| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530025 | (X3) Date Survey Completed 08/21/2012 |
| Name of Provider or Supplier Ivinson Memorial Hospital | Street Address, City, State 255 N 30th, Laramie, WY | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| A0843 | REASSESSMENT OF DISCHARGE PLANNING PROCESS CFR(s): 482.43(e) The hospital must reassess its discharge planning process on an on-going basis. The reassessment must include a review of discharge plans to ensure that they are responsive to discharge needs. This STANDARD is not met as evidenced by: Based on medical record review and staff interview, the facility failed to develop and implement a system for identifying preventable readmissions. The findings were: During an interview on 8/20/12 at 1:15 PM, the discharge planner revealed all readmissions were flagged for her review. She further stated discharge planning concerns were discussed with the physicians, nursing staff and other healthcare professional; but the facility did not have a formalized systematic approach for identifying preventable readmissions. Review of the discharge planning policies and procedure also revealed the lack of a system for identifying preventable readmissions related to the discharge planning process. |