Harmony Healthcare Blog

AHCA Provider Lounge Series: Long-Term Care and the Data Dilemma

Posted by Kris Mastrangelo on Thu, Dec 06, 2018

C.A.R.E.

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


Interview with Billie Nutter, President of Casamba, Inc.

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Billie Nutter, President of Casamba, Inc., in the 2018 AHCA Provider Lounge.  As a leading expert in the post-acute care industry, Billie believes a big pain point facing LTPAC providers is data fragmentation.  Providers are being asked to collect and report data to a wide array of entities, be it hospital partners, bundled payment groups and/or ACO networks.  Billie notes that the amount of data being collected is at times staggering.   With that said, it is often hard to compare one skilled nursing facility's data to another because the industry lacks standardized outcomes (and how those outcomes are measured).   Billie believes long-term care providers need to find a way to share their data stories in order to truly show their successes and highlight their progress.  As a response to this data dilemma, Casamba has developed tools to assist their clients in tracking real time data and provide predictive analytics.

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Topics: Data Analytics

AHCA Provider Lounge Series: Mark Parkinson's Advice for SNFs in 2019

Posted by Kris Mastrangelo on Tue, Dec 04, 2018

C.A.R.E.

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


Interview with Mark Parkinson, President and CEO of American Health Care Association (AHCA)

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Mark Parkinson, President and CEO of American Health Care Association, in the 2018 AHCA Provider Lounge.   Parkinson says there are two key things providers should be focusing on when it comes to reimbursement and regulatory change.  First off, he says facilities need to prepare for Patient Driven Payment Model (PDPM) right now.  He emphasizes that PDPM doesn't just change rates, it's a completely new payment system.  Secondly, Parkinson encourages providers to take risks when it comes to these reimbursement changes.  More and more of his member facilities are developing their own insurance plans known as I-SNPs (Institutional Special Needs Plans).  Parkinson admits that it can be a complicated process, but the 22 facilities that have implemented such plans have seen positive results that not only benefit operators, but residents as well.

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Topics: Patient-Driven Payment Model

AHCA Provider Lounge Series: The Case for Palliative Care

Posted by Kris Mastrangelo on Thu, Nov 29, 2018

C.A.R.E.

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


Interview with Debbie Meade, CEO of Health Management (Georgia)

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Debbie Meade, CEO of Health Management (Georgia), in the 2018 AHCA Provider Lounge.   Among the things that Debbie is most proud of is the six month palliative care program they have rolled out in her facilities.  The person-centered palliative care program focuses on improving and prioritizing the patient's quality of life.   Debbie believes that it is especially important to establish a palliative program of this nature as we near the year 2025 when members of the "silver tsunami" as she calls them (baby boomers) enter the skilled nursing facilities.  She explains that baby boomers have grown up with the mindset of "there's a doctor out there who can fix it; there's a medicine out there that can cure it" and because of that, it will be even more important to emphasize quality of life over quantity (years) of life.   With that said, Debbie could not have established this program without the help of her core staff who are not just staff to her, but part of her family. 

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Topics: Palliative Care

AHCA Provider Lounge Series: Solving the Staffing Dilemma

Posted by Kris Mastrangelo on Tue, Nov 27, 2018

C.A.R.E.

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


Interview with Craig Cornett, President/CEO of California Association of Health Facilities 

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Craig Cornett, President/CEO of California Association of Health Facilities (CAHF), in the 2018 AHCA Provider Lounge.  As President/CEO of CAHF, Craig Cornett is tasked with helping his member facilities navigate the sea of regulatory change.   With new staffing mandates in California, Craig explains that many facilities are now facing workforce crises, especially when it comes to staffing CNAs.   With the help of a state and federally funded grant, CAHF is assisting their facilities with CNA training.  Craig believes that in California alone they will need 20,000 new CNAs within the next four years.

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Topics: Staffing

AHCA Provider Lounge Series: The Journey to Gold (Quality Award)

Posted by Kris Mastrangelo on Wed, Nov 21, 2018

C.A.R.E.

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


Interview with Janet Snipes, Executive Director of Holly Heights Nursing Center

Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), interviews Janet Snipes, the Executive Director of Holly Heights Nursing Center (Colorado), in the 2018 AHCA Provider Lounge.  Janet discusses the journey that led her facility to win the Gold Quality Award.   The journey involved fine-tuning many processes and systems in order to improve overall performance.  Not just limited to facility staff, the journey to Gold involved engaging residents and family members along the way.  By working closely with her residents, Janet was able to reduce both falls and anti-psychotics.  In the end, Janet advises facilities seeking Gold to do it for their community and not the award - and if you keep that in mind, you will reap the rewards regardless.

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Topics: Quality Award

ICYMI: Leave of Absence

Posted by Kris Mastrangelo on Tue, Nov 06, 2018

C.A.R.E.

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


This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario. 

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Topics: Leave of Absence

SNF PPS Final Rule FY2019: Principal Diagnosis and Expected Decline

Posted by Sally Fecto on Tue, Oct 30, 2018

C.A.R.E.

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


The Final Rule is in play and a recent webinar conducted by Kris Mastrangelo spurred some relevant questions that require sharing.  One of these questions spurs thought on the included and excluded diagnoses for the SNF Value-Based Purchasing Rehospitalization metric.

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Topics: Final Rule

Leave of Absence

Posted by Kris Mastrangelo on Thu, Oct 25, 2018

C.A.R.E.

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


This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario. 

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Topics: Leave of Absence

SNF Quality Reporting Program (SNF QRP): Top 10 Things you Need to Know

Posted by Sally Fecto on Mon, Oct 15, 2018

C.A.R.E.

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


Skilled Nursing Facilities are faced with a multitude of changes over the next decade.  Regulatory and survey expectations require immediate attention and staff training. 

In addition, the advent of quality reporting complicates matters and the following blog is intended to help clarify the mystique and criteria for payment and submission.  Here are the Top 10 things you need to know about SNF QRP. 

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Topics: Quality Reporting Program

Five Strategies for Pain Management

Posted by Pam Duchene on Thu, Oct 04, 2018

C.A.R.E.

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


A key area of concern within the IMPACT (Improving Medicare Post-Acute Transformation) act is that of preventing pain and alleviating suffering occurring in older adults in skilled nursing facilities.  The Nursing Home Quality Improvement Campaign provides ongoing reporting on state and national rates of Quality Measures, including the rate for residents self-reporting moderate to severe pain. 

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Topics: Pain Management

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