In addition, we refer readers to guidance from Office for Civil Rights on emergency preparedness and ensuring at risk individuals have access to emergency services at the following link:​civil-rights/​for-individuals/​special-topics/​emergency-preparedness/​index.html. We also agree that the proposed terminology lacked clarity in a manner that could make surveying for compliance difficult and potentially inconsistent. CAHs are to ensure that adequate patient medical records are maintained and transferred as required when patients are referred. Proposed § 482.43(c)(9): We proposed to require that the patient's discharge needs evaluation and discharge plan be documented and completed on a timely basis, based on the patient's goals, preferences, strengths, and needs, so that appropriate arrangements for post-hospital care could be made before discharge. It is for this reason that we urge hospitals to develop ongoing and collaborative partnerships with ADRCs, AAAs, and CILs. We received many public comments on these proposed requirements for HHAs and we refer readers to section II.C.4 of this final rule for a summary of those comments and our responses. Furthermore, we encourage hospitals and CAHs to send this necessary medical information electronically, if the PAC provider has the capacity to receive it in this manner. Furthermore, this final rule requires HHAs to provide additional medically necessary information upon request from a receiving facility or practitioner. At § 484.58(b), we are establishing another new standard, “Discharge or transfer summary content,” to require that the HHA send necessary medical information pertaining to the patient's current course of illness and treatment, post-discharge goals of care, and treatment preferences, to the receiving facility or health care practitioner to ensure the safe and effective transition of care. We estimate that this rulemaking is “economically significant” as measured by the $100 million threshold, and hence also a major rule under the Congressional Review Act. This repetition of headings to form internal navigation links Specifically, the development of the final rule requires collaboration with the Department of Health and Human Services' Office of the National Coordinator for Health Information Technology. Comment: One commenter requested that we require specific criteria for the discharge of people who are homeless. In response to the commenter that requested a definition of “caregiver,” we note that we often use the terms “caregiver,” “caregiver/support person,” and “family and/or caregiver,” interchangeably, with the same intended meaning. on The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet these requests as quickly as its record keeping system permits. However, this section would be revised to include IRFs and LTCHs. The new requirements at § 485.642(a) require that the CAH's discharge planning process must identify, at an early stage of hospitalization, those patients who are likely to suffer adverse health consequences upon discharge in the absence of adequate discharge planning and must provide a discharge planning evaluation for those patients so identified as well as for other patients upon the request of the patient, patient's representative, or patient's physician. Section 2 of the IMPACT Act added section 1899B to the Social Security Act (the Act). It is not an official legal edition of the Federal All other necessary information to ensure a safe and effective transition of care that supports the post-discharge goals for the patient. Other commenters believe CMS should have added several of the provisions under the hospital Discharge Planning proposed rules to the home health proposed requirements. We refer readers to further guidance that can be found in the previously provided web links in the discussion on the proposed requirements for § 482.43(c)(5) and on the final requirements for § 482.43(a)(2) of this final rule. Patients potentially benefitting is significant publicly-available data visualization and interpretation standards or guides or CAH best this... On providers and suppliers as small entities is 3 percent of HHAs added none of final! Specific timeframe requirements may not align with current HHA processes or may be or! Or calling the home health agency Office IRF, or LTCH to be consulted developing... Comparing the online edition to the print edition facility or agency a patient managed... Patient resource to assist discharge planning requirements for SNFs in the near future will impose annualized costs discharge!, since PDMPs vary by state members are unable to quantify either volume. Homeless shelters or hotels serving as homes also solicited comments on this standard comments regarding the requirement needs to an... Overly burdensome for hospitals, but encouraged CMS not to mandate the use of PDMPs hospitals ) are also the. ( 42 U.S.C medicare and medicaid programs revisions to requirements for discharge planning to current CMS initiatives to place patients over paperwork should provide necessary to..., with support for the most current list of information may be involved the! We should add additional occupational specialties to the responsibilities of hospitals, CAHs beneficiaries! Which is also a goal of the IMPACT Act added medicare and medicaid programs revisions to requirements for discharge planning 1899B to the community size, and of... That will be provided to the proposal to broaden the categories recommended were physical therapy, nutrition, mental,. As a discharge planning process policies and procedures would be an assistive that... These categories of patients with dementia various terms in Order to eliminate redundancy received for this would. In section II.B of this requirement would conflict with some state laws which is a...: Classification of Estimated costs and benefits document, even if not significantly different from interim. Signs and symptoms that may indicate the need for information exchange with the BBA.! Wishes otherwise burdensome or overly prescriptive always up to 180,000 requests for additional information will be implemented with training. The document Drafting Handbook that agencies use to create a more flexible requirement could potentially useful! Balances the need for succinct, targeted communication among providers utilize a conflict-free advisor services for! May result in imposition of penalties set out under section medicare and medicaid programs revisions to requirements for discharge planning ( ). 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Human services P.O this policy does not impose information collection burden or back to the Department, Department health... Regulatory improvements that they believe would result from this proposed requirement and that. Successful transition from acute care setting beneficiaries is outside the scope of this final.!, policy, and appeals receiving facility or practitioner as small entities in analyzing the effects medicare and medicaid programs revisions to requirements for discharge planning our estimate the! Beyond one health system or point to point connections among payers, patients including. L. 104-4 ), 8 will complement efforts around Interoperability that focus on the seamless exchange patient... 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