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

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

Stay in compliance in accordance to Discharge Planning Standards and the IMPACT Act


The CMS hospital proposed changes to the discharge planning standards and the federal law called the IMPACT Act are of high importance to hospitals including critical access hospitals (CAH). While the CMS hospital proposed changes will result in more work for hospitals and hospitals need to start thinking about how they will comply with things such as: a) rewriting the transfer form, b) collection of five new data elements, c) changes to the discharge evaluation form to collect five required standardized assessment elements which require five things to be included in all discharge instructions.

Under the new changes 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. Also, under the new requirements, discharge instructions and discharge summaries will be required to be sent to the physicians within 48 hours.

In this session, our expert speaker Sue Dill Calloway RN, MSN, JD, will provide a better understanding on the impact of the CMS proposed changes to the hospital discharge planning standards and the IMPACT Act.

Session Highlights:

  • Why the IMPACT Act was passed?
  • Reporting of Quality Measures for Long-term care, SNF, inpatient rehab & home health
  • 2016 CMS Discharge Planning proposed changes
  • Who does the hospital discharge planning process apply to?
  • 8 things to consider in evaluating the patient’s discharge needs
  • RARE: Reducing Avoidable Readmissions
  • AHRQ Resources on hospital discharge and reducing readmissions
  • What’s in your discharge planning P&P
  • The 5 things that you can’t miss in the discharge instructions
  • What are the many things 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 practítioner within 48 hours of discharge
  • Five things that must be in the standardized assessment form as required by the federal IMPACT law
  • Patient transfers and the 21 things you need to know
  • Care transition tools
  • Written discharge instructions

Session Agenda:

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
  • How it applies to inpatients, ED, observation and same day surgery patients
  • Identification of discharge needs within 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 should attend?

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, regulatory officer, physician advisor, UR nurses, Joint Commission coordinator, nurse educators, chief executive officer, staff nurses, nurse managers, PI director, health information director, billing office director, patient safety officer, and anyone else involved with the discharge planning.

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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...   More Info
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