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339 Results

  • "Hot Topics" with “Best Practice” for Food, Nutrition and Dining

    Contains 2 Component(s) Includes a Live Web Event on 10/27/2020 at 2:00 PM (EDT)

    This session will present an overview of current recommended “best practice” nutritional management of diabetes, pressure ulcers/injuries and prevention and management of malnutrition.

    This session will present an overview of current recommended “best practice” nutritional management of diabetes, pressure ulcers/injuries and prevention and management of malnutrition.

    After attending this session, participants will be able to:

    • Describe the overview and the need for “best practice” in nutrition management and successful outcomes.
    • Recognize current “best practice” recommendations for nutritional management of diabetes, pressure injuries and prevention and management of malnutrition.
    • Identify “best practice” resource for successful facility implementation.

    Speaker: Brenda Richardson, MA, RDN, LD, CD, FAND

  • Trauma-Informed Care: Quality Assurance and Abuse Prevention Webinar

    Contains 2 Component(s) Includes a Live Web Event on 08/04/2020 at 2:00 PM (EDT)

    This session outlines the development of an effective Quality Assurance system designed to monitor the policies and practices that ensure a well-trained, culturally competent staff who possess the knowledge and skill sets to care for a diverse and complicated resident population. The potential for episodes of abuse and neglect when staff education, training, and oversight are insufficient is a focus of this conversation.

    This session outlines the development of an effective Quality Assurance system designed to monitor the policies and practices that ensure a well-trained, culturally competent staff who possess the knowledge and skill sets to care for a diverse and complicated resident population.

    The potential for episodes of abuse and neglect when staff education, training, and oversight are insufficient is a focus of this conversation. 


    Speaker: Barbara Speedling, Quality of Life Specialist

    Barbara Speedling

    Quality of Life Specialist

    Barbara Speedling Personally dedicated to the creation of meaningful, satisfying lives for all those who rely on another’s care

    An inspirational and motivational speaker, Barbara is an author, educator and management consultant at the forefront of person-centered care. 

    An innovator with more than 30 years of practical experience within the adult care community, she is the expert providers turn to when they want to ensure that the services they provide meet not only the physical needs of their residents, but their emotional and psychosocial needs as well.

    Working from a core belief in the dignity and individuality of all people, Barbara has helped countless adult care communities implement her unique training and education programs that:

     

    • Improve the quality of care for those living with Alzheimer’s disease
    • Bring better quality of life to such residents, as well as to those who live with disease-related dementia, a mental illness, or a brain injury
    • Encourage staffers to use newly developed cultural empathy to form better relationships with those in their care
    • Offer new strategies for promoting harmony among increasingly diverse, younger and assertive populations
    • Open new pathways to maintaining regulatory compliance 
    • Support leadership and organizational development

    In addition to her degree in healthcare administration, Barbara is an accomplished musician and artist.  She uses those talents to develop new and creative ways of reaching out to those who are cognitively diminished.  She was also certified in 2015 by Dr. Susan Wehry as a Master Trainer for the OASIS education program for improved care of residents with dementia.

     

    The author of two books devoted to common sense advice for meeting the holistic needs of an increasingly diverse and challenging community, both Why is Grandma Screaming and Toward Better Behavior:  Yours Mine & Everyone Else’s are now widely distributed to staff members at community, residential and long-term care facilities across the country and in Canada.

     

    Blessed with boundless energy and tireless enthusiasm, Barbara also volunteers in her free time to offer caregiver education and support to families who need it most.  Through her affiliations with local artists and musicians in her native New York City, she also arranges therapeutic music, dance and wellness programming that improves the quality of life for local seniors.

  • Managed Care

    Contains 4 Component(s)

    Managed care involves a healthcare delivery system that encompasses care, services, and payment and seeks to control costs and enhance quality through the establishment of provider networks and employment of utilization management strategies.

    Managed care involves a healthcare delivery system that encompasses care, services, and payment and seeks to control costs and enhance quality through the establishment of provider networks and employment of utilization management strategies.

    This module consists of four components:

    Medicare Advantage/Provider-led Special Needs Plans (SNPs) Webinar: 48 minutes

    Provides an overview of Medicare Advantage/ Provider-led SNPs, explains how it works, and discusses the implications for LTC and PAC providers.

    Provider-Led Special Needs Plans Case Study Analysis and Report: Twenty-six pages, pdf

    An Idea That’s Growing: Long-Term Care Providers Taking Charge in Managed Care 

    • Provides the results of the analysis of Medicare Advantage data on provider-led plans 
    • Provides a summary of findings on case studies of three provider-led plans including key themes 
    • Offers a six-component framework for successful operation of an LTC provider-led I-SNP including critical competencies and challenges 
    • Advances policy implications and considerations
    Medicare Advantage Brief: Two pages, pdf

    Provides a high level overview of Medicare Advantage (MA) including MA growth, opportunities for value based contracts under MA, supplemental benefits and types of MA plans. 

    Medicaid Managed Long Term Services & Supports (MLTSS) Brief: Two pages, pdf

    States are shifting away from traditional fee-for-service Medicaid, often using § 1115 waivers to provide capitated MLTSS programs in efforts to streamline program administration, improve care coordination, and expand access to home and community-based services (HCBS).

    This brief covers:

    • The Basics of MLTSS
    • Opportunities in MLTSS
    • Optimizing MLTSS in Your State
  • Population Health Management Fundamentals

    Contains 2 Component(s)

    Population Health Management (PHM) is a term that describes the application of various interventions and strategies aimed at improving the health outcomes and managing the costs of a targeted group of individuals. PHM models vary based on the degree of risk, degree to which payment is tied to quality, reliance on data analytics, and level of care coordination. Historically population health models have been led by hospitals, health systems, physician groups and large insurance organizations. More recently long-term care (LTC) and post-acute care (PAC) providers have been assuming a leadership role in developing and employing some PHM models.

    Population Health Management (PHM) is a term that describes the application of various interventions and strategies aimed at improving the health outcomes and managing the costs of a targeted group of individuals.  PHM models vary based on the degree of risk, degree to which payment is tied to quality, reliance on data analytics, and level of care coordination. 

    Historically population health models have been led by hospitals, health systems, physician groups and large insurance organizations.  More recently long-term care (LTC) and post-acute care (PAC) providers have been assuming a leadership role in developing and employing some PHM models.

    This module is made up of two components:

    Population Health Management Fundamentals Webinar: 42 minutes

    This webinar describes the who, what, where, and how of Population Health Management (PHM). It also introduces various PHM models including their specific characteristics, benefits, and implications.

    Population Health Management Brief: two pages, PDF
    • Provides an overview of population health management
    • Comparison of PHM and FFS
    • Outlines some of the major models and the level of risk categorization
  • PHM Innovation Lab

    Contains 6 Product(s)

    Population Health Management (PHM) is a term that describes the application of various interventions and strategies aimed at improving the health outcomes and managing the costs of a targeted group of individuals. Historically population health models have been led by hospitals, health systems, physician groups and large insurance organizations. More recently long-term care (LTC) and post-acute care (PAC) providers have been assuming a leadership role in developing and employing some PHM models. The Population Health Management Innovation Lab has been developed to educate LTC/PAC providers on the different PHM models and opportunities for participation and leadership within them.

    Population Health Management (PHM) is a term that describes the application of various interventions and strategies aimed at improving the health outcomes and managing the costs of a targeted group of individuals.  Historically population health models have been led by hospitals, health systems, physician groups and large insurance organizations.  More recently long-term care (LTC) and post-acute care (PAC) providers have been assuming a leadership role in developing and employing some PHM models.  

    The Population Health Management Innovation Lab has been developed to educate LTC/PAC providers on the different PHM models and opportunities for participation and leadership within them.  

     

    Models covered include:
    Managed Care: Medicare Advantage, Medicaid managed care

    A healthcare delivery system that encompasses care, services and payment and seeks to control costs and enhance quality through the establishment of provider networks and employment of utilization management strategies.

     

    Accountable Care Organizations: Medicare Shared Savings Program, Next Generation ACOs

    Networks of physicians, hospitals and other healthcare providers that voluntarily come together to coordinate care and manage the total costs of a defined population, sharing in the financial risks and rewards of performance against benchmarks and on patient outcomes.  ACOs are one of the largest alternative payment models in Medicare, but also exist in Medicaid and commercial payors.  

     

    Bundled Payments: Bundled Payments for Care Improvement (BCPI), BCPI Advanced

    A single payment for all care and services provided for a patient over an episode of care.  An ‘episode of care’ is the services performed by multiple providers for a single procedure or medical condition over a specified period of time.

     

    Emerging Models: Direct Contracting

    CMMI continues to push delivery system reform through new and innovative models driving providers into two-sided risk sooner and capitated models.   

    Direct Contracting (DC) builds of lessons learned from the Medicare Shared Savings Program (MSSP) and Next Generation ACOs and leverages innovative approaches from Medicare Advantage (MA) and private sector risk-sharing arrangements.  CMMI has created different tracks to broaden participation and emphasizes complex, chronically ill and seriously ill populations.


    Provider Networks: Integrated Care Networks

    Providers come together to negotiate value-based reimbursement that focuses on efficiency and quality outcomes.

    The Lab general content includes pre-recorded webinars and/or information briefs on each model.  Future content will include self-assessments, targeted in depth training for your leadership and facilities, roadmaps for initial due diligence and strategic planning. 

  • Getting Older is not for the Weak: An Evidence-Based Approach for Improving Mobility CE Webinar

    Contains 3 Component(s), Includes Credits

    In this training module, the RESTORE team, a collaborative group of researchers, educators, and professionals within the University of Colorado Physical Therapy Program will share an approach for helping providers integrate the latest evidence-based rehabilitation strategies into routine practice.

    In this training module, the RESTORE team, a collaborative group of researchers, educators, and professionals within the University of Colorado Physical Therapy Program will share an approach for helping providers integrate the latest evidence-based rehabilitation strategies into routine practice.  

    1.25 CEs available

  • AHCA PDPM Academy 2020 Subscription– Building Optimal Operational Capacities©

    Contains 7 Product(s)

    AHCA’s PDPM Academy 2019 focused on the basic elements and technical aspects of the new patient characteristic-based payment model. In 2020, the AHCA subscription-based PDPM Academy will provide AHCA provider members with in depth on-line education and training on best practice topics and operational capacities key to PDPM success.

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    AHCA’s PDPM Academy 2019 focused on the basic elements and technical aspects of the new patient characteristic-based payment model.  In 2020, the AHCA subscription-based PDPM Academy will provide AHCA provider members with in depth on-line education and training on best practice topics and operational capacities key to PDPM success.  

    Subscribers to the AHCA PDPM Academy 2020 – Building Optimal Operational Capacities© will receive the following benefits:

    1. In-depth education will include six pre-recorded webinars starting in March 2020 with continuing education (CE) credits and accompanied by AHCA-developed guidance, tool kits, or other resources. The six (CE) educational webinars on will be held throughout 2020 as they are completed.  All six educational webinars are included in the $299 2020 PDPM Academy registration fee. The topics include:

    • Holistic Person-Centered Care Planning –This training module will provide possible models for PAC Comprehensive, Person-Centered Care Planning which also align with CMS’ vision for PDPM “holistic care planning” as well as offer insights into the business case for person-centered planning.
    • Getting Older is not for the Weak: An Evidence-Based Approach for Improving Mobility –In this training module, the RESTORE team, a collaborative group of researchers, educators, and professionals within the University of Colorado Physical Therapy Program will share an approach for helping providers integrate the latest evidence-based rehabilitation strategies into routine practice.  
    • Effective Care Transitions at Admission and Discharge –PDPM Academy participants will hear in this module from hospital discharge specialists, AHCA members, and home health intake specialists about their approaches to effective care transitions entering and exiting the SNF. 
    • Trend Tracker and Other Sources to Monitor Quality Impact of PDPM – AHCA members can monitor their Skilled Nursing Facility (SNF) Rehospitalization Value-Based Purchasing (VBP) performance as well as their IMPACT Act Quality Reporting Program (QRP) performance via LTCTT.  In this module, PDPM Academy participants will gain a deeper understanding of key PDPM Quality Measures (QM), how to best monitor them including using of LTCTT.  Participants also will learn about root-cause analysis approaches to address QM challenges.
    • Identifying and Managing Residents with Complex Nursing and NTA Needs – In this module, PDPM Academy participants will learn how members have attracted and retained nursing staff, best practices for staff training on complex care as well as optimal NTA services need identification and care. 
    • Restorative Nursing and Skilled Maintenance Nursing and Therapy – Nearly one-third of SNF resident stays would be eligible for restorative nursing case-mix payment adjustments within the PDPM Nursing Component.  Additionally, new flexibilities in therapy service delivery permitted under PDPM create incentives to develop more effective restorative nursing programs to all Medicare Part A residents, including those on an active therapy care plan.  This module will highlight restorative nursing and skilled maintenance nursing and therapy best practices under PDPM.

    2. Six “live” PDPM Academy Open Discussion Forums (ODF) every other month (one-hour each) starting January 2020, addressing challenging PDPM clinical and billing topics and CMS updates.

    3. Access to AHCA’ library of 2019 and 2020 PDPM Academy materials housed at ahcancalED. 

    These resources are a considerable value to AHCA members.  Private consultancies will charge several hundreds of dollars for the resources and the six hours of CE eligible training on the topics above. 

    Access to all of the benefits, above, is available to AHCA provider member individual employees (or individual contracted employees if registering through the AHCA provider member) via a PDPM Academy 2020 subscription price of $299 including CEs for the entire year. 

    AHCA’s PDPM resources for all provider members in 2019 focused on the basic elements and technical aspects of the new patient characteristic-based payment model and included AHCA developed tools, resources and webinars as well as access to numerous PDPM-related CMS and other public domain resources.  In 2020, the AHCA PDPM Resources Page will continue to provide basic PDPM education all AHCA provider members as listed below.

    The following free PDPM resources will be available to all AHCA provider members:

    • All-Provider member PDPM webinars
      • FY 2021 SNF PPS Proposed Rule Summary (est. May 2010)
      • FY 2021 SNF PPS Final Rule Summary (est. August 2020)
    • New or updated all-provider member tools and resources as they are developed (TBD)
    • Access to CMS and other PDPM-related public-access resources
    • Access to AHCA’s library of 2019 and 2020 all-member materials housed at ahcancalED

    AHCA is offering the following PDPM-Related fee-based products and services in 2020 to support SNF personnel in improving care delivery best practices and in building optimal operational capacities.

    These items are not inlcuded in your PDPM Academy subscription. Each resource will have a separate fee. 

    • PDPM ICD-10 Coding Training (January 2020) (Members and Non-Members)
    • AHCA/AHIMA ICD-10 Training for PDPM – Coder/Clinician 
      • 2020 Full Version (16 Hours & CEs) 
      • 2020 Refresher Version (Hours TBD & CEs) 
    • AHCA/AHIMA ICD-10 Training for PDPM – Non-Coder – 2020 Full Version (4 Hours & CEs) 
    • i-STRONGER Online/Interactive High-Intensity Rehabilitation Program Training for Physical and Occupational Therapy Clinicians (May 2020) (12+ Hours) (Members and Non-Members) 
    • Patient Pathway Platform (P3) Report Subscription (containing local market hospital referral data, SNF LOS data, SNF market PDPM data, and top referring hospital PDPM data) (January 2020) (Provider Members Only) 
    • PDPM Medicare Advantage Education & Negotiation Guidance (release TBD) (Provider Members Only) 
  • Provider Networks

    Contains 2 Component(s)

    Provider networks are a joint venture of independent providers that come together to focus on the benefits for the residents, enhance quality outcomes, and work on value-based reimbursement.

    Provider networks are a joint venture of independent providers that come together to focus on the benefits for the residents, enhance quality outcomes, and work on value-based reimbursement.

    This module has two components:

    Provider-Owned Networks 101 Webinar: 29 minutes

    Provides an overview of the why, what, and how of provider-owned integrated care networks and explains the benefits of provider networks.

    Provider-Owned Integrated Care Networks Brief: One page, pdf

    This brief gives you a better understanding of Provider-Owned Integrated Care Networks and includes:

    • Overview
    • Focus on Quality
    • Benefits and Services
  • Emerging Models: Direct Contracting

    Contains 1 Component(s)

    Direct Contracting (DC) is part of The Center for Medicare and Medicaid Innovation’s (CMMI) Primary Cares Initiative and was released in April 2019. It is one of the newest Medicare fee-for-service (FFS) risk sharing models built on lessons learned from the Medicare Shared Savings Program (MSSP) and Next Generation ACOs (NGACOs) and leverages innovative approaches from Medicare Advantage (MA) and private sector risk-sharing arrangements. The design is intended to broaden participation beyond current participants in Medicare FFS risk models by attracting traditional providers new to risk as well as other innovative partnerships/organizations looking to take risk for Medicare FFS beneficiaries.

    Direct Contracting (DC) is part of The Center for Medicare and Medicaid Innovation’s (CMMI) Primary Cares Initiative and was released in April 2019. It is one of the newest Medicare fee-for-service (FFS) risk sharing models built on lessons learned from the Medicare Shared Savings Program (MSSP) and Next Generation ACOs (NGACOs) and leverages innovative approaches from Medicare Advantage (MA) and private sector risk-sharing arrangements. The design is intended to broaden participation beyond current participants in Medicare FFS risk models by attracting traditional providers new to risk as well as other innovative partnerships/organizations looking to take risk for Medicare FFS beneficiaries.

    This module consists of one component: 

    Direct Contracting Brief: six pages, pdf

    Provides a detailed overview of Direct Contracting including types of participants, payment, beneficiary alignment, quality incentives, and a model timeline.


  • Bundled Payments

    Contains 2 Component(s)

    Bundled payments are a type of alternative payment model designed to incentivize high quality, cost-effective care. Bundled payments, also known as episode-based payments, are single payments for all care and services provided, which could include multiple settings, for a single condition over a defined period of time (episode of care).

    Bundled payments are a type of alternative payment model designed to incentivize high quality, cost-effective care. Bundled payments, also known as episode-based payments, are single payments for all care and services provided, which could include multiple settings, for a single condition over a defined period of time (episode of care).

    This module consists of two components.

    Bundled Payments 101 Webinar: 23 minutes

    Provides an overview of the basics of bundled payments including what are bundled payments, how do they work, and implications for LTC and PAC providers.

    Bundled Payments Brief: Three pages, pdf
    • Defines and explains bundled payments at a high level including bundled Payments for Care Improvement (BPCI) Initiative, Comprehensive Care for Joint Replacement (CJR), and Bundled Payments for Care Improvement Advanced (BPCI-A).
    • Highlights opportunities for SNFs
NCAL AHCA