The winds of change have been blustery influencing a culture shift in long term care. The Post Acute providers have an urgency to become more familiar with the challenges and opportunities facing their organizations in the coming years. The great care that is being provided today, must be sustained in light of many federal laws impacting the delivery of care in these settings. The traditional healthcare delivery system is becoming increasingly obsolete with a renewed focus on a team-based approach with outcomes-based reimbursement. Care coordination is enhanced significantly when the patient and their family members along with other key decision makers are involved in planning and executing care. What are the pertinent questions and answers to troubleshoot potential barriers to post-acute treatment and patient transitions?Patients and the care team must be on the same linear track to prepare for discharge and transition patients between all care settings. Successful patient outcomes are the result of the proper preparations by the care team.
The CMS strategy for quality and value casts a strobe light on patient centered care. Patient centered care is designed to be responsive to individual patient preferences, needs, and values, while ensuring that the patient assists in guiding all clinical decisions.Providers across the country are now striving to conquer the delivery of consistent high-quality care, promote efficient outcomes to avoid penalties and be first in line for reimbursement rewards. This course will assist providers to keep pace with innovation in the delivery of services, implement initiatives to reduce provider penalties and explore solutions to assure SNF programming successes.
Quality, Value, Outcomes, Incentives are all key actions in Medicare program initiatives that are currently active with more coming down the pike over the next 3-5 years. Quality health care is a high priority topic for the US government, with providers seeking clarity and direction for the right steps to take for planning and updating systems and programs.
National efforts are underway to build on existing programs within the post-acute care environment to set specific, measurable targets to expand on quality of care in skilled nursing facilities and assisted living communities.
What is the strategic agenda of the Centers for Medicare and Medicaid in meeting the goals outlined in the many laws passed incorporated in the IMPACT Act, Final Rule, ACA, in addition to multiple other federal statutes?
Informed action and approach toward complying with the multitude of federal acts will lend to successes of the facility team. This will breed an environment of caretakers who can seamlessly deliver the highest quality service and protect residents from preventable conditions.
This course provides an opportunity to give your team a high level overview of what changes are scheduled for the post acute setting. Actionable defenses will be discussed to avoid financial penalties as well as a proactive checklist of preparatory steps.
Area Covered In The Session:
- Overview and definition of PAC initiatives
- Integrating Requirements of Participation
- Admission team; Three Top Priorities
- Discharge Planning – Where to begin
- Public Reporting; Pulling it all together
- Educate and Inform the team
- Interpreting Facility Reports
At the conclusion of the session, participants will be able to:
- Attendees will be able to state the multiple CMS Statues that Post-Acute providers must abide by.
- Leaders will be able to identify a plan for educating the team methodically and timely based on government mandates.
- Attendees will identify 4 essentials roles for the SNF team in preparing for Quality and reporting expectations.
- The learner will be able to identify techniques for communicating with referral sources both pre-admission and upon discharge to facilitate successful patient transitions.
- The learner will be able to state the importance of the CARE Tool and functional reporting items.
- Attendees will be able to identify advantageous tools for tracking outcomes.
- Nurse Managers
- Nursing Staff
- Business Office Managers
- MDS Coordinators
- Social Service Department
- Rehabilitation Directors
- Therapy Professionals
About Our Speaker:
Elisa Bovee has been working in the healthcare environment advocating for patients through education and clinical guidance for over 20 years. With a Masters degree in Occupational Therapy she has managed a national operations team performing audits and analysis across the US for skilled nursing and healthcare providers. Her expertise includes clinical solutions for treatment of patients with multiple complexities, Compliance Programs, Regulatory guidelines, development of Education programs,Reimbursement and skilled documentation for nursing and therapy professionals. Managing claims through the Contractor Request and Denial phases is Ms. Bovee’s forte. Elisa presents programs nationally targeting all interdisciplinary groups seeking guidance and clarity on a multitude of Regulatory and clinical topics. Elisa has written and contributed to articles for numerous national trade publications.