Aligning Discharge Planning with CMS Hospital & CAH CoPs Requirements

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CMS HOSPITAL CONDITIONS OF PARTICIPATIONDischarg
e Planning Standards2023
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Speaker

• Laura A. Dixon, Esq.
• BS, JD, RN, CPHRM
• President, Healthcare Risk Education and
  Consulting, LLC
• 303-955-8104
• ldesq_at_comcast.net
• Email questions to CMS
  Critical Access Hospitals
  qsog_CAH_at_cms.hhs.gov. Acute
  hospitals qsog_hospital_at_cms.hhs.gov.

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Deficiency Data Discharge Planning
Tag Number Section June 2023
799 Discharge Planning (DP) 120
800 DP Evaluation 106
802 Re-Evaluation Patients condition 25
806 DP Needs Assessment 147
808/809 Qualified DP Staff 33/10
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Deficiency Data Discharge Planning
Tag Number Section June 2023
810 Timely DP Evaluation 60
811 Documentation Evaluation 58
812 Discharge Planning 43
813 Transmission of Patient Information 37
818 DP Personnel 20
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Deficiency Data Discharge Planning
Tag Section June 2023
820 Implementation of DP 218
821 Reassess DP 150
823 List of HH Agencies 92
837 Transfer or Referral 151
843 Reassess DP Process 102
Total 1,372
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CMS CoPs, Discharge Planning and the IMPACT Act
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Changes to CoPs on Discharge Planning
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Discharge Planning Condition of Participation
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Discharge PlanningProcess
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Patient Rights
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CAH Discharge Planning Requirements
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Hospital Performance Metrics on the Discharge
Planning Process
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Key Takeaways

• Review your process
• Focus on patients goals and treatment
  preferences
• Involve the patient, caregivers, support person
  involved in the planning and evaluation
• Ensure process provides a method to identify
  patients who will need evaluation and a plan
• Prepare for physician, patient or representative
  to request evaluation and plan development and
  implementation

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Key Takeaways Process to Include

• Re-evaluation of patients condition and on
  timely basis
• Evaluate for need for post-hospital services
• What and where and if available
• Evaluate for self-care
• Update plans as needed/indicated
• Have resources/data on PACs readily available
• Review overall process regularly

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Key Takeaways Documentation

• Evaluation, Plan, Patient engagement
• Referrals
• Implementation of the plan
• Resources provided
• Patient education

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The End Questions???

• Laura A. Dixon, Esq.
• BS, JD, RN, CPHRM
• President, Healthcare Risk Education and
  Consulting, LLC
• 303-955-8104
• ldesq_at_comcast.net

Register Now
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