Description:

Discharge planning in hospitals must comply with the regulations set forth by the Centers for Medicare and Medicaid Services (CMS) and Conditions of Participation (CoPs). These regulations aim to ensure patients' safe and effective transition from the hospital to their next level of care, whether it's home, a skilled nursing facility, or a healthcare setting. Every hospital that accepts Medicare and Medicaid must comply with the CMS discharge planning guidelines. These standards must be followed for all patients, not just Medicare or Medicaid.

Discharge Planning is a crucial process in healthcare that involves preparing a patient to leave a healthcare facility, such as a hospital or rehabilitation center, and ensuring a smooth transition to the next level of care or home. Discharge planning isn't just about the paperwork; it's about ensuring patients receive the care they need once they leave the hospital.

The webinar starts by looking at the old rules, and then we'll talk about the latest updates in the Medicare program and how they will affect the jobs of RN case managers and social workers. You'll find out how to make sure your procedures take into account the challenges of the new healthcare system. You'll also learn how to ensure your roles as a case manager or social worker are ready for the upcoming changes and follow the federal rules correctly.

Patient-Centered Care on Discharge Planning must follow:

• Preventive
• Coordinated
• Accessible
• Comprehensive
• Longitudinal

Areas Covered:

• Discuss the new discharge planning rule enacted in 2020.

• Post-acute care alignment, tracking, and feedback.
• Effective and timely plan identification and communication with patients, families, and stakeholders.
• No siloed electronic medical records among care providers: acute and post-acute.
• Appropriate staffing to maintain an effective transition plan.
• Appropriate roles across the continuum.
• Clear and effective policies
• Ensuring appropriate transitions through leadership mentoring and auditing—regardless of setting.
• Hospital at Home processes.
• Population health.
• Discuss tools and techniques for best practices in discharge planning.
• Describe how case managers can maintain compliance in their discharge planning role.

Why Should You Attend:

The final rules for Discharge Planning arrived after a three-year wait! Discharge Planning is imperative for healthcare as it equips with the knowledge and skills to navigate complex regulations, ensure regulatory compliance, and enhance patient safety by reducing the risk of adverse events during transitions of care, leading to improved patient outcomes and increased satisfaction.

The final rules for Discharge Planning arrived after a three-year wait! The Centers for Medicare and Medicaid Services (CMS) have recently added more “teeth” to the discharge planning process as outlined in the Conditions of Participation for Discharge Planning.

The CoP is the legal and regulatory requirements that hospitals and case management professionals must follow to be compliant in their role as discharge planners. Surveyors are reviewing your department’s compliance with the Conditions of Participation for discharge planning.

Who Should Attend:

• Director of Case Management
• Director of Social Work
• Case Managers
• Social Workers
• Vice President of Case Management
• Physician Advisor
• Emergency Department physicians
• Directors of Nursing
• Directors of Compliance
• Directors of Finance
• Directors of Nursing

Presenter Information:

Name: Toni G. Cesta

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, providing on-site education to case management staff, and strategies for assisting health care organizations in improving their case management department’s efficiency and effectiveness.

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 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”.