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Richter ShareSource Blog

Hand Sanitizers: Understanding the Good, the Bad, and the Ugly

Posted by Jennifer Leatherbarrow, RN, BSN, RAC-CT, IPCO, QCP, CIC on Nov 26, 2019 10:45:00 AM

With flu season now upon us, it’s more important than ever to keep your hands clean and free of germs to the extent possible. In that respect, many people turn to hand sanitizers to get the job done. But are they the safest and most effective means of accomplishing that?

According to the Centers for Disease Control (CDC), the best strategy is also the most time-tested one: washing hands with soap and water. Hand-washing has been proven to reduce the amounts of all types of germs and chemicals on hands. Moreover, hand-washing with soap and water is a more effective way than hand sanitizers to remove germs such as Cryptosporidiumnorovirus, and Clostridium difficile. Hand-washing with soap and water also removes debris that hand sanitizer leaves behind (including allergens like peanut proteins)—and it does so with the fewest side effects.

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Topics: News & Events, Clinical Consulting

PointClickCare Names Richter 2019 Marketing Partner of the Year

Posted by Richter on Nov 19, 2019 4:10:35 PM

PointClickCare, the leading electronic health record (EHR) technology partner to North America’s long-term post-acute care and senior care industry, has named Richter as its 2019 Marketing Partner of the Year. The award recognizes the close collaboration between Richter and PointClickCare on targeted training activities related to Medicare Patient-Driven Payment Model (PDPM).

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Topics: News & Events, Clinical Consulting

Strategies for Managing Your Facility's Five-Star Staffing Measure

Posted by David LeCours, National Director of CareerStaff Unlimited on Nov 18, 2019 4:09:54 PM

This blog is co-authored by Jennifer Leatherbarrow, RN BSN RAC-CT IPCO QCP CIC, Manager of Clinical Consulting Services with Richter, and David LeCours, National Director of CareerStaff Unlimited

Considerable research supports the direct relationship between nursing home staffing levels and resident outcomes.  Research also has found a clear association between nurse staffing ratios and nursing home overall quality of care.

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Topics: News & Events, Clinical Consulting

Understanding PDPM from a Therapist's Perspective

Posted by Nick Hicks PTA, RAC-CT, Vice President of Operations on Oct 10, 2019 5:02:53 PM

Extra…extra…read all about it: Therapists are being laid off across the nation!

Despite the alarming nature of this fictitious headline, the truth is, not all therapy companies have elected to cut staff in light of PDPM.

Yes, it is true—incentives for reimbursement have realigned under PDPM. The new payment model no longer gears reimbursement toward optimizing therapy minutes. But keep in mind: The therapy profession has never been about providing optimal minutes; rather, it has been about providing optimal outcomes. Trinity Rehab has been set up for success under PDPM since its creation in 2013, focusing on its employees, partners and the patients we are privileged to serve every day. Therapy companies now must allow that unproductive time for communication and collaboration will ultimately lead to more success for the provider and themselves.

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Topics: Clinical Consulting, pdpm

6 Steps to Reduce Harm in Nursing Homes


In December 2018, the Centers for Medicare & Medicaid Services (CMS) and the Medicare Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) released the All Cause Harm Prevention in Nursing Homes Change Package, which was developed as a means to help prevent harm (i.e., adverse events, abuse, and neglect) for nursing home residents. The intended audience of this piece includes nursing homes participating in the National Nursing Home Quality Care Collaborative and anyone interested in improving the quality of life and quality of care for those living in nursing homes.

The following includes answers to some frequently asked questions about the Change Package.

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Topics: Clinical Consulting, Financial Consulting

Understanding How Functional Score Works Under PDPM

Posted by Jacklyn Brown, RN on May 21, 2019 4:34:42 PM

In 1775, the chant of the day was “The Redcoats are coming! The Redcoats are coming!” Fast-forward to 2019 and in the realm of skilled nursing providers, the popular refrain is “PDPM is coming! PDPM is coming!” 

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Topics: Clinical Consulting, Financial Consulting

Understanding Diagnosis Coding Under the New Payment Driven Patient Care (PDPM) Model

Posted by Jacklyn Brown, RN on Apr 5, 2019 12:11:52 PM

The new Medicare fee-for-service reimbursement model known as Patient Driven Payment Model (PDPM) will drastically change how reimbursement will be determined. In the past, the Resource Utilization Groups (RUG-IV) have determined reimbursement, in which the amount of therapy a resident received played a significant part in the amount of reimbursement the facility received for that resident. Reimbursement will transition away from the volume-based payments of RUG-IV toward the new PDPM model. With PDPM, ICD-10 codes will be a crucial driver for reimbursement. 

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Topics: Clinical Consulting, Financial Consulting

Tips on Choosing Diagnoses for the LTPAC Resident Stay

Posted by Celeste Rininger on Apr 5, 2019 11:42:51 AM

Trepidation, fear and confusion have all been experienced by minimum data set (MDS) coordinators and staff alike at various long-term post-acute care (LTPAC) facilities regarding selecting and/or having to code diagnosis for residents—especially upon admission. Some common questions include: “What do I choose?” “How do I know if it is the correct primary or admitting diagnosis?” “I’m not a coder—how do I know what diagnosis to choose?”

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Topics: Clinical Consulting, Financial Consulting