5 CHANGES YOUR AGENCY MUST MAKE NOW FOR SUCCESS IN PDGM

5 Changes Your Agency Must Make Now For Success in PDGM

1. Embrace Collaboration  2. Increase OASIS accuracy
  • Stop underscoring the M questions and GG edits, while relying on narratives CMS does not read
  • Use automated tools for QA to get the highest appropriate level of OASIS accuracy
  • Perform QA while the Clinician is in the home—delay, results in a less accurate OASIS

 

3. Use data to manage patient care –including THERAPY 
  • Service utilization should be based on OASIS scores and clinical groupings as managed by your QA staff
  • Therapy utilization must be controlled by the agency with the input of the therapist
  • The length of stay should be projected at the SOC, using OASIS data, not subjective opinions

 

4. Make care planning a Quality Assurance task
  • Become very familiar with the Home Health Quality Improvement website
  • Build a care plan library based on common primary ICD-10 diagnoses
  • Always start with the primary DX evidenced-based care plan
  • Make needed changes to be “patient specific”
        www.homehealthquality.org

 5. Look at you Census differently

  • Having a high unduplicated census is the key to profitability
  • Meeting outcomes with a 30-50 day LOS when possible will dramatically increase STAR scores

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