Welcome to the HealthPRO® Heritage Blog

The Bright Future of Rehab Includes Student Clinical Affiliations!

Posted on: July 11, 2019

Among the many important decisions related to the PDPM transition is the question of whether SNFs and their rehab partners should accept students for clinical affiliations.  As strategy consultants and leaders in therapy, HealthPRO® Heritage offers this guidance: 

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Tags: PDPM, CMS Update 2019

(Re)Consider the Optimal Therapy Model for PDPM & Beyond!

Posted on: July 1, 2019

Decisions. Decisions. Since the industry began wrapping their heads around RCS-1 two+ years ago, SNFs continue to weigh the pros and cons of retaining in-house therapy vs. an outsourced model. Questions arise: What does payment reform mean for SNFs with their own program? Is there a financial or operational advantage to transitioning from full service to in-house or a “managed” in-house model?

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Tags: PDPM, CMS Update 2019, Therapy Model

HealthPRO Heritage Reports: RAI Manual Updates

Posted on: June 10, 2019

The 2019 RAI Manual is here! The SNF world has been on the edge of their seat in anticipation of how the changes would impact the interdisciplinary team and coding of the MDS assessment.  CMS’ message is clear:  No longer is the manual only for MDS coordinators!  More emphasis on clinical characteristic coding for PDPM case mix group assignment means all disciplines must participate in completion of the MDS. The MDS item sets have been adapted for this shift in the Medicare classification system, requiring significant updates in the go to manual for RAI process.

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Tags: PDPM, CMS Update 2019, RAI

Struggling to Define Success Beyond PDPM? Sustaining QMs is the Solution!

Posted on: May 30, 2019

SNFs have been bombarded with changes to many key performance indicators – such as Quality Measures, Five Star Ratings and the Quality Reporting Program – and will be expected to sustain and even grow quality improvements over time.  Read up on all the new changes here. (And have you heard the latest: CMS recently implemented a process whereby the QM thresholds will increase by 50% of the average rate of improvement in QM scores.)  

Based on these obvious smoke signals from CMS, the industry pundits foresee: Quality Measures just might be CMS’s way of monitoring for appropriate levels of skilled rehabilitation services after the October 1 transition to PDPM.   

In light of this prediction, consider your facility’s QM performance in highly monitored areas – such as skin integrity, falls, ADL performance, weight loss, functional mobility, pain, etc. 

Ask:  Are these areas recurrent concerns for your SNF?  

If so, HealthPRO® Heritage advises:

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Tags: Patient-Driven Payment Model, PDPM, CMS Update 2019

Restorative Nursing Under PDPM: Looking for Answers?

Posted on: May 16, 2019

We can all agree: the value of a solid, efficient Restorative Nursing Program for SNFs should not be underestimated!

There’s a lot of BUZZ in the industry about increasing restorative programming in preparation for PDPM. Many SNFs have Restorative Nursing programs. Many do not. Some have a program, but it doesn’t function the way it should.

Here’s the stone cold truth…
Restorative Nursing may (or may not) make sense for your organization. Hear us out. 

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Tags: Patient-Driven Payment Model, PDPM, CMI, Case Mix Index, Restorative Nursing, Restorative Nursing Program

PDPM: Outcomes, Outcomes, Outcomes

Posted on: May 2, 2019

Success under PDPM – and beyond!  in large part, boils down to this: A SNF’s ability to build positive, sustainable outcomes. As such, HealthPRO® Heritage advises providers to focus on the strategies, processes, and initiatives that will support consistent delivery on exceptional clinical and performance outcomes.  

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Tags: Rules of Participation, PDPM, CMS Update 2019

SNF Proposed Payment Updates

Posted on: April 25, 2019

Today, CMS published the FY 2020 Skilled Nursing Facility Proposed Payment System (SNF PPS) in the federal register. It contains the SNF PPS payment update is 2.5% for FY 2020, which is an increase in payments of $887 million, compared to FY 2019.  This estimated increase is attributable to a 3.0 percent market basket increase factor with a 0.5 percentage point reduction for multi-factor productivity adjustment.

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Tags: Patient-Driven Payment Model, PDPM, CMS Update 2019

Update from CMS Regarding Group/Concurrent Under PDPM • April 19, 2019

Posted on: April 20, 2019

Late Friday afternoon, April 19, CMS released the FY 2020 SNF PPS Proposed Rule, specifying a few changes for the Patient-Driven Payment Model (PDPM). HealthPRO® Heritage is looking forward to reporting out on all the modifications, but can’t wait to share the following good news…

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Tags: Payment Reform, Patient-Driven Payment Model, PDPM, CMS Update 2019

QRP and QMs are Changing with the Times. Are You?

Posted on: April 18, 2019

As of April, CMS has implemented important modifications for the Quality Reporting Program (QRP) and Quality Measures (QMs) that may have significant fiscal, clinical, and compliance implications as well. Not only will these changes enable CMS to better monitor SNF outcomes, the modifications raise the bar on performance measures and will challenge SNFs to drive care differently. 

What should SNFs know?  HealthPRO® Heritage offers guidance. 

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Tags: Patient-Driven Payment Model, PDPM, CMS Update 2019

Group Therapy Under PDPM: Strength in Numbers

Posted on: April 11, 2019

Think about a task you routinely complete:  yardwork, cooking a meal, or a project at work.  Now imagine asking a friend or co-worker to pick up a rake or join you in the kitchen.  Your results:  being able to complete the same tasks with improved efficiency and even better outcomes.    

Apply this thought-process to providing world-class rehab services for the patients in your care.  Research supports:  There’s strength in numbers!

The post-acute world is looking forward to new rules. Learn more about best practices and potential pitfalls RE: Group Therapy Under PDPM. 

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Tags: Patient-Driven Payment Model, PDPM