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

Duration: 90 Minutes
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.
CMS Hospital
Instructor: Sue Dill Calloway
Product ID: 501291
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 IMPACT Act and the CMS hospital proposed changes to the discharge planning standards 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 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 sent to the physicians within 48 hours.

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 can 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
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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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