Discharge planning has become more than just the movement of the patient out of the hospital. It is a "process" that starts at the point of admission and follows the patient beyond discharge.
The Centers for Medicare and Medicaid Services (CMS) have recently added more "teeth" to the process as it is outlined in the Conditions of Participation for Discharge Planning. Discharge planning is no longer a destination but a process that starts before the patient is admitted to the hospital and continues after they are discharged.
Why Should You Attend:
The proposed changes to the Conditions of Participation (CoP) for Discharge Planning will likely have profound effects on how case management departments organize their work.
It will also affect the workloads of RN case managers and social workers. Patients in ambulatory settings such as out-patient surgery, outpatient procedures and emergency departments will all need to be assessed for the purpose of creating a discharge plan.
Family caregivers and physicians will be expected to be much more involved than they have in the past. Case management departments will be expected to follow patients via phone calls as they transition out to the community.
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.
Learn how to be sure that your processes address the complexities of the new healthcare environment and that your role as a case manager or social worker is designed and staffed to meet the changes ahead.
Learning Objectives:
- That you are current rules in the CoP for Discharge Planning
- The you understand the proposed changes to the CoP for Discharge Planning
- That you are prepared for the potential impact of these changes on the roles of the case manager and social worker
- Understand discharge planning as a process not a destination
- Identify the best ways to transition patients across the continuum of care
Areas Covered
- 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 is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, new documentation systems, and other strategies for improving care and reducing cost. 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.
Dr. Cesta writes a monthly column called
"Case Management Insider" in the Hospital Case Management journal in which she shares insights and information on current issues and trends in case management.
Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President - Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York. 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 Vincents 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.
Dr. Cesta has been active in the research and development of case management for over 25 years. Her research in case management has included two funded studies measuring the effects of a case management model on congestive heart failure and fractured hip patient populations, with measures of patient satisfaction, quality of life, and short and long term clinical perceptions and outcomes.
Dr. Cesta has presented topics on case management at national and international conferences and workshops. Her books include "Nursing Case Management: From Essentials to Advanced Practice Applications", The Case Manager's Survival Guide: Winning Strategies in the New Healthcare Environment", "The Case Manager's Survival Guide: Winning Strategies for Clinical Practice", "Survival Strategies for Nurses in Managed Care" and "Core Skills for Hospital Case Managers."
Dr. Cesta is Consulting Editor of "Hospital Case Management Journal"
and "Discharge Planning Advisor". In addition, she serves as editorial advisory board member of several case management journals and publications including
"Strategies for Healthcare Excellence" and
"The Journal of Care Management".
Dr. Cesta has a BS in Biology from Wagner College, a BS in Nursing from Adelphi University, an MA in Nursing Administration from New York University, and a Ph.D. in Nursing Research and Theory Development from New York University.
Dr. Cesta is a Fellow of the American Academy of Nursing. Among her awards are included the "Nursing Service Administration Award" from the New York State Nurses Association, the Jessie M. Scott Award for excellence in research, practice and education from the American Nurses Association, and three "Book of the Year" awards from the American Journal of Nursing. In 2010, she was awarded the Brooklyn Leaders Award from the Arthritis Foundation.