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CMS Four-Step Discharge Process

Evaluate for Post-Discharge

Needs

Develop a Discharge Plan

Initiate Implementation

of the Plan

Screen All Patients

1 2

4 3

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The discharge-planning process should start with screening as soon as the patient is admitted. Screen every type of inpatient,

from observation to one-day surgery patients.

Screen All Patients for Discharge Needs

Step 1

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DischargeCentral integrates with most health information systems, which means that the patient episode is automatically created in the application at admission. This automation will: •  Kick-off a standardized

discharge process •  Provide immediate access to

admitted patient status •  Eliminate manual data entry

With DischargeCentral®

Step 1: Screen All Patients for Discharge Needs

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Efficient discharge-planning processes depend upon knowing the patient’s history and evaluating the patient to determine if the patient: •  Is a readmit •  Is a frequent flyer •  Needs post-discharge care •  Can return to a previous level of care

Evaluate for Post-Discharge Needs

Step 2

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Clinical information is automatically incorporated directly into DischargeCentral, providing you with immediate access to the

patient’s status and any previous episodes.

With DischargeCentral®

Step 2: Evaluate for Post-Discharge Needs

Patient Status Previous Episodes

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Collaboration across the care continuum is required to develop an effective post-discharge care plan. This includes

communicating with multiple providers at the next care setting to determine bed availability based on patient needs and patient

choice.

Develop a Plan Based on Identified Needs

Step 3

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•  Search our built-in provider database •  Pull an up-to-date list of providers that

meets each patient’s needs •  Send referrals to several providers

simultaneously

With DischargeCentral®

Step 3: Develop a Plan Based on Identified Needs

A B C

Post-Acute List

•  Share the list with the patient so that they can select a provider, establishing patient choice

A B C

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Hospitals are responsible for the initial implementation of the patient's discharge plan. This requires making sure that the next

level of care has all relevant clinical information before discharge.

Initiate the Discharge Plan Implementation

Step 4

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Securely share patient clinical data electronically with selected post-acute providers, ensuring that the providers are informed and ready to receive patients before discharge. Specialty reports can also help: •  Track transition and readmission practices •  Identify issues and bottlenecks that increase patient LOS and

other key performance indicators •  Develop interventions that lead to more efficient,

cost-effective care

With DischargeCentral®

Step 4: Initiate Discharge Plan Implementation

© 2014 Curaspan Health Group, Inc.

CMS Four-Step Discharge Process

Evaluate for post-discharge

needs

Develop a discharge plan

Initiate implementation

of the plan

Screen all patients

1 2

4 3

These four steps are outline by CMS in the State Operations Manual (SOM), also referred to as the Interpretive Guidelines that follow the conditions of participation (CoP). These can be found at: •  h"p://www.cms.gov/Regulations-­‐‑and-­‐‑Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf •  h"p://www.ecfr.gov/cgi-­‐‑bin/text-­‐‑idx?c=ecfr&tpl=/ecfrbrowse/Title42/42cfr482_main_02.tpl

© 2014 Curaspan Health Group, Inc.

Spend less time on manual tasks.

Spend more time with patients.

CMS Discharge Process with DischargeCentral

Collaborate

Optimize

Automate

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CMS Discharge Process with DischargeCentral

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