Rehabilitation Therapy

2018 AHCA/NCAL Annual Convention

RT-2 - Leveraging SNF Rehabilitation Services to do More with Less – SNF Operators and Therapists Share Strategies in How They Have Redesigned Operations to Focus on Managing Outcomes – Not Minutes

Sunday, October 7
11:00 AM - 12:30 PM
CE: NAB: 0 | Nurses 0

The American Health Care Association (AHCA) and National Association for the Support of Long Term Care (NASL) are AOTA Single Course Providers. As Single Course Providers, AHCA and NASL are authorized to offer .4 AOTA CEUs/4 Contact Hours.
There are no prerequisites to attend RT-1 or RT-2 but it should be notes that RT-2 is considered an Intermediate Level Session.

We are facing a healthcare environment where SNF margins are shrinking and payment models are shifting rapidly from reimbursing for services provided to alternative payment models based on quality and outcomes. As SNFs consider options for redesigning clinical operations to be more efficient, cutting costs alone may not be ideal path to success. Instead, a strategic reassessment of all areas of operations that impact the costs of providing care, clinical outcomes achieved, and length-of-stay need to be evaluated to assure that effective resident-centered care remains the focus as payment models change.

This panel discussion will center on how rehabilitation services can be better integrated into SNF admission, care plan implementation, discharge, and follow-up activities to assure that the resident receives optimal care and outcomes. Specifically, the panelists will focus on considerations, approaches, challenges, and results that SNF operators and their rehabilitation partners have achieved in implementing changes to be successful in Medicare Advantage, ACO, BPCI, CJR and other models. The panelists, including a beneficiary representative, will also share examples of how applying these successful strategies has benefited their quality and financial performance and “resident-centeredness” under all payment models. Examples will demonstrate how PT, OT, and SLP personnel contributed to high-volume and high-impact areas where therapist knowledge had been underutilized in the past. Finally, the panelists will provide examples of how using data metrics developed under these models to position themselves better with physicians, hospitals, payers, and consumers.

This session would feature a panel of SNF operators, therapy providers, and a beneficiary. The SNF operators represent a range including large nursing chains, independent owners, regional multi-facility, and non-profit providers.

Learning Objectives:

Garry Pezzano, EMBA, MS/CCC-SLP, NAP

Senior Vice President of Clinical Practice
Genesis Health Care/Genesis Rehabilitation Services

Garry R. Pezzano, EMBA, MS/CCC-SLP, NAP-Prof
Senior Vice President of Clinical Practice
Genesis HealthCare Corp, Genesis Rehab Services, Respiratory Health Services

Garry Pezzano serves as Senior Vice President of Clinical Practice for Genesis Rehab Services and Respiratory Health Services; fully owned by Genesis HealthCare Corp. Under his clinical/operations leadership, the organization provides a world class post-acute comprehensive rehabilitation service for over 500 thousand patients annually in 2,000 centers across 47 states and District of Columbia. A post-acute healthcare leader, Garry is a licensed Speech-Language Pathologist and has held a number of leadership positions with national rehabilitation providers, always maintaining a clear clinical/operations focus.

Garry is active in his professional associations, including the American Speech-Language-Hearing Association (ASHA), the New Jersey Speech-Language-Hearing Association, the American Occupational Therapy Association (AOTA), and the American Association for Respiratory Care (AARC). He is an inaugural member of the American Alzheimer’s Dementia Care Provider Roundtable, serves as Immediate Past President for the National Association for the Support of Long Term Care (NASL), and formerly served as Chair of its Medical Services committee and Board Secretary and faculty to the PACCR (Post-Acute Care Center for Research). Garry has served on workgroups with the American Health Care Association (AHCA) and Leading Age, meeting with the Centers for Medicare and Medicaid Services (CMS) and MedPac in support of projects to improve access to rehabilitation therapy services for older adults.

Garry received a Bachelor of Science in Communication and Speech-Language Pathology from Trenton State College, a Master of Science in Speech-Language Pathology, and a Master of Business Administration from Rutgers University. He has also completed Advanced Topics in Healthcare from Harvard University's School of Public Health and Wharton Business School, and is a certified green belt in Lean Sigma. Garry served a Residency in China, Vietnam and Taiwan; studying public health and administration and recently visited Denmark as part of the country’s Healthcare Delegation.


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Robin L. Hillier, CPA, STNA, LNHA, RAC-MT

Director Reimbursement and Quality Metrics
Welcome Nursing Home

Robin L. Hillier is a healthcare executive dedicated to post-acute and long term care. She is a Certified Public Accountant, a State Tested Nursing Assistant, a Licensed Nursing Home Administrator, and is Resident Assessment Coordinator Certified and a Master Teacher through the American Association of Nurse Assessment Coordination (AANAC). Throughout her career she has been involved in all aspects of facility operations, including ownership roles. She is currently the Director of Reimbursement and Quality Metrics for Welcome Nursing Home in Oberlin, Ohio, and President of RLH Consulting, which provides operational and reimbursement consulting to providers of skilled nursing, assisted living and intellectual or developmental disabilities.

Ms. Hillier served on the Board of Governors and Executive Committee of the American Health Care Association from 2010 through 2017, and currently serves on the Reimbursement Cabinet. She is Past Chair of both the Ohio Health Care Association (OHCA) and its’ Educational Foundation (EFOHCA). She also serves on the AANAC Expert Advisory Panel. Ms. Hillier was a recipient of the 2015 Joe Warner Patient Advocacy award, the 2004 OHCA President’s award, and the 2018 AANAC Contributor of the Year. She is a graduate of both the AHCA Future Leader and Political Ambassador programs and represented AHCA at the 2014 White House Summit on Working Families.


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Paris Girginis

Vice President of Clinical Reimbursement and Compliance
Mission Health Communities


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Kenda R. Spaulding, LNHA

Administrative Director of Extended Services
Grand River Health

Kenda R. Morgan Spaulding has an education and background in Psychology, Fine Arts, and Organizational Development. Graduate studies in Organizational and Industrial Psychology were completed at Colorado State University, Summa Cum Laude. She has worked as a consultant in organizational development for both corporate and not for profit organizations. Currently, Kenda is a licensed Nursing Home Administrator with Grand River Hospital District. Kenda is active in sharing strategies to promote quality while keeping the patient’s actual lived experience at the forefront of the discussion. She is listed in the credits for the creation of the Long Term Care Improvement Guide published by the Picker Institute and Planetree. She has been selected to present at the International Planetree Conference for the past 5 years and the Patient Experience Symposium in Boston in 2017, as well as delivering numerous presentations for Colorado Health Care Association (CHCA). Kenda was selected by American Health Care Association to represent Colorado as a participant in the Future Leaders Program and serves on the Not for Profit Council in Washington D.C. She also serves on the state board of directors with CHCA to represent the Not for Profit sector. The American College of Health Care Administrators awarded Kenda the Eli Pick Team Leadership Award for 2017. In recognition of her efforts to promote quality care at the national and international level, Kenda was the recipient of the Planetree Global Scholar award for 2018. The facility she oversees celebrated a deficiency free 2018 survey, 2017 AHCA Silver award, and strives to maintain its 5 star rating. Kenda is dedicated to improving quality across transitions of care and recognizes that quality is never something that is fully achieved, but takes constant diligence. Work with elderly patients has been of great interest to her as this population often has little voice in determining their health care environment, and stands to benefit greatly from innovative work in long term care.


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RT-2 - Leveraging SNF Rehabilitation Services to do More with Less – SNF Operators and Therapists Share Strategies in How They Have Redesigned Operations to Focus on Managing Outcomes – Not Minutes

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