Preventing Hospital Readmissions Through Discharge Planning

Get a Better Understanding of Preventing Hospital Readmissions and Discharge Planning

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 to do prevent unnecessary readmissions?

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.

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.

Session Objectives:

• Discuss the importance of getting the discharge summary into the hands of the primary care physícian before the first post hospital visít
• Recall that the Patient Protection and Affordable Care Act reduces payments to hospitals that have a higher than average rate of hospital readmissions
• Recall two tips that a hospital can do to reduce unnecessary readmissions
• Recall the importance of using teach back to make sure the patient understands the discharge instructions

Session Highlights:

• Discharges and the Impact Act
  • 5 new measures
  • 5 new requirements for the admission assessment
• CMS Proposed Discharge Planning standards
  • Transfer form requirements
  • 5 requirements for discharges
  • 48 hours to get discharge summary to PCP
• CMS Discharge Planning Worksheet
• Preventing Unnecessary Readmissions
• Patient Protection and Affordable Care Act
• CMS Value Based Purchasing and GAO Report
• CMS Readmission Reduction Program
• Penalties for Hospitals
• CMS Readmission website and program
• Hospital readmissions and payment
• MI, CHF, and pneumonia 30 days admissions
• THA , TKA, and COPD
• ACA driving drop in readmission rates
• Readmissions and discharges
• CMS pamphlet for patients on how to avoid unnecessary readmissions
• AHA Reducing Avoidable Hospital Admissions
• Free Readmission monthly newsletter
• Prioritizing improvement opportuníties
• Strategies to reduce readmissions during hospitalization
• Strategies post-acute care technologies
• Partnership for Patients Resources for hospitals
• Evidenced based tools on preventing readmissions
• Initiatives to reduce unnecessary readmissions
• Updated RED project to reengineer the discharge process

Who Should Attend?

CEO, CFO, Chief Medical Officer, Chief Nursing Officer, Compliance Officers, members of the team to prevent unnecessary hospital readmissions, nurses, pharmacists, nurse educators, joint commission director, director of regulatory affairs, risk managers, hospital legal counsel, Performance improvement director and staff, director of health information management, social workers, discharge planners, transition nurses, nurse educators, patient safety officers, PI Director, members of the hospital redesign team, and anyone else who is interested in preventing unnecessary hospital readmissions and those involved in discharging patients.

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