CMS Modernizes Discharge Planning Requirements for Hospitals & PAC Providers

Presenters/Authors
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On September 26, 2019, CMS issued a final rule that elevates patients’ and caregivers’ roles in discharge planning while emphasizing quality improvement. The rule puts into effect certain discharge planning requirements that hospitals, including short-term acute-care and critical access, must meet to continue participation in Medicare and Medicaid programs.

Going forward, if a patient is discharged to a post-acute care (PAC) provider, the facility will need to consider the patient’s own goals and preferences for treatment by sharing key quality and resource-use measures. The rule also enhances the transparency and interoperability of the patient’s treatment plan and medical information between discharge settings. Hospitals will be required to provide electronic or hard copy access to medical records within a “reasonable time frame” to patients upon written or oral request by the patient.

In addition to these changes for short-term acute-care and critical access hospitals, the final rule also standardizes the information and discharge planning processes of PAC facilities. PAC providers affected by the new rule include long-term care hospitals, skilled nursing facilities, home health agencies and inpatient rehabilitation facilities.

BKD professionals are developing guidance for providers regarding the policy and changes this rule will require for hospital discharge planning processes. Our Health Care Performance Advisory Services professionals have extensive experience in discharge planning, care management, performance improvement and PAC network key performance indicators through client engagements on value-based reimbursement and advanced payment model initiatives.

For detailed guidance, please reach out to your BKD trusted advisor or use the Contact Us form below.


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