Discharge Planning Guide: Tools for Compliance

Softcover Book: 185 pages + bonus CD-ROM
ISBN 1578397731
978-1578397730
HCPro Inc
April 2006
Price: $199.00
(click below for this book and CD set)

Instead of pondering complicated regulatory language and requirements by yourself, with Discharge Planning Guide you'll have instant access to the precise details of how to comply. This book offers real strategies and best practices to manage the fine line between moving patients quickly and risking compliance issues.

As your hospital strives to reduce denial days and length of stay, you might be unknowingly opening your facility up to compliance risks.

As one of the most highly regulated components of case management, discharge planning compliance is vital for effective operations. Unfortunately, understanding the language of the law is confusing and applying the law is a whole battle unto itself. From the big picture to the tricky details, this book provides answers to all the important issues. You'll get:

a quick-access guide discharge planners can use to locate and cite federal standards that will help them write and/or revise their organization's discharge planning policies and procedures.
a quick-access guide discharge planners can use to locate and cite federal standards that defend their decisions regarding continuity of care.
links to Web sites with more information on compliance issues.
learning objectives to help guide the learner through the content, as well as act as a training tool.

Fully updated, this book includes these new provisions:

Descriptions of changes in the Prospective Payment System (PPS) including information on consolidated billing
Review of the final rule for Conditions of Participation for discharge planning
Details about the Post-Acute Transfer rule now applied to 180 DRGs and for patient's Leaving Against Medical Advice
Information on the many different forms of referrals
Explanation of the post-hospital extended care benefits
Discussion of new Medicare Coordination of Benefits program
Explanation of the confusing 3-day qualifying rule and the 75% rule for inpatient rehab facilities
Clarification of the patient choice requirement for post-acute care
Explanation of readmissions and what discharge planners can do to work with home health agencies

With the tools provided on the included CD-ROM, you will save both time and effort. In one central location you'll find critical materials, including:

Code for federal regulations
Conditions of Participation (CoP) for the discharge planning process and utilization review
Assessment of risk factors for hospitalization
National Guideline Clearinghouse's "Discharge Planning for the Older Adult"
And much more including tools you can modify to fit your facilities specific needs

Discharge Planning Guide provides you with the step-by-step solutions and tools you need to tackle the following critical topics:

What is discharge planning?
- Definition
- Regulatory history
Discharge Planning: The process
- Casefinding and screening
- Evaluation of the patient's continuing care needs
- Assessment of resources
- Problem identification/ goal setting
- Planning
- Implementation
- Monitoring
- Documentation
Federal Rules for Discharge Planning
- Three source documents
- Social Security Act
- Conditions of Participation
- Interpretive Guidelines
- List of types of policies and procedures
Types of Referrals, Transfers, Discharges and Readmissions
- Transfer from acute (acute-to-acute and post-acute transfer rule)
- Referral for post hospital extended care benefit
- Referrals to home health care
- Inpatient transfer to Observation status
- Leaving Against Medical Advice & Patient Elopement
- Swing Beds
- Hospice Referral
- Inpatient Rehabilitation Facility
- Home without services
- Issues related to "Readmission"
Patient Safety, Privacy, Patient's Rights, Freedom of Choice
- Freedom of Choice
- Patient's Rights (including denial and appeal processes)
- Privacy Standards (HIPAA and States)
- Advance Directives
- Special Considerations for Specific Populations
Limited English Proficiency
- Mandatory Reporting of 'abuse'
- Undocumented Aliens
- Veteran's Administration
Coordination of Benefits
- Medicare as Secondary Payer
- Worker's Compensation
- Tricare
Prospective Payment System across the continuum: what discharge planners need to know
- Home Health Resource Groups HHRG
- Skilled Nursing Facility Resource Groups RUGs III
- Inpatient Rehabilitation Facility IRF/DRG
- Consolidated billing" (SNF and Home Care)
Frequently Asked Questions

Jackie Birmingham, RN, MS, CMAC, vice president of professional services, CuraSpan, Inc. Jackie has over 20 years of experience in discharge planning and case management, and is a noted author and speaker. During this period Jackie advocated for the need to address care issues across the continuum while serving on a task force for the JCAHO. She also worked with the Health Care Financing Administration (HCFA) during the development of the guidelines for the implementation of the Social Security Act's section on discharge planning. Jackie is a past president of American Association for Continuity of Care, and was the year 2000 recipient of the Distinguished Case Manager of the Year for the Case Management Society of America (CMSA).

Softcover Book: 185 pages + bonus CD-ROM
ISBN 1578397731
HCPro Inc
April 2006
Price: $199.00
(click below for this book and CD set)

With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety.

(information from the publisher)

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