This program will review the current rules and regulations from the Conditions of Participation for discharge planning. We will then 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.
We will review strategies for safely transitioning your patients across the continuum of care. In addition we will review how to 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.
We will also discuss the positive impact that effective discharge planning processes can have on hospitals, post-acute providers and patients!
Learning Objectives:
- Understand what the CMS Conditions of Participation are and how they guide the practice of the RN case manager and social worker
- Review the current Conditions of Participation discharge planning rules
- Learn the CMS proposed rules for discharge planning
- Be able to identify any gaps in your discharge planning process related to the current versus the proposed rules
- Ensure that you are current and compliant with the current rules for discharge planning
- Understand any misconceptions that are in the field related to discharge planning, especially related to the 'choice list'
Why Should You Attend:
With the proposed changes to the CMS Conditions of Participation for discharge planning, it is important that RN case managers and social workers understand the differences between the current rules and the proposed rules regarding discharge planning
As a social worker or RN case manager you should learn how to ensure 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
In order to remain compliant, you need to understand how to evaluate your current discharge planning process and make any needed changes to remain compliant
There are many myths surrounding the Conditions of Participation for discharge planning. These myths will be discussed and corrected so that you can improve your daily practice.
Topics
- Transitional planning as a process not a destination
- 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
- The best ways to transition patients across the continuum of care
- How to evaluate the effectiveness of your discharge planning program
- Ways that you can ensure that your department is ready and able to meet the changes related to discharge planning
Instructor
Toni G. Cesta, Ph.D., RN, FAAN owns and operates Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating case management models in the acute care, emergency department and outpatient settings. Dr. Cesta writes a monthly column called "Case Management Insider" in the Hospital Case Management newsletter in which she shares insights and information on current issues and trends in case management.
Dr. Cesta has held positions as Senior Vice President - Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York where she was responsible for case management, social work, discharge planning, utilization management, denial management, bed management, the patient navigator program, the clinical documentation improvement program and systems process improvement.
Prior to her position as Senior Vice President at Lutheran Medical Center, Dr. Cesta has held positions as Corporate Vice President for Patient Flow Optimization at the North Shore - Long Island Jewish Health System and Director of Case Management, Saint Vincent's Catholic Medical Centers of New York, in New York City and also designed and implemented a Master's of Nursing in Case Management Program and Post-Master's Certificate Program in Case Management at Pace University in Pleasantville, New York. Dr. Cesta completed seven years as a Commissioner for the Commission for Case Manager Certification.
The author of nine books, and a frequently sought after speaker, lecturer and consultant, Dr. Cesta is considered one of the primary thought leaders in the field of case management.