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Your Nursing Facility and New RUG IV Refinements PART 2

Now that new RUG IV refinements stemming from the SNF PPS FY2012 Final Rule are in place, you might be thinking about a plan of action for your facility. With everything else on your plate, you might also be wondering how you will educate your staff and put new processes into place on top of everything else you try to do in a day. Don’t scramble to fill the gaps, let HealthPROÔ guide your facility.


HealthPRO® Guiding you through new changes

At HealthPRO®, we specialize in the development, implementation and management of clinically strong, compliant and financially successful therapy programs. Our team brings over 15 years of clinical, regulatory, operational, and financial expertise and significant experience in nursing facility operations. In response to the changes that went into effect October 1, 2011, we created a comprehensive preparedness plan. As a result, we’ve helped hundreds of clients evolve their programs, mitigate the potentially negative impact of FY 2012 PPS, and adapt to the new PPS environment. Through a comprehensive program analysis, we’re confident that we can help you improve clinical outcomes, compliance, and therapy net margin.

Our RUG IV Transition Plan

We will develop a site-specific transition plan that will meet your facility’s unique needs. Our plan will outline all necessary changes and actions and the impact of those changes. All of our plans are completely customized so that we can best serve your specific needs. Here are a few examples of transitional plan tasks:

  • A detailed evaluation of RUG IV classification and revenue trends, inclusive of ADL scoring
  • An assessment of risk areas and associated financial impact
  • The identification of opportunities for improvement
  • A review of FY 2012 RUG IV changes and what they mean to your facility
  • A forecast of ongoing risk and financial impact based on your data

Your staff, our technology

To help mitigate the impact of new RUG IV refinements, we recommend that you increase the flexibility of your staff. Increased “sweeper” therapists, staggered shifts, cross-coverage among same discipline, CNA training programs and use of assistants are all great ways to increase staff flexibility. We will also work directly you’re your facility’s leadership to achieve the best results in the shortest amount of time.

A few things we will assess:

We will revise your approach to activities and appointments to mitigate EOT/COT risk, increase floor programming and create “waiting room” areas for treatment. We will also assess your technology capabilities to ensure that operations run efficiently and effectively. Once we identify inefficiencies, we will improve your technology by implementing our proprietary HealthMAX® system.

A unique approach

There are two ways we work with our customers. We offer In-house Therapy Management or Full Service Contract Therapy Management. If your program is in house, we provide a management model that offers:

  • Clinical, regulatory, and operational expertise
  • Training and education for therapy and nursing staff
  • Recruiting and temporary staffing as needed
  • Technology solutions that automate documentation, outcome tracking, and reporting to support positive performance
  • Improved clinical and operational performance
  • Enhanced documentation and compliance.  

We also offer a full service contract therapy approach where we supply the same services above in addition to employing the therapy staff. Our depth of experience and proven track record of success ensures that you get the results you want regardless of which model you choose. 

No matter what approach you take, one aspect of our business never changes - the quality of our work.  

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Tags: RUG IV, skilled nursing facility