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Richter ShareSource Blog

Why Performance Improvement Plans Should Be Your New Year’s Resolution

Another year is about to end and 2017 is right around the corner. What else comes with the New Year...New Year’s Resolutions!  The New Year is the perfect time to begin new Performance Improvement Plans (PIPs). As LTPAC providers we have an obligation to provide our residents the best care possible. We also need to educate our staff on how providing the best care can be accomplished. When we identify educational opportunities in the facility, we should automatically ask the question…is this something I should include in a PIP? That being said, my New Year’s resolution is to bring PIPs to the forefront of your mind and help make the task of writing PIPs a little more manageable.

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Topics: Clinical Consulting

Benefits of an Antibiotic Stewardship Program

The recent data from The Centers for Disease Control (CDC) regarding Antibiotic Stewardship Programs (ASPs) has demonstrated that programs dedicated to improving antibiotic use can enhance the treatment of infections as well as reduce adverse events associated with antibiotic use.

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Topics: Clinical Consulting

Gauging the difference between Real Pain and addiction Behavior

When I went to nursing school (over 20 years ago), I distinctly remember being taught that pain is subjective. Therefore pain is whatever your patient tells you it is. If my patient says they are in pain then I am only to assume that they truly are and take the necessary actions to mitigate their pain.

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Topics: Clinical Consulting

Capturing efficiencies with PointClickCare Workflow tools

Posted by Celeste Rininger, RN RAC-CT on Dec 15, 2016 6:00:00 AM

If asked, I would venture to say that almost every nurse would be able to state that they have either heard or been a party to a shift report that included; they’re ok, they’re ok…or no change, no change…

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Topics: Implementation, PointClickCare

QAPI Basics - The Five Elements and 12 Steps

If you work in a Long Term Post-Acute Care (LTPAC) setting, you know that in our field the only constant is change. There is, however, one process that has been with us, in one form or another, for quite a long time. Until recently, Quality Assurance and Performance Improvement were two separate processes. These have since been streamlined into what we now know as the QAPI (Quality Assurance/Performance Improvement) process.  Let’s start off with the CMS definition of QAPI:

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Topics: Clinical Consulting, QAPI Consulting

IMPACT Act Basics - What You Need to Know

What is the Impact Act? Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 is a bipartisan bill passed on September 18, 2014, and signed into law by President Obama on October 6, 2014.

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Topics: Medicaid Consulting

Benefits of Hiring an SNFist

According to John Rossheim, “An SNFist is a primary-care physician who practices within the four walls of one or more nursing homes, as an employee or contractor. The SNFist sees nursing home patients — whether they are permanent residents or are in intermediate convalescent care — all day and develops a nuanced understanding of the potential and limitations of the SNF as a care setting. The SNFist is typically paid a salary or contracting fee by the nursing home and the nursing home collects reimbursement for physician services from public and private payers.”

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Topics: Clinical Consulting, Employee Engagement

Acceptable Medicare Certification and Re-Certification Statements

Posted by Jacklyn Brown, RN on Dec 9, 2016 5:00:00 AM

Have you reviewed your certification and recertification statements for Medicare skilled nursing care recently?   My recent experiences with Medicare payment denials have indicted this continues to be an area many providers should focus on for process improvement.  Denials based on certification and recertification statements cannot be appealed.  The risks associated with a breakdown of certification and recertification process can significantly impact the operations of a Skilled Nursing Facility (SNF).  Ensuring the certification and recertification statements for Medicare skilled nursing care are not only completed but accurately completed can prevent the loss of revenue.  A review of this critical process may be the difference between a payment and a denial.  As Skilled Nursing Facilities continue providing the highest quality care possible amid a myriad of budget cuts, preventing denials of payment has to be a priority.

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Topics: Medicaid Consulting

What Is The PAMA Act and VBP?

The Protecting Access to Medicare Act (PAMA) of 2014 was enacted on April 1, 2014 – this act authorized the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program.  This law requires that the Centers for Medicare and Medicaid Services (CMS) adopt a VBP payment adjustment for SNF’s as of October 1, 2018 – PAMA also requires CMS to:  

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Topics: Medicaid Consulting

Budget Prep and Revenue Projection Basics for Long-Term Post-Acute Care Facilities

It’s that time of year again! If your Fiscal Year ends on December 31, you’ve probably been asked to start compiling your data in preparation for your 2017 operating budget. There is no doubt that the budget process can be grueling, but with a good strategy and some preparatory “leg work”, you can see the process through and produce some valid numbers that you can rely on for next year. The last thing that any manager wants to see is a budget that is not based on given, reliable history.

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Topics: Financial Consulting, Accounting