Final changes to hospital, CAH, and HHA requirements. The discharge planning rule, proposed in 2015, finalizes provisions requiring hospitals and CAHs to create discharge planning evaluations for patients who are likely to suffer adverse health consequences in the absence of adequate discharge planning, and when a patient, their representative or physician requests such a plan. The hospital’s policies and procedures must be specified in writing. The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that empowers patients to make informed decisions about their care as they are discharged from acute care into post-acute care (PAC), a process called “discharge planning.”. By Jeanie Davis New rules intended to help empower patients preparing to move from acute care into post-acute care will soon govern hospital discharge planning, according to the Centers for Medicare & Medicaid Services (CMS). Upon a patient’s discharge, to ensure the most effective transition, hospitals, CAHs, and HHAs alike must provide the receiving facility necessary medical information on the patient’s illness, treatment, and post-discharge goals. The Centers for Medicare and Medicaid Services (CMS) recently issued a final rule that revises hospital discharge planning requirements to empower patients to make more informed post-acute care decisions. As part of the IMPACT (Improving Medicare Post-Acute Care Transformation) Act of 2014, CMS issued a final rule that empowers patients to make informed decisions about their care as they are discharged from acute-care to post-acute care. – CMS. This includes the prescription drug monitoring program, the 24 hour requirement to initiate a discharge plan, 8 things to be in the discharge planning assessment, 21 things to be included in the transfer form, medication reconciliation, the discharge summary and instructions must be sent within 48 hours of discharge and more. The current discharge planning requirements under the Conditions of Participation 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 Name of State Agency: _____ Instructions: The following is a list of items that must be assessed during the on-site survey, in order to determine compliance with the Discharge www.cms.gov According to CMS, if hospitals cannot anticipate the discharge date, the follow-up IM notice may be given on the day of discharge, at least four hours in advance of the actual discharge. The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that empowers patients to make informed decisions about their care as they are discharged from acute care into post-acute care (PAC), a process called “discharge planning.”  In addition to improving quality by improving these care transitions, today’s rule supports CMS’ interoperability efforts by promoting the seamless exchange of patient information between health care settings, and ensuring that a patient’s health care information follows them after discharge from a hospital or PAC provider. Centers for Medicare & Medicaid Services . It will cover transfers to other facilities, assessment of readmission within 30 days, caregiver rights and recommendations, reduction of factors that lead to preventable readmissions, timely discharge planning, and more. Under the final rule, hospitals, CAHs, and HHAs would be required to: CMS News and Media Group These apply to all hospitals that accept Medicare and Medicaid, and for the first time will apply to critical access hospitals. Background On September 30, 2019, CMS published two final rules which revised regulatory requirements for the various certified provider and supplier types. October 29, 2015: CMS announced proposed revisions to the discharge planning requirements for hospitals, including long-term care hospitals (LTCHs), Inpatient Rehabilitation Facilities (IRFs), Critical Access Hospitals (CAHs), and Home Health (HH) agencies. CMS had initially issued the proposed regulations in November 2015 to update discharge planning requirements for hospitals, critical access hospitals (“CAHs”) and post-acute care (“PAC”) providers, such as home health agencies (“HHAs”), as part of CMS’s Conditions of Participation (“CoPs”). Patients’ medical records must include all discharge planning documents. On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its interpretive guidelines for hospital Discharge Planning. During your stay, your doctor and the staff will work with you to plan for your discharge. Additionally, the final rule revises the hospital patient’s rights and the facility’s requirements regarding a patient’s access to their medical records. Sign up to get the latest information about your choice of CMS topics in your inbox. Brian Leshak, Deputy Director CMS changes to hospital discharge planning. Hospitals and CAHs will be impacted the most by the new discharge planning requirements. The revisions to the HHA discharge planning requirements are less specific than the requirements imposed on hospitals and CAHs. That doesn’t sound like nearly enough time to put in place revised discharge planning requirements, but hospitals have had years to … Among other things, it requires the discharge planning process to focus on the patient’s goals of care and treatment preferences. SUBJECT: Burden Reduction and Discharge Planning Final Rules Guidance and Process . Problems With Four Hour/Same Day Notice In the proposed rule, CMS expressed concern with the variation in the discharge planning process and is looking to require that all patients receive a discharge plan. The various providers' compliance with these requirements is assessed through on-site surveys by CMS, State Survey Agencies (SAs) or national … be helping you) are important members of the planning team. New requirement that sends necessary medical information to the receiving facility or appropriate PAC provider (including the practitioner responsible for the patient’s follow-up care) after a patient is discharged from the hospital or transferred to another PAC provider or, for HHAs, another HHA. In addition to improving quality by improving these care transitions, today’s rule supports CMS’ interoperability efforts by promoting the … Copyright © 2012–2020 Arnall Golden Gregory LLP. Today, the Centers for Medicare & Medicaid Services (CMS) proposed to revise the discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health agencies, must meet in order to participate in the Medicare and Medicaid programs. To read the Final Rule, click here or for more information, please contact Carol Saul or Charmaine Mech. This data must be relevant and applicable to the patient’s goals of care and treatment preferences. The final rule (Revisions to Discharge Planning Requirements [CMS-3317-F]) revises the discharge planning requirements that hospitals (including long-term care hospitals, critical access hospitals [CAHs] psychiatric hospitals, children’s hospitals, and cancer hospitals), inpatient rehabilitation facilities, and home health agencies must meet to participate in Medicare and Medicaid programs. CMS has a discharge planning booklet* that outlines the CMS requirements. Review Joint Commission and CMS requirements. 7500 Security Boulevard, Baltimore, MD 21244. You and your caregiver can use this checklist to prepare for your discharge. Catherine Howden, Director CMS, state agencies, and accrediting organizations will monitor compliance through surveys. In addition, the Final Rule implements revisions to the Medicare hospital Conditions of Participation addressing patient’s rights, requiring hospitals to provide patients copies of their medical records within a reasonable timeframe and in any readily producible format, including electronic format, upon oral or written request. You and your caregiver (a family member or friend who may . To comply with the new discharge planning requirements, CMS estimates there will be a total one-time cost of approximately $17.7 million for all hospitals, approximately $10.8 million for all HHAs, and approximately $1.9 million for all CAHs. Accordingly, please DO NOT send information about any matter unless you have a written engagement letter from us stating that we represent you as a client. The hospital may not specify or otherwise limit the qualified providers available to a patient and must note any HHAs or SNFs with which the hospital has a disclosable financial interest under Medicare (as defined in 42 C.F.R. Medicare discharge planning is a Condition of Participation for hospitals, including psychiatric hospitals. According to Ronald Hirsch, MD, CMS is waiving certain requirements related to hospital discharge planning for post-acute care services at 42 CFR §482.43(c), so as to expedite the safe discharge and movement of patients among care settings, and to be responsive to fluid situations in … CMS believes the rule, which implements statutory requirements under the Improving Medicare Post-Acute Care Transformation Act of 2014, "will empower patients to be active participants in the discharge planning process and will help them to make informed choices about their care, which may lead to more competition, lower costs, and improved quality of care." Medicare and Medicaid Programs; Regulatory Provisions to Promote Program What This Means for Hospitals Jason Tross, Deputy Director. Each of these facilities must meet these requirements as a condition to participate in Medicare and Medicaid programs. May 17, 2013 … Discharge Planning Guidance Revised: SOM Hospital Appendix A has been revised to ….. For hospitals that do not develop a discharge plan for every …. The rule includes removing a requirement for hospitals and critical access hospitals to provide routine and emergency dental care for swing-bed patients, which the ADA supported in 2018 comments to CMS. HHAs are only required to develop effective discharge planning processes which assist patients being discharged to SNFs, IRFs, or LTCHs to select a PAC provider using data on quality measures and resource use measures. www.cms.gov. The following requirements outline the rules as they relate to discharge planning: • The hospital must establish a discharge planning process for all patients. The current Discharge Planning Requirements (CMS-3317-F) does not directly apply to skilled nursing facilities (SNF), as it places these new discharge planning requirements on hospitals, including long-term care hospitals, critical access hospitals psychiatric hospitals, children’s hospitals, cancer hospitals inpatient rehabilitation facilities, and home health agencies, to participate in Medicare … To comply with the new discharge planning requirements, CMS estimates there will be a total one-time cost of approximately $17.7 million for all … This checklist is a tool to promote optimal adherence to the processes and practices outlined as guidance and proposed updates to the CMS Discharge Planning Conditions of Participation. CMS Announces New Discharge Planning Requirements for Hospitals and HHAs with Implications for PAC Providers. The rule goes into effect on November 29, 2019. CMS CoP for Discharge Planning. In this way the new regulations utilize requirements from the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, which requires LTCHs, SNFs, HHAs and IRFs to submit standardized data to CMS and provide quality measures to consumers. Hospitals must ensure and support patients’ rights to access their medical records in the form and format requested by the patient, if it is readily producible in such form and format (, Price Transparency Press Call Remarks by Administrator Seema Verma, CMS announces launch of 2020 flu season campaign, providing partner resources, HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data, Interoperability and Patient Access Fact Sheet, Speech: Remarks by CMS Administrator Seema Verma at the 2020 CMS Quality Conference. Thursday’s news comes a few months shy of CMS’s November 2019 target for an updated final rule on discharge planning. New discharge planning process requirements for CAHs and HHAs (such requirements did not exist before). Hospital Discharge Planning Worksheet. individual patient's post-discharge needs, in order to identify the … Complying With Medical Record Documentation Requirements – CMS. In addition, if patients are enrolled in a managed care organization, the hospital must educate patients on the need to verify in-network providers and share information regarding in-network providers. CMS’ Discharge Planning Rule Supports Interoperability and Patient Preferences. Under CMS’s newly announced discharge planning rule, patients and their families are required to have access to information that will support them in making informed decisions about their post-acute care (PAC) options, including data on quality measures and data on … The Revisions to Discharge Planning Requirements also require hospitals and CAHs to assist patients being discharged to post-acute care (PAC) providers with selecting a PAC provider using key performance data including quality metrics on available HHAs, skilled nursing facilities (SNFs), inpatient rehab facilities (IRFs), or long-term care hospitals (LTCHs). On September 26, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a new Final Rule, Revisions to Discharge Planning Requirements (CMS-3317-F) in a bid to “improve engagement, choice and continuity of care across hospital settings.” We finalized the discharge planning requirements for SNFs and NFs in a final rule published on October 4, 2016 in the Federal Register, titled “Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities” (81 FR 68688). We welcome your interest in AGG. The final rule revises hospital discharge planning requirements for long-term care hospitals (LTCHs) and inpatient rehabilitation facilities, inpatient psychiatric facilities, children’s hospitals, cancer hospitals, (IRFs), critical access hospitals (CAHs), and home health agencies (HHAs). Also, you can decide how often you want to get updates. New discharge planning requirements, as mandated by the IMPACT act for hospitals, HHAs, and CAHs, that requires facilities to assist patients, their families, or the patient’s representative in selecting a post-acute care (PAC) services provider or supplier by using and sharing PAC data on quality measures and resource use measures. The new regulations cover sections on patient timely access to medical records, the discharge planning process, discharge instructions, discharge planning requirements. Instructions: The Centers for Medicare and Medicaid Services announced a final rule Sept. 25 that revises hospital discharge planning requirements for long-term care hospitals and similar facilities. Medicare and Medicaid Services (CMS) discharge planning standards, which became effective Nov. 29, 2019. Under the revised Conditions of Participation, hospitals and CAHs must provide expanded discharge planning to patients likely to suffer adverse health consequences upon discharge without adequate discharge planning as well as for other patients upon the request of the patient, patient’s representative, or physician. On September 26, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a new Final Rule, Revisions to Discharge Planning Requirements (CMS-3317-F) in a bid to “improve engagement, choice and continuity of care across hospital settings.” The Final Rule requires the Medicare Conditions of Participation to implement more comprehensive discharge planning requirements for hospitals, including critical access hospitals (CAHs), and home health agencies (HHAs). The elements Sure-Fire MethodS Complying with Standard PC.04.01.01 Ineffective discharge planning can seriously impact a patient’s health and future care. These facilities have until Nov. 29, 2019, to institute the provisions in the Revisions to Discharge Planning Requirements Final Rule [CMS-3317-F]. It requires the discharge planning … However, we cannot represent you nor can we treat unsolicited information as confidential until we know that doing so will not create a conflict of interest. The Final Rule was officially published in the Federal Register on September 30, 2019, and the new requirements will become effective on November 29, 2019, giving hospitals and HHAs just sixty days to ensure compliance. The rule, from the Centers for Medicare and Medicaid Services, revises the discharge planning requirements that long-term care hospitals and inpatient rehabilitation facilities, inpatient psychiatric facilities, children’s hospitals, cancer hospitals, critical access hospitals and home health agencies must meet to participate in the Medicare and Medicaid programs. Hospitals and CAHs must perform and document timely and regular discharge planning evaluations, which assess the patient’s need for post-hospital services, determine the availability of the appropriate services, and evaluate the patient’s access to necessary services. Hospitals will be pleasedto learn that CMS scaled back A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. CMS is finalizing certain standards for discharge planning for hospitals that outline the discharge planning process, the provision and transmission of the patient’s necessary medical information upon discharge, and requirements related to post-acute care (“PAC”) services. Revised language that now requires a hospital (or CAH) to discharge the patient, and also transfer or refer the patient where applicable, along with his or her necessary medical information (current course of illness and treatment, post-discharge goals of care, and treatment preferences), at the time of discharge, to not only the appropriate post-acute care service providers and suppliers, facilities, agencies, but also to other outpatient service providers and practitioners responsible for the patient’s follow-up or ancillary care. Hospitals also must provide patients with a list of HHAs, SNFs, IRFs, or LTCHs that are available to the patient, participate in Medicare, and serve the applicable geographic area, and they must educate the patient on their freedom to choose. The final rule, published in the Sept. 30 Federal Register, gives hospitals, HHAs, and CAHs 60 days to comply. These discharge evaluations and discharge plans must be developed by or under the supervision of a registered nurse, social worker, or other qualified personnel. The two final rules are as follows: 1. 420, Subpart C). Revised compliance language for HHAs that now requires these facilities to send all necessary medical information (current course of illness and treatment, post-discharge goals of care, and treatment preferences), to the receiving facility or health care practitioner to ensure the safe and effective transition of care, and that the HHA must comply with requests made by the receiving facility or health care practitioner for additional clinical information necessary for treatment of the patient. The new rule—which went into effect on November 29, 2019—extends discharge planning requirements to home health agencies and critical access hospitals (other hospitals were already required to follow these regulations) and bolsters requirements for information sharing. 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