2017 CMS Proposed Changes to the Discharge Planning Standards and the IMPACT Act

Duration: 90 Minutes
CMS penalized 2,597 hospitals in FY2017 on account of unnecessary readmissions. This year the CMS under HRRP will withhold $528 million in payments in 2017, an all-time high and an increase of about $108 million from FY 2016. New evidence-based research is coming out every day on recommendations to help reduce unnecessary readmissions. But what can a hospital do to prevent unnecessary readmissions?
Discharge Planning Standards
Instructor: Sue Dill Calloway
Product ID: 503749
One in five hospital discharges is complicated by an adverse event within 30 days and this often leads to visits to the emergency departments and readmissions. Research suggests that anywhere between 44% and 76% of hospital readmissions are thought to be preventable. Not only do readmissions occur frequently but they are costly. MedPac has estimated that hospital readmissions cost about $15 billion to Medícare.

Objectives of the Presentation
  • Recall that there are five things that must be included in the discharge instructions
  • Describe that there are many things that are 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 practitioner within 48 hours of discharge
  • Discuss that there are five things that must be in the standardized assessment form as required by the federal IMPACT law
Why Should you Attend
The federal law known as the IMPACT Act, is now in effect and has resulted in reduced payments to hospitals that have a higher than average readmission rate for acute myocardial infarction (AMI), heart failure and pneumonia patients. It includes chroníc obstructive pulmonary disease (COPD) and patients admitted for elective total knee arthroplásty (TKA) and total hip arthroplásty (THA). The IMPACT Act also brings five additional quality measures and five new things that must be added to the admission assessment.

Join this webinar by expert speaker Sue Dill Calloway, RN, MSN, JD, to discuss the impact of the federal law and get practical strategies to prevent hospital readmissions. It will also discuss what evidence based studies exist and what are being planned in the future to reengineer the discharge process.

The session will talk about discharges including the IMPACT Act, which is supposed to have a great impact on hospitals. This webinar will also discuss the proposed CMS discharge planning standards which are substantial, including new requirements for the transfer form and discharge planning evaluation. Additionally, concerns such as five things in the discharge instructions, sending of discharge summaries to the physícian within 48 hours, medication reconciliation and other important issues will be discussed in this session.

Areas Covered
    IMPACT Act
    • Federal law
    • History and reason for law
    • Four options for post-acute providers (PAC) which includes 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
Who will Benefit
Discharge planners, transitional care nurses, social workers, chief nursing officer (CNO), compliance officer, chief operation officer, chief medical officers, physicians, all nurses with direct patient care, risk managers, social workers, regulatory officer, physician advisor, UR nurses, compliance officer, Joint Commission coordinator, nurse educators, chief operating officer, chief executive officer, staff nurses, physicians, 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.
$300
Recorded Session for one participant
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Instructor Profile:
Sue is president of Patient Safety and Healthcare Consulting and Education company with focus on medical legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. 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 was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.

She is a well known lecturer and the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.
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