Harmony Healthcare Blog

Kris Mastrangelo

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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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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

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

OT Skilled Treatment Techniques for Dementia (Part II)

Posted by Kris Mastrangelo on Wed, Sep 12, 2018

C.A.R.E.

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


To reiterate from Part I of the blog, Occupational Therapy skilled interventions require the expertise, knowledge and judgment of an Occupational Therapist. Often, clinicians underestimate the value of their input/treatment and perceive the interaction as unskilled because the treatment or action is so obvious to the therapist. Yet, the Occupational Therapist may not realize the task, modification or recommendation is a game changer to the functionality of the patient.

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Topics: Dementia

ICYMI: Skilled Care (Occupational Therapy) for Dementia: Part I

Posted by Kris Mastrangelo on Tue, Sep 04, 2018

C.A.R.E.

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


Definition of Dementia:  A usually progressive condition (such as Alzheimer's disease) marked by the development of multiple cognitive deficits (such as memory impairment, aphasia, and the inability to plan and initiate complex behavior). 

  • Dementia is diagnosed only when both memory and another cognitive function are each affected severely enough to interfere with a person's ability to carry out routine daily activities. 
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Topics: Dementia

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