id 1duj7f-0004Zf-Qk for john@transocean.com; Wed, 20 Sep 2017 10:49:28 -0700 Received: by ap1.audiowebinarmail.com with SMTP id 0C4A7F43F.51 for ; Wed, 20 Sep 2017 13:48:33 -0400 To: john From: "CMS Hospital CoPs" Reply-To: Date: Wed, 20 Sep 2017 13:48:33 -0400 Message-ID: <8D5BAC..@audiowebinarmail.com> MIME-Version: 1.0 Content-type: text/html X-Spam-Status: Yes, score=3.5 X-Spam-Score: 35 X-Spam-Bar: +++ X-Spam-Report: Spam detection software, running on the system "vps.transocean.com", has identified this incoming email as possible spam. The original message has been attached to this so you can view it or label similar future email. If you have any questions, see root\@localhost for details. Content preview: CMS Hospital Discharge Planning Worksheet, Standards & Evaluation Discharge Planning Worksheet and Standards: Ensuring Compliance with the CMS Hospital CoPs and Proposed Changes Presented By: Sue Dill Calloway Live Webinar Date: Wednesday, October 11, 2017 | Duration: 90 minutes Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT REGISTER NOW Comply with CMS Hospital CoPs and Proposed Changes to Discharge Planning Standards The fìnal surveyor worksheet, used by State and Federal surveyors on all survey activity for assessing hospital compliance with the CMS hospital Conditions of Participation (CoPs) for discharge planning, will be revised in 2017 to reflect the proposed discharged planning guidelines when finalized. Every hospital that accepts Medìcare and Medìcaid must be in compliance with the CMS hospital discharge planning guidelines. These standards must be followed for all patients and not just Medìcare or Medìcaid. CMS requires a number of discharge planning policies and procedures and you must learn which ones are required and why. [...] Content analysis details: (3.5 points, 3.0 required) pts rule name description ---- ---------------------- -------------------------------------------------- 0.0 URIBL_BLOCKED ADMINISTRATOR NOTICE: The query to URIBL was blocked. See http://wiki.apache.org/spamassassin/DnsBlocklists#dnsbl-block for more information. [URIs: audioeducator.com] 0.0 T_SPF_TEMPERROR SPF: test of record failed (temperror) 0.0 HTML_MESSAGE BODY: HTML included in message 0.7 MIME_HTML_ONLY BODY: Message only has text/html MIME parts 0.8 BAYES_50 BODY: Bayes spam probability is 40 to 60% [score: 0.4854] 0.0 HTML_FONT_LOW_CONTRAST BODY: HTML font color similar or identical to background 0.0 T_HTML_TAG_BALANCE_CENTER Malformatted HTML 0.0 LOTS_OF_MONEY Huge... sums of money 2.0 RDNS_NONE Delivered to internal network by a host with no rDNS X-Spam-Flag: YES Subject: ****SPAM**** CMS hospital discharge planning standards CMS Hospital Discharge Planning Worksheet, Standards & Evaluation
Discharge Planning Worksheet and Standards: Ensuring Compliance with the CMS Hospital CoPs and Proposed Changes
Presented By: Sue Dill Calloway
Live Webinar
Date: Wednesday, October 11, 2017 | Duration: 90 minutes
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
REGISTER NOW
Comply with CMS Hospital CoPs and Proposed Changes to Discharge Planning Standards
The fìnal surveyor worksheet, used by State and Federal surveyors on all survey activity for assessing hospital compliance with the CMS hospital Conditions of Participation (CoPs) for discharge planning, will be revised in 2017 to reflect the proposed discharged planning guidelines when finalized. Every hospital that accepts Medìcare and Medìcaid must be in compliance with the CMS hospital discharge planning guidelines. These standards must be followed for all patients and not just Medìcare or Medìcaid. CMS requires a number of discharge planning policies and procedures and you must learn which ones are required and why.

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 màtch 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 rècord information such as the discharge summary and discharge instruction sheet will need to be in the hands of the primary care physìcian (PCP) or other physìcian 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 to learn about the fìnal 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 fìnal 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. Read more
Session Objectives
This session will discuss:
  • The worksheet on discharge planning published by CMS
  • The changes for hospitals as a rèsult of the IMPACT Act and the CMS proposed changes to discharge planning
  • CMS discharge planning standards that every hospital must follow
  • That one in every five Medìcare patients is readmitted within 30 days of discharge and many suffer adverse events
Session Highlights
  • CMS issues discharge planning memo
  • Transmittal issued and into fìnal 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
    • Intervìews of patients to show awareness of right to request discharge planning
  • RN, socìal 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 rècord
  • Discharge plan
  • Physìcian 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
  • Intervìew of patients and questions asked
  • Intervìew 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 socìal 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
  • And more
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About Our Speaker
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Educatìon company with a focus on medical-legal educatìon especially Joint Commission and the CMS hospital CoPs regulatory compliance. Read more

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