The CMS Discharge Planning Rules for 2018

Event Information
Product Format
Prerecorded Event
Toni G. Cesta, Ph.D., RN, FAAN
60 minutes
Product Description

Ensure Your Processes Address the Complexities of the New Discharge Planning Rule

The proposed changes to the conditions of participation (CoPs) for discharge planning will likely have profound effects on how case management departments organize their work in 2018. They will also affect the workloads of RN case managers and social workers. Patients in ambulatory settings such as out-patient surgery, outpatient procedures and emergency departments will all need to be assessed for the purpose of creating a discharge plan. Family caregivers and physicians will be expected to be much more involved than they have in the past. Case management departments will be expected to follow patients via phone calls as they transition out to the community.

Join this session with expert speaker Toni Cesta, Ph.D., RN, FAAN, to review the current rules and regulations from the CoPs for discharge planning and the CMS proposed rules for discharge planning. Toni will discuss the most recent changes from the Medicare program and how they will impact the roles of the RN case manager and the social worker. You will be able to identify any gaps in your discharge planning process related to the current versus the proposed rules. You will be able to ensure that you are current and compliant with the current rules for discharge planning. You will learn how to be sure that your processes address the complexities of the new healthcare environment regarding discharge planning and that your role as a case manager or social worker is designed and staffed to meet the changes ahead!

This session will help you understand how to evaluate your current discharge planning process. Toni will review strategies for safely transitioning your patients across the continuum of care. In addition she will review how you can engage other members of the interdisciplinary care team in the process of planning for the patient’s movement across the continuum including verbal and written hand-off communication. Toni will also cover the positive impact that effective discharge planning processes can have on hospitals, post-acute providers and patients!

Session Highlights

  • Transitional planning as a process and not a destination
  • The current discharge planning requirements under the CoPs for discharge planning
  • The new CMS changes related to transitional and discharge planning and how they will impact your practice
  • How to engage providers and patients across the continuum in the discharge planning process
  • The best ways to transition patients across the continuum of care
  • How to evaluate the effectiveness of your discharge planning program
  • How you can ensure that your department is ready and able to meet the changes related to discharge planning

Session Agenda

  • Foundation of effective discharge planning
  • What happens when discharge planning is not effective?
  • Current rules and regulations for discharge planning
  • Regulatory and financial influences on the discharge plan
  • CMS Conditions of Participation: Discharge planning 482.43
  • Preadmission screening and residential review (PASRR)
  • Notification of discharge appeal rights
  • Preparing for a CMS survey with the current CoPs
  • CMS conditions of participation proposed discharge planning rules
  • Proactive discharge planning
  • Proactive case management
  • Discharge planning evaluation resource assessment

Who Should Attend

  • Hospital directors of case management
  • Hospital directors of finance
  • Case managers across the continuum
  • Social workers across the continuum
  • Vice presidents of case management
  • Directors of patient centered medical homes
  • Home care directors and managers
  • Home care case managers
  • Community-based providers
  • Directors of nursing
  • Directors of ambulatory programs

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About Our Speaker

Toni G. Cesta - Healthcare Case Management Expert

Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, providing on-site education to case management staff, and strategies for assisting health care organizations in improving their case management department’s efficiency and effectiveness.

The author of nine books, and...   More Info
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