Harmony Healthcare Blog

AHCA Provider Lounge Series: Building Quality-Driven Communities

Posted by Kris Mastrangelo on Thu, Apr 20, 2017

Interview with Phil Scalo, CEO of Bartley Healthcare

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Phil Scalo, CEO of Bartley Healthcare located in New Jersey, in the AHCA Provider Lounge.  Phil discusses the importance of providing quality-driven customer-based services.   Phil runs his campus as a community, where individuals can feel confident that when they move in they will always have a place for whatever care they need.    Through customer service initiatives such as surveys, Phil is prepared to meet all of his residents' needs - be it bringing rehab to Assisted Living or providing more private rooms for incoming baby boomers (Audio transcription below).

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Topics: Person-Centered Care, Baby Boomers

The Medicare Spell of Illness (Benefit Period)

Posted by Sally Fecto on Thu, Apr 13, 2017

C.A.R.E.

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


These past few weeks of on-site audits with the Harmony Team continue to reinforce the need for everyone to get back to basics.  All of the hype and frenzy over payment reform is distracting and disrupting the focus on the simplest of tasks.   What task you ask?  Spell of Illness. 

In order to successfully operate in the Skilled Nursing Facility space, Kris Mastrangelo continually messages these 3 focal points:

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Topics: Medicare, Spell of Illness

AHCA Provider Lounge Series: Meeting the Needs of Baby Boomers

Posted by Kris Mastrangelo on Wed, Apr 12, 2017

Interview with Tom Coble, President - Elmbrook Management Company

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Tom Coble, President of Elmbrook Management Company, in the AHCA Provider Lounge.  Tom discusses the future of providers and healthcare models.  He says it will be a delicate balance as providers will need to blend medical models (skilled nursing facilities) with social models (home care, community based)  in order to meet the needs and desires of the incoming baby boomer generation. (Audio transcription below).

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Topics: Person-Centered Care, Baby Boomers, Healthcare Models

Developing an Effective Compliance Program: Policies and Procedures

Posted by Joyce Sadewicz on Fri, Apr 07, 2017

C.A.R.E.

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


The Requirements of Participation require a Compliance and Ethics program to be implemented in each facility in Phase 3 by November 28, 2019.  While this appears to be a long time to prepare, it takes many months to develop and implement an effective compliance program.  One of the foundations of an effective compliance program is Policies and Procedures including Standards and a Code of Conduct or Corporate Philosophy.  The Standards or Code of Conduct should state the company’s commitment to compliance with federal and state standards, express the company’s goals, mission, values and ethical requirements, and the expectations that all staff, including management and the governing board, comply with the standards.  

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Topics: Compliance

AHCA Provider Lounge Series: Keeping the Small Provider in the Marketplace

Posted by Kris Mastrangelo on Thu, Apr 06, 2017

Interview with Michael Lehrman, Vice President of Healthcare Services - Catholic Charities of New Hampshire

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Michael Lehrman, Vice President of Healthcare Services - Catholic Charities of New Hampshire, in the AHCA Provider Lounge.  Michael discusses whether or not small providers will have enough resources internally to manage all the regulatory changes that they are facing as compared to the larger chains who have larger staffs to manage such transitions. (Audio transcription below).

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Topics: Small Providers, Regulatory Change

AHCA Provider Lounge Series: Data Analytics in the SNF

Posted by Kris Mastrangelo on Tue, Apr 04, 2017

Interview with Paul Liistro, Owner & CEO - Arbors of Hop Brook

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Paul Liistro, Owner and CEO of Arbors of Hop Brook (CT), in the AHCA Provider Lounge.  Paul relates his previous experiences of working in a family run nursing home with one piece of technology to working in his current facilities that utilize multiple software systems and cloud technology.  With so much data, Paul discusses the importance of data analytics, including the possibility of even hiring a Data Analytics Nurse. (Audio transcription below).

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Topics: Requirements of Participation, EHR, Data Analytics

AHCA Provider Lounge Series: Recruiting and Retaining Caregivers

Posted by Kris Mastrangelo on Tue, Mar 28, 2017

Interview with Brendan Williams, President - New Hampshire Health Care Association

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Brendan Williams, President and CEO of the New Hampshire Healthcare Association (NHHCA), in the AHCA Provider Lounge.  Brendan discusses the staff crisis facing skilled nursing homes.  Not only does Brendan strive to make caregiving an attractive profession to the current generation, he argues that "we can't have people getting poor for taking care of the poor."  (Audio transcription below).

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Topics: Five-Star, Quality Measures, Staffing

Quality Measure for Behaviors Affecting Others

Posted by Kathy Monahan on Thu, Mar 23, 2017

C.A.R.E.

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


With the nationwide focus on antipsychotic drug reduction, providers are seeing an increase in behaviors, especially with the dementia population.  Thus, this Quality Measure is being impacted in facilities with a large dementia population.  Many facilities are updating behavior management techniques and procedures to meet the increasing number of residents with dementia and behaviors.  Surveyors are taking notice and are looking to see how facilities are managing challenging behaviors. 

All the patients that triggered for this Quality Measure in the facility have a dementia diagnosis. 

So, let’s take a deeper dive into the Measure Specification for this Quality Measure.  This measure reports the percentage of long-stay residents who have behavior symptoms that affect others during the target period.

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Topics: Dementia, Quality Measures

Change of Therapy Assessment (COT): To Combine or Not to Combine?

Posted by Sally Fecto on Tue, Mar 21, 2017

C.A.R.E.

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


This week’s travels uncovered another pattern.  Many MDS Teams appear to be combining the Change of Therapy (COT) with the next scheduled PPS Assessment.  In many instances, this is not only unnecessary but the combination results in decreased reimbursement for 6 days, (specifically in the case of combing a COT with the scheduled 14-Day MDS). 

It is important to know when to combine the COT MDS Assessment and when to complete the Standalone Scheduled MDS Assessment. 

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Topics: Change of Therapy

Quality Measure Confusion and Clarity: Hospital Readmissions

Posted by Kris Mastrangelo on Fri, Mar 17, 2017

C.A.R.E.

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


This blog will be short. It is meant to give you an “aha” moment. 

It has been one heck of a ride these last three years. We keep studying, we keep reading and we keep pulling “all-nighters” just to keep abreast of the nonstop regulatory and reimbursement changes.  I have whiplash from the dinging, pinging and buzzing on my multiple devices. The days are consumed with massive amounts of questions and discussions from top level CEO’s, Executives, and Clinical Management Teams across the country all with a unified goal of deciphering and simplifying Value Based Purchasing (VBP), Bundled Payments and the Quality Reporting Program (QRP). 

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Topics: Quality Measures, rehospitalizations, hospital readmissions

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