CMS Releases QSO on Information Sharing During Hospital Transfer to Post Acute Care

Legal; Regulations; Skilled Nursing Facilities (SNF)
​The Centers for Medicare and Medicaid Services (CMS) released a QSO reminding state survey agencies of the requirement for hospitals to provide accurate and complete patient information to Post Acute Care (PAC) providers during discharge.

CMS identified a concern regarding the information PAC providers, including skilled nursing facilities and home health agencies receive from hospitals, including the following important patient information:

  • ​Information regarding substance use disorders and mental health diagnoses or histories. 
  • A full list of medications for discharge. 
  • Information about skin conditions, including skin tears, pressure injuries, etc. 
  • Information regarding durable medical equipment. 
  • Information regarding the patient’s preferences for care, including end-of-life decisions. 
  • Communications about the patient’s needs at home. 
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