Harmony Healthcare Blog

AHCA Provider Lounge Series: Challenges Facing SNFs in Rural America

Posted by Kris Mastrangelo on Tue, Jan 22, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Interview with Ted LeNeave, President & CEO of Accura Healthcare

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Ted LeNeave, President and CEO of Accura Healthcare, in the AHCA Provider Lounge.   With 17 skilled nursing facilities throughout the state of Iowa, Ted LeNeave knows the challenges of running a SNF in rural America.  With more and more of the rural working class outliving their life-savings, more and more of rural SNF residents rely on Medicaid, which rates are substantially lower than Medicare and Managed Medicare.  As a Chair on the Board of Directors for the Iowa Health Care Association, Ted has been actively working on ways to increase funding to the Medicaid system including increasing provider fees.  Rural nursing homes are also facing a growing workforce shortage.  As a solution to this problem, Accura Healthcare has developed a recruiting strategy focused in out-of-state urban areas such as Detroit and Chicago.  Accura Healthcare seeks to attract long-term care professionals who are looking for the chance to move to a quieter town that boasts low crime rates and top-tier education with the added bonus of paid moving expenses.

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Topics: Staffing, Rural

AHCA Provider Lounge Series: Building Better Healthcare Partnerships

Posted by Kris Mastrangelo on Thu, Jan 17, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Interview with Fred Benjamin, President of Skilled Nursing, Lexington Health Newtork

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Fred Benjamin, President of the Skilled Nursing Division at Lexington Health Network, in the AHCA Provider Lounge.   Fred discusses the importance of building better partnerships with other healthcare providers within healthcare groups such as ACOs.  Whether it is a hospital failing to share important notes upon discharge or if it's a broader misunderstanding of roles and responsibilities, such disconnect can lead to a myriad of problems.  Fred would like to see the return of affiliation agreements, which would define the responsibilities of each partner and help to hold all parties accountable.  The idea of building better healthcare partnerships does not only extend to other providers - Fred believes it also extends to his staff.  Building a better partnership with employees will inevitably improve workplace satisfaction and overall efficiency.

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Topics: ACOs

QAPI Program for Falls

Posted by Kathy Monahan on Tue, Jan 15, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The objectives of developing a QAPI Program for Falls includes the following: 

  • Review the regulatory interpretive guidelines for accidents and injury investigation.
  • Discover the key components of completing an accident root cause analysis.
  • Apply the quality improvement components to the investigative process. 

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Topics: falls

Antipsychotic Medications: Risks and 5 Components to Consider for Minimized Usage

Posted by Pam Duchene on Fri, Jan 11, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Antipsychotic medications pose tremendous risks for older adults, which is illustrated in the black box warnings issued by the U.S. Food and Drug Administration which identify increased risk of death in elderly patients with dementia [1].  

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Topics: Antipsychotics

The National Database MDS Resident Matching Process

Posted by The Harmony Team on Thu, Jan 10, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The MDS 3.0 Missing OBRA Assessment Report affords the provider an opportunity to validate regulatory compliance with OBRA regulations in completing and submitting MDS Assessments.  

The MDS 3.0 Missing OBRA Assessment report lists the residents in select facilities for whom the target date of the most recent OBRA assessment (other than a discharge or death record) is more than 138 days prior to the report run date. The report also includes residents for whom no OBRA record was submitted for a current episode that began more than 60 days prior to the report run date. The information included in the report is only as current as the date of the last submission by the facility.  Ideally, the queried report should depict “no data returned,” indicating that there no residents identified as having a missed OBRA assessment, as of the last submission and run date. 

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Topics: MDS Assessments

Skilled Nursing Facility Quality Reporting Program Data Collection & Final Submission Deadlines for the FY 2021 SNF QRP

Posted by The Harmony Team on Tue, Jan 08, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The ‘‘FY 2021 SNF QRP’’ refers to the fiscal year for which the SNF QRP requirements applicable to that fiscal year must be met for a SNF to receive the full annual update when calculating the payment rates applicable to it for that fiscal year

The below table provides the data collection time frames and final submission deadlines for the Fiscal Year (FY) 2021 Skilled Nursing Facility Quality Reporting Program (SNF QRP). 

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Topics: Quality Reporting Program

AHCA Provider Lounge Series: Improving Patient-Care Through Innovative Post-Discharge Model

Posted by Kris Mastrangelo on Thu, Jan 03, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Interview with Ronald Payne, CEO of Southwest LTC 

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Ronald Payne, CEO of Southwest LTC, in the AHCA Provider Lounge.   Ronald discusses the innovative post-discharge model that his East Texas market has rolled out.  By providing handheld medication monitoring devices to his patients post-discharge Southwest LTC aims to prevent issues with medication reconciliation.   Working alongside local pharmacists, Southwest LTC's post-discharge initiative has dropped their RTAs to below 10%.  Watch the video below for the full interview.

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Topics: Discharge Planning

AHCA Provider Lounge Series: Eden Alternative Approach to Person-Centered Care

Posted by Kris Mastrangelo on Thu, Dec 20, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Interview with Gary Kelso, President & CEO of Mission Health Services

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Gary Kelso, President and CEO of Mission Health Services, in the 2018 AHCA Provider Lounge.   Gary discusses the culture change that drives his organization and helps his facilities excel in person-centered care.  Following Eden Alternative principles, Mission Health Services transform their caregivers into "world-makers".   As world-makers, Mission Health employees strive to expand the residents' world beyond the walls of the facilities.  By encouraging employees to share their outside world with residents, Mission Health fosters engagement and provides purpose to their staff.  Gary posits that when you give your employees purpose, they will stay in their jobs.

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Topics: Person-Centered Care

AHCA Provider Lounge Series: Therapy Utilization under Patient-Driven Payment Model (PDPM)

Posted by Kris Mastrangelo on Mon, Dec 17, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Interview with Irene Henrich, Director of Quality and Compliance at Flagship Rehabilitation

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Irene Henrich, Director of Quality and Compliance at Flagship Rehabilitation, in the 2018 AHCA Provider Lounge.   Irene discusses the challenges facing contract therapy companies under Patient-Driven Payment Model (PDPM).  While the goal for contract therapy companies will remain the same - to provide quality care - it will be extremely important to position themselves as a true healthcare partner and not simply a staffing agency.   As demonstrated by Flagship Rehabilitation, therapy companies have the ability to become an integral educational resource to skilled nursing facilities under this new payment model.

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Topics: Patient-Driven Payment Model

AHCA Provider Lounge Series: Balancing Margin and Mission

Posted by Kris Mastrangelo on Tue, Dec 11, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Interview with Dan Holdhusen, Director of Government Relations at Good Samaritan Society

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Dan Holdhusen, Director of Government Relations at Good Samaritan Society, in the 2018 AHCA Provider Lounge.   Dan discusses how the Good Samaritan Society is preparing for upcoming reimbursement and regulatory changes.  As the largest not-for-profit provider of senior care services across the continuum, Good Samaritan often relies on unique approaches to ensure that margins are met, while not veering from their person-centered care mission.   Dan highlights their current efforts to combine with a regional hospital system.  Their co-branding efforts will undoubtedly blend strengths and as Dan explains, help to serve the community from the beginning of life to the end of life.   

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