Q&A: Which hospital patients must be screened an assessed for a discharge plan?
Q: Which hospital patients must be screened an assessed for a discharge plan?
A: Currently, CMS requires a discharge planning process for all inpatients. The best practice suggestion is to include a discharge planning process for some outpatients, such as observation patients, patients discharged from surgery for same-day procedures, and certain ED patients who are determined to need discharge planning. The discharge planning process includes:
- Screening all inpatients at risk of adverse health consequences after discharge if they have no discharge planning services
- Evaluating postacute care needs of patients identified above, those who self-identify, or those identified by physicians as needing a discharge plan
- Developing a discharge plan if needed or if a physician requests one
- Implementing the discharge plan prior to discharge
For more information about screening and assessments, see the Case Management Patient Communication Toolkit.