The federal Centers for Medicare & Medicaid Services (CMS) is planning to overhaul discharge planning requirements in the Medicare and Medicaid conditions of participation (CoP) for hospitals, post-acute care facilities, and home health provider organizations to promote person-centered care. The proposal calls for hospitals and post-acute care provider organizations to develop a discharge plan within 24 hours after a patient is admitted or registered, and to complete the plan before the patient is discharged to home or transferred to another facility. To develop the plan, the provider organizations must ask patients about their goals for care and . . .