Cms Discharge Planning Worksheet. If you need help choosing a home health agency or nursing home: • Talk to the staff. • Visit. CMS' Discharge Planning Rule Supports Interoperability and Patient Preferences The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that empowers patients to make informed decisions about their care as they are discharged from acute care into post-acute care (PAC), a process called "discharge planning." The discharge planning worksheet that the Centers for Medicare & Medicaid Services developed for surveyors spells out what case managers should be doing to create an effective discharge plan.
The discharge planning process and the discharge plan must be consistent with the patient's goals for care and his or her treatment preferences, ensure an effective transition of the patient from hospital to post-discharge care, and reduce the factors leading to preventable hospital readmissions. (a) Standard: Discharge planning process.
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.
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The discharge planning process and the discharge plan must be consistent with the patient's goals for care and his or her treatment. Planning for Your Discharge During your stay in a hospital, nursing home, or other health care setting, the staff will work with you to plan for your discharge. The hospital must have an effective discharge planning process that focuses on the patient's goals and treatment preferences and includes the patient and his or her caregivers/support person(s) as active partners in the discharge planning for post-discharge care.
