On September 30, 2019 the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register, a final rule that addresses discharge planning requirements for hospitals, critical access hospitals (CAHs), and home health agencies. Provisions of the final rule went into effect November 29, 2019.
Most notably, the final rule requires that hospital discharge planners provide patients needing post-acute care with a list of options and objective and relevant quality and resource use data. The Centers for Medicare and Medicaid Services has indicated that they will be issuing additional sub-regulatory guidance early in 2020.
The goal of this learning brief is two-fold: first, to provide CHA members with a high-level overview of the rule, and second, to solicit your suggestions and requests for additional information and clarification. CHA staff and members of the CHA case management committee are in direct contact with CMS, and your input will inform our ongoing communication with them on your behalf.
Leaders of case management in acute and post-acute care settings: leaders of post-acute care services, (including inpatient rehabilitation, long term acute care, skilled nursing, and home health) as well as hospital and health system chief operating officers, chief nursing officers, and leaders in quality management and compliance.
Brian Ellsworth is the Vice President for Public Policy and Payment Transformation at Health Dimensions Group. He has more than 30 years of wide-ranging experience in health care financing, delivery, and policy from both payer and provider perspectives, including positions with the American Hospital Association, with New York’s Medicaid program, and with LeadingAge New York. He has served on numerous advisory committees for federal and state governments, including payment and quality reform efforts.