The CMS Conditions of Participation for Discharge Planning: New Rules for 2020 and Beyond


Format: On-Deman Webinar
Presenter: Toni G. Cesta, PhD., RN, FAAN
Duration: 60 Minutes

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The proposed changes to the Conditions of Participation(CoPs) 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(CoPs) for discharge planning. The expert, Dr. Cesta 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. She will also discuss 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:

  1. Understand the Conditions of Participation(CoPs) for discharge planning
  2. Describe the components of the Social Security Act related to discharge planning
  3. Review strategies for safely transitioning your patient across the continuum
  4. Discuss the regulatory requirements associated with discharge planning
  5. Describe the IMPACT Act and its relationship to discharge planning
  6. Break down the components of patient choice
  7. Apply the elements that surveyors will look for related to discharge planning
  8. Contrast the proposed rules for discharge planning

Areas Covered in the Session:

  1. Transitional planning as a process not a destination
  2. The current discharge planning requirements under the Conditions of Participation for Discharge Planning
  3. The new CMS changes related to transitional and discharge planning and how they will impact your practice
  4. How to engage providers and patients across the continuum in the discharge planning process
  5. The best ways to transition patients across the continuum of care
  6. How to evaluate the effectiveness of your discharge planning program
  7. Ways that you can ensure that your department is ready and able to meet the changes related to discharge planning
  8. Live Q&A Session

Suggested Attendees:

  • Physician
  • Director of Case Management
  • Director of Compliance
  • Case Managers
  • Social Workers
  • Vice President of Case Management
  • Directors of Patient Centered Medical Homes
  • Home Care Directors and Managers
  • Home Care Case Managers
  • Community-Based Providers
  • Directors of Nursing
  • Directors of Ambulatory Programs
  • Directors of Quality
  • Directors of Finance

About the Presenter:

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, provides education on case management and related topics, and on-site assistance to case management departments.

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. 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.

After Registration

You will receive an email with login information and handouts (presentation slides) that you can print and share to all participants at your location.

System Requirement

Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?
No problem. You can get access to On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to below contact:
Toll-Free No: 1-302-444-0162