Harmony Healthcare Blog

Pam Duchene

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ICYMI: PDPM: Admission Screening

Posted by Pam Duchene on Fri, Aug 09, 2019

C.A.R.E.

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


At Harmony Healthcare International (HHI), we are fielding massive amounts of questions on how and if the new PDPM reimbursement system will change the patient profile in a nursing home.

Some inquiries include:

  • Does the advent of PDPM change the SNF admissions criterion for patient admission?
  • Are there characteristics that define the ideal referral for skilled care in the Patient Driven Payment Model (PDPM)?
Read More

Topics: PDPM

ICYMI: Restorative Nursing: Crucial for Patient Quality, Critical for PDPM

Posted by Pam Duchene on Thu, Aug 01, 2019

C.A.R.E.

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


What patients can do today and what they will be able to do tomorrow may be the result of Restorative Nursing Programs.  That’s been the conclusion of multiple research studies, including a study from Johns Hopkins in which 31% of patients improved their ADL self-performance at 6 months with 15 minutes of Restorative Nursing daily. 

Read More

Topics: Patient-Driven Payment Model

PDPM: Admission Screening

Posted by Pam Duchene on Tue, Jul 09, 2019

C.A.R.E.

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


At Harmony Healthcare International (HHI), we are fielding massive amounts of questions on how and if the new PDPM reimbursement system will change the patient profile in a nursing home.

Some inquiries include:

  • Does the advent of PDPM change the SNF admissions criterion for patient admission?
  • Are there characteristics that define the ideal referral for skilled care in the Patient Driven Payment Model (PDPM)?
Read More

Topics: PDPM

PDPM: Top 3 Areas for Systems Implementation

Posted by Pam Duchene on Tue, Jul 02, 2019

C.A.R.E.

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


The Patient Driven Payment Model incorporates a multitude of changes into the current Medicare Part A SNF payment model.  Some of the criteria that require immediate application include:

  1. Interruptions in Stay;
  2. Interim Payment Assessments; and
  3. Administrative Level of Care Presumption.
Read More

Topics: PDPM

Immunization: What does “up to date” mean?

Posted by Pam Duchene on Fri, Jun 14, 2019

C.A.R.E.

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


The World Health Organization identifies Vaccine hesitancy as one of the top threats to global health.  While the target of education is largely centered around education for parents of young children, vaccinations for preventable disease is an important concept for all individuals.  Older adults, in particular, are at risk for communicable disease since immune systems weaken with age.  The Centers for Disease Control and Prevention (CDC) recommends the Shingles vaccine for individuals over 50 years of age, and Pneumococcal vaccines for adults over 65 and for those under 65 with certain chronic health conditions. 

Read More

Topics: Immunizations

Restorative Nursing: Crucial for Patient Quality, Critical for PDPM

Posted by Pam Duchene on Tue, Jun 04, 2019

C.A.R.E.

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


What patients can do today and what they will be able to do tomorrow may be the result of Restorative Nursing Programs.  That’s been the conclusion of multiple research studies, including a study from Johns Hopkins in which 31% of patients improved their ADL self-performance at 6 months with 15 minutes of Restorative Nursing daily. 

Read More

Topics: Patient-Driven Payment Model

Transition to Patient Driven Payment Model (PDPM): Nurse Leader Strategies

Posted by Pam Duchene on Fri, May 10, 2019

C.A.R.E.

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


When you think of October, you may think about cooler weather, brightly colored leaves, crisp apples and stocking up on candy for Halloween.  Unless of course, you are working in post-acute or sub-acute care, in which case, you are probably contemplating the massive change involved in conversion from RUGS to PDPM.  During a recent MDS Competency course, several nurse leaders from New England took time to share their strategies for preparing for the Patient Driven Payment Model.  Following are some of their thoughts.  

Read More

Topics: Patient-Driven Payment Model

ICYMI: Competency Assessment for Nursing Homes

Posted by Pam Duchene on Thu, May 02, 2019

C.A.R.E.

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


According to William Glasser, 

“No human being will work hard at anything unless they believe that they are working for competence.”

This is particularly true with healthcare.  Nurses and staff in long term care work to make a difference in the lives of those entrusted into their care.  While nursing in skilled care may not be packed with the adrenaline rush of the emergency department, it is filled with adventure and activity and an opportunity to deliver person-centered, compassionate care to those in need. 

Read More

Topics: Core Competencies

Antipsychotic Medications: Expectations, Regulations, and Strategies

Posted by Pam Duchene on Thu, Apr 18, 2019

C.A.R.E.

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


The Expectations 

In CMS’s latest blog, antipsychotic medications, again, are in the spotlight.  In her April 15th update, CMS Administrator Seema Verma mentioned antipsychotic medications five times: 

  • Updating Nursing Home Compare to make it easier for consumers to identify non-compliance related to inappropriate antipsychotic medication use.
Read More

Topics: Antipsychotics

ICYMI: Five Strategies for Pain Management

Posted by Pam Duchene on Fri, Apr 12, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • 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. 

Read More

Topics: Pain Management

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