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Phone: 330-821-7616
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TATCI CE Credits


Join us for this NEW Program at a different location.

Key Components in Understanding The Transition to P.D.P.M.

This fast paced program will discuss the 5 key components that Skilled Facilities and their staff need to understand to be successful as we transition from P.P.S to the P.D.P.M. payment process on October 1, 2019. Operational and Clinical professionals need to begin working to focus their teams on the key issues that will impact the payment process. This is a total change and needs to have a new and very interdisciplinary approach with significant communication between Nursing and Therapy as plans of care are formulated and monitored during the stay. MDS data is a vital part of this process and accuracy of coding needs to be addressed. The transition process will be discussed.

The Key Components discussed in this program are:

- The realization that this change in the payment process is a total change and must be viewed with significant operational and clinical focus. The new payment process has a complex structure that includes large amounts of MDS data and calculations of functional performance that are much more detailed than the PPS process. Combined with the new focus on person centered care and specific outcome documentation in the new survey process this is a significant task.

- The entire interdisciplinary team has responsibility for data collection and formulation into the MDS with many new or additional coding guidelines and instructions in the October 2018 RAI Manual update. Errors in coding or a lack of training on the new process will produce payment loss or negative regulatory outcomes. Once the data is formulated then the facility must know the specifics of their data to manage the process. This requires an operational focus on outcomes, patterns of care delivery, length of stay, diagnostic codes and services delivered. The flow of data from the MDS and claims into 5 Star, Nursing Home Compare and Quality Measures must be monitored constantly for accuracy and quality reporting.

- Each facility needs to assess the training, and competency of the staff managing the MDS process as well as the knowledge of the significant updated coding and documentation guidelines in the update October ,2018. The specifics of the transition documentation and the CMS process directives will be discussed.


- Identify the specific changes in the P.D.P.M payment process that require operational and clinical focus and process changes for the transition from PPS to P.D.P.M.

- Describe the data formulation process changes that are necessary to provide the new payment system with adequate information for payment rate formulation.

- Review the requirements for the reproducibility of data on the MDS data set in the medical record and approaches to evaluate the quality of resident specific data in the medical record.

- Discuss the steps to develop a truly interdisciplinary data collection process using the current policy and process detailed in the updated RAI Manual as well as the rate transition process after October 1, 2019.

- Distinguish the best patterns for outcome documentation from therapy and nursing interventions as well as the operational and clinical leadership needed to produce the proper documentation during the transition.

- Review the components of effective training and competency measurements that satisfy the updated regulatory requirements in the new payment system and regulatory tags

When: September 20, 2019 9:00 a.m. - 4:30 p.m.

Where: The Alliance Training Center

Cost: $125.00

Instructor: Leah Klusch, RN, BSN, FACHCA

NAB approved: 6 hours

Call today to register! (330) 821-7616 www.tatci.com