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DISCHARGE PLANNING TOOLKIT - Lifespan Network

1 DISCHARGE PLANNING TOOLKIT This TOOLKIT is offered by The Beacon Institute through a grant from the Maryland Office of Health Care Quality 2 DISCHARGE PLANNING TOOLKIT TABLE OF CONTENTS Introduction SECTION I: STAFF RESOURCES New Requirements for DISCHARGE PLANNING Includes information on the new Mega-Rule requirements for DISCHARGE PLANNING that became effective 11/28/17. Procedure/Checklist for DISCHARGE PLANNING Tool for monitoring completion of new Mega-Rule requirements DISCHARGE PLANNING Checklist List of actions to consider prior to and on the day of DISCHARGE Assessment of Post- DISCHARGE Needs Checklist of items to include in a DISCHARGE plan Readmission Risk Worksheet Listing of factors for increased risk of hospital readmission.

• 18% of Medicare patients are readmitted within 30 days of discharge ... Include regular re-evaluation of residents to identify changes that require modification of the discharge plan. The discharge plan must be updated, as needed, ... information regarding returning to the community. (A) If the resident indicates an interest in returning to ...

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