When the Centers for Medicare & Medicaid Services (CMS) introduced the Patient-Driven Groupings Model (PDGM) to home health, it marked the arrival of the first IMPACT Act reform that would transform home care from the Home Health Prospective Payment System (PPS) era to the value-based model of tomorrow. PDGM changes for the home health industry made sweeping changes designed to address inefficient volume practices in the PPS model. Focused on elements of the PPS model that were based on volume, Medicare made changes to prompt desired value practices. These changes included tying home health payments to start of care (SOC) Outcome and Assessment Information Set (OASIS) accuracy, establishing 30/60-day episodes, removing therapy visit totals from the payment formula, and much more. In addition, future home health reforms are built on successful PDGM programming, so rewiring care processes and producing successful value-based outcomes are required for future success.
This webinar will feature the story of three home health providers, one of which is a fellow Floridian and HCAF member! All three providers have reinvented care development and delivery processes to assure full compliance with the PDGM changes. By approaching the elements of the reform in a step-by-step manner, they addressed all departments in their agency to rewire processes to support the reforms. Each of the providers outlined in this webinar is located in different parts of the country, but they all responded to the PDGM in a similar manner, and we will review their results to identify trends and similarities that all home health agencies can employ to gain improved outcomes.
Every home health department needs modification for PDGM performance success. In reviewing specific results per agency, we will see the effects on rewiring intake and scheduling, SOC OASIS accuracy protocols, and the ongoing refitting of in-episode care delivery based on changing patient acuity.
Don't miss this progressive and interactive webinar; all attendees will receive the opportunity for a free care analysis after the presentation.
Arnie Cisneros, PT, President of Home Health Strategic Management (HHSM), has practiced in the areas of post-acute care, sports medicine, and home health programming for more than 30 years. He is renowned for his adaptation of traditional care philosophies to address current and future health care reform initiatives. HHSM is a leader in the establishment of a Utilization Review (UR) model for home health care development and delivery. That HHSM UR model — SURCH (Service Utilization Review for Care in the Home) — was named the 2016-17 VNAA Innovative Home Health Care Model for its ability to successfully develop and manage home health episode terms of the CMS-compliant programming.
Kimberly McCormick, RN, BSN, is HHSM's Executive Clinical Director. Kim has extensive home health experience as an Administrator and offers her extensive knowledge to assist client providers in developing value-based programming for the PDGM and future reforms. Based on her expertise in the area of UR management of home health services, Kimberly assists providers with developing and maintaining improved results under the PDGM compared to the PPS era. She authors and presents nationally on home care topics and care models proposed by the Medicare Payment Advisory Commission (MedPAC) and CMS for the future of the home health industry.
Continuing EducationAttendees receive 1.5 continuing education units for skilled nursing, occupational therapy, and speech therapy.
Register online or call (850) 222-8967 to register by phone. HCAF members receive a discounted registration rate! To obtain the member discount, please log in to your profile before registering. Registration fees for this program are as follows:
Please log in to the program at least 15 minutes prior to the start time. Additional logins will be charged an additional registration fee. By registering for this event, you are agreeing to our payments, cancellation, and substitution policies.
HCAF offers a multitude of ways for home care industry vendors to promote products and services, including through educational program sponsorships. Gain additional exposure for your organization by sponsoring a program! Click here to learn about the benefits of sponsorship.
For more information, email Monica Smith, Deputy Director, at msmith@homecarefla.org.
HCAF members receive a discounted registration rate! To obtain the member discount, please log in to your profile before registering.
Registration fees for this program are as follows:
• HCAF Members: $49
• Prospective Members: $98
Register online or call (850) 222-8967 to register by phone.
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