AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE
Sponsored by Discharge Planning Guide: Tools for Compliance, 2E
Featuring Jackie Birmingham, RN, BSN, MS, CMAC
and Carol A. Sylvester, MS, RN
presented on January 24, 2008
Facing the latest regulatory requirements in discharge planning, case management departments across the country are fraught with confusion regarding:
- The new Important Message from Medicare and Notification of Hospital Discharge Appeal Rights—mandated by CMS in July 2007
- CMS' new severity-adjusted DRG system and its impact on discharge planning and length-of-stay
- The why’s, what’s, and when’s of hospital-issued notices of non-coverage (HINNs)
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If your case management department wants to ensure compliance and improve efficiency of the discharge planning process, listen to HCPro's audioconference, Discharge Planning in Acute Care: How to maximize the process under current regulations.
During this special 120-minute program, discharge planning experts, Jackie Birmingham, RN, BSN, MS, CMAC, and Carol Sylvester, MS, RN, rely on the latest information to provide practical solutions to improve your organization’s operations. Learn new strategies to deal with the Important Message from Medicare (IM), avoid appeals, keep up with hospital-issued notices of non-coverage (HINNs), and improve discharge planning in the emergency department.
BONUS TOOLS
In addition to the expertise and advice presented during this audioconference, you'll receive a slide presentation of the program materials and these valuable tools:
- Policy and procedure for notification
- Sample compliance tracking report
- Copy of Federal Regulations for Discharge Planning and Utilization Review
- Annotated Bibliography, with links to Federal Rules including the IM notice and HINNs
- Protocol for the role of a medical advisor
- Tool for the orientation and training of medical residents, hospitalists, and practicing physicians to support their role in discharge planning
- Reference for emergency department discharges
These materials are provided with PDF links.
AGENDA
- The discharge planning process
- Conditions of Participation for discharge planning
- Organizational, financial, and length of stay (LOS) benefits
- Building the interdisciplinary discharge planning team
- Long-stay review and the ‘SWAT’ team approach to complex discharges
- The Important Message from Medicare (IM) as an awareness tool
- The intent of the rule
- Comparing the IM rule to the Financial Liability Protection rule
- Scripting for delivery of the notice
- Using discharge planning to avoid a discharge appeal
- Tracking compliance
- Navigating the new HINNs: The why’s, what’s, and when’s
- HINN 10: Hospital Requested Review
- HINN 11: Non-covered service during a covered stay
- HINN 12: Non-coverage of continued stay
- Advanced Beneficiary Notice, General (ABN-G)
- Preadmission and admission HINNs
- Emergency Department Discharge Planning
- Emergency Medical Treatment and Active Labor Act (EMTALA)
- Discharging patients from the ED to alternative levels of care
- Question & answer
LEARNING OBJECTIVES
- Identify the effects of the discharge planning process on capacity management
- List strategies to maximize the use of the interdisciplinary team in the discharge planning process
- Discuss how to avoid an appeal after delivering the new IM
- Recognize the purpose of HINNs and determine which to use and when to use them
- Describe how to balance discharge planning mandates with patient throughput
- Review the requirements for discharge from an emergency department
FACULTY
Jackie Birmingham, RN, BSN, MS, CMAC, Vice President for Professional Services, Curaspan, Inc. In her more than 40 years in healthcare, she has spent 25 years in discharge planning and case management. Jackie is a noted author and frequent speaker. She is chair of the Legislative and Advocacy committee of the American Case Management Association, is certified in and a Board member of the Case Management Administration Certification program.
Carol Sylvester, MS, RN, Senior Director of Care Management at the Johns Hopkins Bayview Medical Center, a 330 bed academic medical center in the Johns Hopkins Health System. Ms. Sylvester is responsible for Case Management, Utilization Management, Social Work, Clinical Outcomes Measurement, and Capacity/throughput management. She has been a nurse for over 36 years with clinical and leadership roles in a variety of settings including Home Health Care, Acute Care, Long Term Care and Managed Care.
WHO SHOULD LISTEN?
Case managers/discharge planners, directors of case management, care coordinators, utilization review staff/administrators responsible for utilization review and discharge planning, physician advisors, payers (managed Medicare case managers), intake staff at post-acute providers such as SNFs and home health agencies, and QIO staff who participate in the appeal process.
Purchase a CD or audio archive of the program and listen when you can. It's a perfect training tool for new staff or as a refresher for veteran staff. An audio archive allows you to download the program and play it back at your convenience on your computer or MP3 player.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
