Readmission Penalty Update: Who Benefits from the New CMS Discharge Planning Rules

Reducing Readmission fines and Driving Increased referrals to Preferred Post Acute Providers

“If you’re planning a big event for your company and are looking for an engaging and humorous keynote speaker, I highly recommend Dr. Josh Luke. Not only is he entertaining but provided a lot of insight that are staff was able to put into action to increase sales and efficiency.”
Karen Taing
Director of Global Marketing, Meditab Software, Inc

The Affordable Care Act introduced the first ever Hospital Readmission Penalty. The penalty was put in place to penalize hospitals who were slow to transform to value based care and preferred to stick with antiquated fee for service era practices. Having penned the best selling book of 2015 for the American College of Healthcare Executives titled Readmission Prevention: Solutions Across the Provider Continuum, former hospital CEO and nursing home administrator Dr. Josh Luke is the foremost hospital and post acute authority on the readmission penalty. This presentation covers the origins of and motivations for creating the readmission penalty, identifies key cause of avoidable hospitalizations, and shares current best practices for hospitals, doctors and post acute provider to prevent avoidable hospitalizations. The presentation also identifies tactics providers can take to improve internal protocols to reduce readmissions and emphasizes that the goal is to reduce all avoidable hospitalizations, not just readmissions. Special attention is given to emergency room tactics, as well as how case managers, social workers, doctors and post acute providers can play a role in enhancing communication to reduce avoidable readmissions. Specific attention is given to the new, 2019 CMS discharge planning rules that require hospitals to meet certain communication, medical record and transfer requirements. 

Three Take-Aways

  1. Attendees will understand the shift in control from the hospital to the insurance sector and how emergency department tactics for admission have changed and differ 
  2. Attendees will understand how nurses, doctors, discharge planners and post acute providers can adopt best practices in adopting new procedures requiring enhanced communication and post-acute care planning in value based care 
  3. Attendees will learn tactics to prevent avoidable hospitalizations and alternative placements for patients needing non-acute care

Value added incentives included in the keynote package:

  1. Up to 250 copies of best selling book by Dr. Luke
  2. Pre event webinar exclusively for your members or team
  3. Executive interview to promote your event on Dr. Luke’s Top Healthcare Podcasts
  4. In addition to the keynote, a break-out session on topic of your choice (see breakout menu above)
  5. Dr. Luke will promote your event on social media: 

– 50,000 + Followers on Twitter & 38,000+ on LinkedIn 

Handouts & Tools

This presentation includes two handouts to be used as resources for attendees. First, the copyrighted Discharge with Dignity Guide that has been used by multiple health systems nationwide to train doctors and discharge panning staff on how to safely discharge patients directly home to avoid  the nursing home when safe and appropriate. The second tool is t eh Emergency Department Alternative Discharge Guide that led to the phrase “Why not home?” and teaches emergency physicians and discharge planners the other options that the Medicare benefits covers for direct transfer of patients from the emergency department. 100 complementary “Why not Home?” buttons are included with this presentation for attendees and are very popular.  

This presentation includes pre-approved CEU & CME contact hours

The not-for-profit National Readmission Prevention Collaborative offers complementary CEU and CME contact hours to events when Dr. Luke is hired that require no application form your event as they are pre-credentialed by the NRPC in conjunction with the Postgraduate Institute for Medicine for more than 4.0 contact hours in readmission prevention, bundled payments and care transitions, accredited by (AMA, ACCME, ANCC, ACPE, CCMC, ASWB NAB-NCERS).

About the Speaker, Dr. Josh Luke

After the Affordable Care Act passed introducing Value Based Care, Dr. Luke left the C-Suite and founded the not-for-profit National Readmission Prevention Collaborative which continues to provide online educational resources for healthcare executives. Dr. Josh Luke ascended to become the foremost hospital and post-acute authority on the readmission penalty and twice served as executive host of the World Congress on Readmissions. After starting his career in healthcare as a nursing home administrator, Dr. Josh Luke ascended to become a hospital CEO by age 32. Before leaving the c-suite, Luke served in four hospital CEO roles as well as serving as the Vice President of Post Acute Services for a non-profit health system. During his more than ten years in C-suite healthcare roles Dr. Luke oversaw acute rehab, behavioral health, home health & hospice and is an advocate for non-medical home care. Dr. Luke was later asked to design post-acute coursework based on his best-selling readmission book and serve as Adjunct Faculty at the University of Southern California’s Sol Price School of Public Policy.