0000006511 00000 n A discharge planning evaluation may be requested for any patient when there is an identified need. 0000009646 00000 n Please click here to continue without javascript.. They’re Back! Surveyors will check to ensure that the discharge summary was sent to the patient’s primary care physician before the first follow-up visit or within seven days of discharge, Dill Calloway says. 0000520147 00000 n medical management, director of utilization review and case management, senior discharge planner, and marketing director in various provider and third-party payer settings. 0000007786 00000 n Describe considerations and needs for patients with pulmonary disease when transitioning out of the acute care setting. Communication—both verbal and written—is key to a successful discharge. It’s a great tool that spells out what case managers should be assessing and what they should be doing to create an effective, comprehensive discharge plan, and ensure a smooth transition to the next level of care,” she says. If your hospital doesn’t conduct a discharge planning evaluation for every patient, there must be a process to notify patients, family members, and attending physicians that they can request a discharge planning evaluation, even if the patient doesn’t meet high-risk criteria, she says. If hospitals do not track their readmissions as part of discharge planning, they will be cited. Discharge planning is an 0000047412 00000 n Discharge Planning Advisor: Is it redundant to have DPs in addition to CMs? “Hospitals should be reviewing the charts of readmitted patients and analyzing why they were readmitted, then make changes to address any problems,” she adds. She suggests that hospitals use the worksheet as a self-assessment tool. 0000008984 00000 n In such a case, the hospital must develop a The surveyors will review five patient records, a combination of patients admitted from home and from residential healthcare facilities, to determine if patients have a timely discharge planning evaluation, and if the discharge planning assessment takes into account the patient’s ability to perform activities of daily living and support in the community, she says. The Centers for Medicare & Medicaid Services (CMS) has issued the final worksheets for state and federal surveyors to use when they assess hospitals’ compliance with the Medicare Conditions of Participation for quality assessment and performance improvement, infection control, and discharge planning. 0000004904 00000 n 0000519701 00000 n IU��W. Discharge Planning Checklist UC Irvine Healthcare case managers, clinical social workers and physician teams will: 1. The discharge planning worksheet offers hospitals a guide to complying with the revised discharge planning standards that went into effect July 19, 2013, Dill Calloway says. Discharge planning should begin as soon as possible. 0000010141 00000 n Surveyors also are going to check for policies on requesting a discharge planning evaluation when there is a change in a patient’s status and evaluate whether the inpatient unit staff are aware of how, when, and whom to notify if there is a change, according to Dill Calloway. Case Study on IDEAL Discharge Planning: Advocate Trinity Hospital ----- 22 References ----- 24. “The worksheet is the gold standard of discharge planning. “CMS is putting a lot of emphasis on preventing readmissions. 0000010846 00000 n The agency just announced that 2,610 hospitals forfeited $428 million in reimbursement because of excess readmissions. 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