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Discharge Planning: Compliance with CMS Hospital & CAH CoPs

NDHA is an approved provider of continuing education by the North Dakota Board of Examiners for Nursing Home Administrators.

Date: 6/21/22

9:00  – 11:00 AM Central time


Registration fees:       $175 per NDHA member  |  $225 per non-member


Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.


This program will cover the changes to the discharge planning standards published in February 2020. It is anticipated that the Centers for Medicare & Medicaid Services (CMS) will soon publish revised interpretive guidelines and survey procedures to match the new regulations.

The new regulations cover sections on a patient’s timely access to medical records, the discharge planning process, discharge instructions, and discharge planning requirements. This webinar will review transfers to other facilities, assessment of 30-day readmissions, caregiver rights and recommendations, reduction of factors that lead to preventable readmissions, and more.

This session will also discuss the Impact Act its effect on hospital discharge planning, as well as the worksheet previously used to assess compliance with the CMS hospital Conditions of Participation (CoPs) for discharge planning. Although no longer used, the worksheet is available as an excellent self-assessment tool. Finally, the webinar will cover 1335 waivers regarding discharge planning that CMS issued during the COVID-19 pandemic. Every hospital that accepts Medicare and Medicaid must comply with the CMS discharge planning guidelines, and these standards must be followed for all patients.

At the conclusion of this session, participants should be able to:

  • Explain the CMS revised discharge planning requirements that apply to all hospitals and critical access hospitals.
  • Recall that patients and physicians can request a discharge planning evaluation.
  • Discuss that information about the hospitalization must be provided to the physician or provider before the first post-hospital visit.
  • Describe that the patient has a right to get medical records, including a copy of their discharge plan, in a timely manner.



Susan Seeley has over 40 years of experience in the health care industry, both as a nurse leader and as a clinical consultant with a focus on patient care services and regulatory compliance. She is experienced in conducting mock surveys and improving client hospitals’ accreditation survey preparedness through on-site education. Susan has helped organizations achieve continuous survey readiness and assists organizations with writing and implementing successful Plans of Corrections for survey deficiencies. She has also assessed quality programs, clinical operations, the structure and function of medical staff committees, and the implementation of peer review quality plans.

Prior to becoming a consultant, Susan spent 19 years as the chief nursing officer for a rural Florida hospital while working part time for the parent company as a clinical consultant for their more than 200 hospitals. She earned her Master of Science in Nursing Administration

and her Bachelor of Science in Nursing from Barry University in Miami Shores, Florida. She is a registered nurse and holds an Advanced Nurse Administrator certification through the American Nurses Association.

This speaker has no real or perceived conflicts of interest that relate to this presentation.


Jun 21 2022


9:00 am - 11:00 am

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