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 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. 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 … Medicare and Medicaid Services (CMS) discharge planning standards, which became effective Nov. 29, 2019. – CMS. 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 various providers' compliance with these requirements is assessed through on-site surveys by CMS, State Survey Agencies (SAs) or national … 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. 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. This data must be relevant and applicable to the patient’s goals of care and treatment preferences. 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. Under the final rule, hospitals, CAHs, and HHAs would be required to: CMS News and Media Group Hospitals and CAHs will be impacted the most by the new discharge planning requirements. 420, Subpart C). 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. 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. 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 Sign up to get the latest information about your choice of CMS topics in your inbox. 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 … 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”). Final changes to hospital, CAH, and HHA requirements. Background On September 30, 2019, CMS published two final rules which revised regulatory requirements for the various certified provider and supplier types. 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. Centers for Medicare & Medicaid Services . 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. We welcome your interest in AGG. 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). When addressing the implementation costs of the new regulations, CMS noted that many hospitals already counsel patients on discharge choices, and all providers affected by the rule already have access to quality information from the CMS websites Hospital Compare, Nursing Home Compare, and Home Health Compare, as well as other public and private websites and their own knowledge of local providers. Review Joint Commission and CMS requirements. What This Means for Hospitals SUBJECT: Burden Reduction and Discharge Planning Final Rules Guidance and Process . 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 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. 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. Problems With Four Hour/Same Day Notice Brian Leshak, Deputy Director New discharge planning process requirements for CAHs and HHAs (such requirements did not exist before). 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). 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 … 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).