IMPACT Act and CMS Proposed Changes to the Discharge Planning Standards

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
120 minutes
Product Description

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

CMS will require medication reconciliation upon discharge and information on side effects of new medication. 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 be sent to the physicians within 48 hours.

This will result in more work for hospitals and hospitals need to start thinking about how they will comply with rewriting the transfer form, collection of five new data elements, and changes to the discharge evaluation form to collect five new assessment elements. CMS will require five things to be included in all discharge instructions.

Join this session, where regulatory compliance expert, Sue Dill Calloway, RN, MSN, JD, will discuss two issues that are of extreme importance to all hospitals, including critical access hospitals. One of the issues is the CMS hospital proposed changes to the discharge planning standards. The other issue that Sue will cover is a federal law that has been passed called the IMPACT Act.

Session Highlights

This session will:

  • Discuss 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

Session Agenda


  • Federal law
  • History and reason for law
  • Four options for post-acute providers (PAC), which includes home health, SNF, inpatient rehab and LTC hospitals
  • How to determine the most appropriate setting
  • Requirement to measure five things, including functional status and changes, skin integrity and changes, and 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
  • Five requirements of discharge instructions
  • Medication reconciliation
  • Notification of side effects of medications
  • Discharge summary to provider within 48 hours

Who Should Attend

  • Discharge planners
  • Transitional care nurses
  • Social workers
  • Chief nursing officers (CNOs)
  • Compliance officers
  • Chief operation officers
  • Chief executive officer
  • Chief medical officers
  • Physicians
  • All nurses with direct patient care
  • Risk managers
  • Regulatory officers
  • Physician advisors
  • UR nurses
  • Joint Commission coordinators
  • Nurse educators
  • Staff nurses
  • Physicians
  • Nurse managers
  • PI directors
  • Health information directors
  • Billing office directors
  • Patient safety officers
  • Anyone else involved with the discharge planning
  • Any person serving on a hospital committee to redesign the discharge process to prevent unnecessary readmissions

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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a 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...   More Info
More Events By The Speaker

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