·
Revisions update the guidance for the hospital
discharge planning Condition of Participation (CoP), including expectations
for outreach and/or communication with post-acute care settings [emphasis
added].
·
Advisory Boxes: Included throughout the
guidelines are “blue boxes” that “…display advisory practices to promote better
patient outcomes….” The advisory boxes provide resource information and/or
references for process improvement, but do not comprise required practice and
are not used for determining compliance. Blue Box e.g.s, include:
“For
Information – Not Required/Not to be Cited
It
would be advisable for the hospital to develop its discharge planning policies
and procedures with input from the hospital’s medical staff prior to review and
approval by the governing body. Hospitals are also encouraged to obtain input
from:
·
Other healthcare
facilities and professionals who provide care to discharged patients, including
but not limited to: nursing homes/skilled nursing facilities, home health
agencies, primary care physicians and clinics, etc.; and
·
Patients and patient
advocacy groups.
For
Information– Not Required/Not to be Cited
·
Although not
required under the regulations, hospitals would be well advised to develop
collaborative partnerships with post-hospital care providers to improve care
transitions of care that might support better patient outcomes. This includes
not only skilled nursing facilities and nursing facilities, but also providers
of community-based services. For example, Centers for Independent Living (CIL)
and Aging and Disability Resource Centers (ADRC) are resources for
community-based services and housing available to persons with disabilities and
older adults….”
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