Interview with Martha Schram, President - Aegis Therapies
Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Martha Schram, President of Aegis Therapies in the AHCA Provider Lounge. Martha discusses how the role of rehab will continue to change in order to meet the standards of person-centered care. Deploying a risk management mindset, the rehab team needs to help the SNF accomplish its goals and reduce avoidable hospitalizations. (Audio transcription below).
A common conundrum for licensed therapy professionals who specialize in treatment of the long term care patient residing in a nursing home is how to best address seating and postural deficits. Determining the type of seating device is one hurdle, but an even bigger obstacle can be devising goals that are patient related, functional and reasonable for a set time frame. Orthotic fitting and training for the fragile elderly patient is an art form and requires the unique skills of an experienced geriatric therapist.
Rehab Goal Setting,
Today, I want to talk about Assessment Reference Date selection or ARD Management. One of the key factors for selection of ARD is the communication between the MDS Coordinator and the therapy department. Whether you have a Rehab Manager or somebody within the department who is designated to communicate with the MDS Coordinator, it is significantly important to schedule a time to meet regularly. Truly, here at Harmony, we feel as though ARD management should be something that occurs on a daily basis so that MDS and Rehab are discussing any time that there is a change in the level of care provided to a patient through the therapy minutes. Potentially, a patient could get sick and miss therapy minutes or maybe a patient is doing exceptionally well and therapy is able to provide additional minutes to that patient. The bottom line is that every day there should be some type of communication between MDS and Therapy to make sure that you are capturing the most accurate level of service provided to the patient. This will in turn allow the facility to receive the most accurate level of reimbursement for the services that you are providing. This hopefully will spur some discussion between MDS and Rehab.
Successful case management for Case Mix involves the coding of the accurate minutes of care provided by therapy on the MDS for those patients seen under Medicare Part B. There is significant opportunity to increase the case mix index with the intervention of rehabilitation during the appropriate assessment windows. Increased communication between the Rehabilitation staff and the MDS Coordinator regarding patients receiving Medicare Part B services has the potential to increase the case mix index in two ways.
Medicare Part B,
Rehab Case Management,