Harmony Healthcare Blog

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. 

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Topics: Core Competencies

ICYMI: Patient Driven Payment Model: Q & A (Part 3 of 3)

Posted by The Harmony Team on Tue, Apr 30, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

  1. Any idea how Case Mix states will handle this new classification system for Medicaid only facilities since section GG isn't done for these residents?
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Topics: Patient-Driven Payment Model

ICYMI: Patient Driven Payment Model: Q & A (Part 2 of 3)

Posted by The Harmony Team on Fri, Apr 26, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

Read More

Topics: Patient-Driven Payment Model

ICYMI: Patient Driven Payment Model: Q & A (Part 1 of 3)

Posted by The Harmony Team on Thu, Apr 25, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

  1. Is there an actual table of rates that we can access?

    Yes, per the Federal Register / Vol. 83, No. 153 Final Rule 
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Topics: Patient-Driven Payment Model

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.
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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. 

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Topics: Pain Management

ICYMI: PEPPER Release Date: April 5th, 2019

Posted by Joyce Sadewicz on Tue, Apr 09, 2019

C.A.R.E.

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


The annual PEPPER report for SNF's will be released on or about 4/5/19.  To access your facility’s PEPPER data, you need to log on to the TMF website at: 

https://pepperresources.org/PEPPER/Distribution-Schedule-Get-Your-PEPPER

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Topics: PEPPER

PEPPER Release Dates: Access Your Facility's Data

Posted by Joyce Sadewicz on Tue, Apr 02, 2019

C.A.R.E.

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


The annual PEPPER report for SNF's will be released on or about 4/5/19.  To access your facility’s PEPPER data, you need to log on to the TMF website at: 

https://pepperresources.org/PEPPER/Distribution-Schedule-Get-Your-PEPPER

Read More

Topics: PEPPER

Requirements of Participation (RoP): Overview Phase III

Posted by Kris Mastrangelo on Thu, Mar 28, 2019

C.A.R.E.

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


Phase III
Requirements of Participation (RoP)
Implemented by November 28, 2019 

Highlights 

  1. QAPI Plan/Program Governing Body
  2. Person-Centered Care Planning
  3. Trauma Informed Care / Behavioral Health Services for History of Trauma PTSD
  4. Infection Preventionist
  5. Compliance and Ethics Program
  6. Physical Environment
  7. Training Requirements Competencies of Staff
  8. Dietary 

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Topics: Requirements of Participation

Infection Prevention: Four Key Actions

Posted by Pam Duchene on Tue, Mar 26, 2019

C.A.R.E.

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


Mom was Right - the Answer is in Your Hands

Septicemia and urinary tract infections are identified as the primary reasons for patients to require care in a skilled nursing facility after a hospitalization.[1]  In the report, Adverse Events in Skilled Nursing Facilities (Levinson, D, & General, I, 2014), 26% of the adverse events identified for individuals entering nursing facilities were infection related.  These two factors are key reasons why the changes to the Requirements of Participation focused on prevention and addressing infection control. 

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Topics: Infection Prevention

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