70th AHCA/NCAL Convention and Expo
Ellen Strunk, PT, MS, GCS, CEEAA, CHC
President, Principle Consultant
Rehab Resources and Consulting, Inc.
Rehab Resources & Consulting, Inc.: Consultant, Ownership Interest (stocks, stock options, or other ownership interest excluding diversified mutual funds)
The advent of the Patient Driven Payment Model (PDPM) has represented the largest paradigm shift the skilled nursing facility (SNF) industry has faced in over a decade. Some professionals working in the SNF have never experienced a time when payment for services was not driven by the type of service (nursing versus rehabilitation) and the amount of therapy minutes delivered over a 7-day period. Yet the PDPM is a fundamental change in the primary driver of payment. Now the patient’s clinical characteristics are the basis for determining the SNF’s resource needs.
The overwhelming concern from the therapy community and rehabilitation advocates is the amount of therapy provided in these settings will be significantly reduced in an effort to reduce costs, and as a result, the quality of care delivered to beneficiaries will suffer. Like any payment system, the PDPM relies on providers to provide the right care at the right intensity for the condition(s) the patient presents with. But what is the right amount? And what is a good outcome? Would more therapy result in better outcomes? Does it matter who delivers the services? Does the competency level of your staff make a difference in your outcomes?
This session will provide examples of how data can be turned into knowledge, and how that knowledge can inform your decisions about the type and intensity of care delivered, and what members of the interprofessional team are critical to the process. We will explore some examples of how therapy providers have collaborated across the professional lines to achieve meaningful change in patient outcomes. At the end of the day, the PDPM is not the only program impacting SNF payment. Quality reporting and value-based metrics are here to stay, and they are also influenced by the functional abilities of the patients you serve.