Should discharge planning focus on patient preferences?

You have an opportunity to comment on proposed rule by the Centers for Medicare & Medicaid Services. But you have only 60 days from November 3, 2015 to comment.

For clarity and accuracy, I am quoting the sources directly on the description of this proposal.

The proposed rule emphasizes the importance of the patient’s goals and preferences during the discharge planning process. These improvements should better prepare patients and their caregivers to be active partners for their anticipated health and community support needs upon discharge from the hospital or post-acute care setting. Hospitals and critical access hospitals would be required to consider several factors when evaluating a patient’s discharge needs, including but not limited to the availability of non-health care services and community-based providers that may be available to patients post-discharge.”

“As called for in the IMPACT Act, hospitals, including inpatient rehabilitation facilities and long-term care hospitals, critical access hospitals, and home health agencies would be required to develop a discharge plan based on the goals, preferences, and needs of each applicable patient. Under the proposed rule, hospitals and critical access hospitals would be required to develop a discharge plan within 24 hours of admission or registration and complete a discharge plan before the patient is discharged home or transferred to another facility.”

“This rule puts the patient and their caregivers at the center of care delivery,” said CMS Deputy Administrator and Chief Medical Officer Patrick Conway, M.D., MSc. “Patients will receive discharge instructions, based on their goals and preferences, that clearly communicate what medications and other follow-up is needed after discharge, and pertinent medical information will be communicated to providers who care for the patient after discharge. This leads to better care, smarter spending, and healthier people.”

What do you think?
Should we consider a patient’s goals and preferences during the discharge planning process?
Should we develop a plan early in the admission?
Should patients receive discharge instructions that are based on their goals and preferences?

Speak up. Comment on this ruling.

To learn more and comment on this proposed rule:

Discharge Planning Proposed Rule Focuses on Patient Preferences
https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-10-29.html

Medicare and Medicaid Programs; Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies
https://www.federalregister.gov/articles/2015/11/03/2015-27840/medicare-and-medicaid-programs-revisions-to-requirements-for-discharge-planning-for-hospitals

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