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AHCA PDPM Academy Archived Resources

NOTE:  The archived resources included on this page WILL NO LONGER BE UPDATED.  

The AHCA Patient Driven Payment Model (PDPM) Academy provides AHCA provider members with a suite of original content, tools, and training options and resources to assist providers in how to be successful in preparing for and implementing the new Medicare Part A PDPM SNF PPS in October 2019. 

Basic versions of many AHCA PDPM Academy copyrighted document resources and webinars will be available to all AHCA provider members at no additional cost at the AHCA PDPM Resources page (see link at left side of this page).  AHCA will also be providing PDPM educational resources customized to the needs of ABM partners at no additional cost (see below).    


COPYRIGHT STATEMENT

AHCA PDPM Academy publications, tools, workshops, webinars or other resources have been developed and paid for as a part of your AHCA provider membership  and/or PDPM Academy registration.  These resources are for your facility use only and copyrighted resources should not be distributed outside your organization without AHCA permission.  Please respect the copyright.

Questions about the contents of AHCA PDPM Academy publications, tools, workshops, webinars or other resources may be directed to pdpm@ahca.org.

For additional information about AHCA visit www.ahcancal.org.

Copyright 2019 American Health Care Association, 1201 L Street NW Washington, DC  20005. All Rights Reserved.  Permission to use, copy and/or distribute any documentation and/or related images from AHCA PDPM Academy publications, tools, workshops, webinars or other resources shall be expressly obtained from AHCA

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  • Contains 3 Component(s)

    Preparing for PDPM features videos from Good Samaritan Society, Robin Hillier of Welcome Nursing Home and Ensign.

  • Contains 6 Component(s)

    The AHCA PDPM MDS Accuracy Toolkit – Resident Classification was designed to furnish tools to providers during preparations leading up to PDPM implementation to better understand the specific MDS items and claim information that determine how the five case-mix adjusted component classifications and per-diem payment rates are determined. All members can access template PDPM MDS worksheets (including ~40 new items providers will report on October 1, 2019), template PDPM workbooks that enable manual determination of resident case mix classifications and rates, and a PT, OT, and NTA variable per-diem and RUG-IV rate tables. These tools will permit members to compare the relative impacts of PDPM rates versus RUG-IV rates on current residents, which can help in planning changes in operational and clinical processes prior to PDPM implementation. PDPM Academy Registrants can also access example resident MDS and resident classification workbooks to facilitate team training efforts. Additional tools and resources to be added as developed.

    The AHCA PDPM MDS Accuracy Toolkit – Resident Classification was designed to furnish tools to providers during preparations leading up to PDPM implementation to better understand the specific MDS items and claim information that determine how the five case-mix adjusted component classifications and per-diem payment rates are determined.  All members can access template PDPM MDS worksheets (including ~40 new items providers will report on October 1, 2019), template PDPM workbooks that enable manual determination of resident case mix classifications and rates, and a PT, OT, and NTA variable per-diem and RUG-IV rate tables.  These tools will permit members to compare the relative impacts of PDPM rates versus RUG-IV rates on current residents, which can help in planning changes in operational and clinical processes prior to PDPM implementation.  PDPM Academy Registrants can also access example resident MDS and resident classification workbooks to facilitate team training efforts.  Additional tools and resources to be added as developed.

  • Contains 3 Component(s)

    The AHCA PDPM Hospital Discharge Toolkit was designed to facilitate the collection of clinical information from the referring hospital prior to admission to better assure that information related to a residents SNF care needs upon admission, and appropriate PDPM case-mix group classification, is obtained and documented prior the end of the residents SNF PPS 5-day assessment reference date. The tools can also be used to help facilitate discussions with referring hospitals regarding how to better coordinate the transfer of health information relevant to PDPM resident classification. All members can access a SNF pre-admission checklist tool and a reference document identifying all MDS item fields that apply to PDPM case-mix adjusted components. PDPM Academy Registrants can also access an additional “High-Impact” MDS items reference document. Additional tools and resources to be added as developed.

    The AHCA PDPM Hospital Discharge Toolkit was designed to facilitate the collection of clinical information from the referring hospital prior to admission to better assure that information related to a residents SNF care needs upon admission, and appropriate PDPM case-mix group classification, is obtained and documented prior the end of the residents SNF PPS 5-day assessment reference date.  The tools can also be used to help facilitate discussions with referring hospitals regarding how to better coordinate the transfer of health information relevant to PDPM resident classification.  All members can access a SNF pre-admission checklist tool and a reference document identifying all MDS item fields that apply to PDPM case-mix adjusted components.  PDPM Academy Registrants can also access an additional “High-Impact” MDS items reference document.  Additional tools and resources to be added as developed.

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    The AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit will include several tools and resources to help providers prepare for successful transition to PDPM. These include ideas and tools on how to address compliance risk areas identified by the Centers for Medicare and Medicaid Services, The Office of Inspector General, and other government agencies. All members can access the Compliance Policies and Procedures Checklist Tool. Best practice policies be added for PDPM Academy Registrants as developed.

    The AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit will include several tools and resources to help providers prepare for successful transition to PDPM.  These include ideas and tools on how to address compliance risk areas identified by the Centers for Medicare and Medicaid Services, The Office of Inspector General, and other government agencies.  All members can access the Compliance Policies and Procedures Checklist Tool.  Best practice policies be added for PDPM Academy Registrants as developed.

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    The AHCA Template PDPM Messaging One-Pagers Toolkit for PDPM Academy registrants includes brief high-level summaries of the PDPM payment model and the potential impacts on upstream and downstream providers such as hospitals and physicians, as well as on other payers and payment models including Medicare Advantage plans and Accountable Care Organizations. Many of these partners in resident care delivery may be unaware of PDPM and the implications the payment model change may have on your relationships with them. These messaging fact sheets can be used to help facilitate discussions with these partners as you prepare to implement PDPM. Additional messaging materials to be added as developed.

    The AHCA Template PDPM Messaging One-Pagers Toolkit for PDPM Academy registrants includes brief high-level summaries of the PDPM payment model and the potential impacts on upstream and downstream providers such as hospitals and physicians, as well as on other payers and payment models including Medicare Advantage plans and Accountable Care Organizations.  Many of these partners in resident care delivery may be unaware of PDPM and the implications the payment model change may have on your relationships with them.  These messaging fact sheets can be used to help facilitate discussions with these partners as you prepare to implement PDPM.  Additional messaging materials to be added as developed.     

  • Contains 3 Component(s) Recorded On: 06/18/2019

    The TeamSTEPPS 2.0 for Long-Term Care Instructor Manual is designed to help you develop and deploy a customized plan to train your staff in teamwork skills and lead a medical teamwork improvement initiative in your nursing home from initial concept development through sustainment of positive changes. Contained within the materials are comprehensive presentations and instructional guides, including short case studies and videos illustrating teamwork opportunities and successes. The AHRQ TeamSTEPPS is a resource available in the public domain that aligns with and can help providers address several areas of the AHCA PDPM Academy Core Competencies. The web address to access the TeamSTEPPS 2.0 for Long-Term Care curriculum is: https://www.ahrq.gov/teamstepps/longtermcare/index.html

    The Agency for Healthcare Research and Quality (AHRQ) developed TeamSTEPPS 2.0. TeamSTEPPS was developed by AHRQ and the Department of Defense (DoD) as a teamwork system that offers a powerful solution to improving collaboration and communication within your institution. Teamwork has been found to be one of the key initiatives within patient safety that can transform the culture within health care. Patient safety experts agree that communication and other teamwork skills are essential for the provision of quality health care and for the prevention and mitigation of medical errors and patient injury and harm. 

    Provided as a flexible training kit, TeamSTEPPS 2.0 is an evidence-based program aimed at optimizing performance among teams of health care professionals, enabling them to respond quickly and effectively to whatever situations arise. This curriculum incorporates more than 30 years of scientific research that has been conducted on teams and team performance.

    This curriculum is a customized version of TeamSTEPPS 2.0 for use in long-term care settings. The TeamSTEPPS 2.0 for Long-Term Care Instructor Manual is designed to help you develop and deploy a customized plan to train your staff in teamwork skills and lead a medical teamwork improvement initiative in your nursing home from initial concept development through sustainment of positive changes. Contained within the materials are comprehensive presentations and instructional guides, including short case studies and videos illustrating teamwork opportunities and successes.

    The AHRQ TeamSTEPPS is a resource available in the public domain that aligns with and can help providers address several areas of the AHCA PDPM Academy Core Competencies

    The web address to access the TeamSTEPPS 2.0 for Long-Term Care curriculum is: https://www.ahrq.gov/teamstepps/longtermcare/index.html

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    CMS PDPM Simulated Payment Data with AHCA Analysis

    Click here to access the CMS PDPM Simulated Payment Data with AHCA Analysis

  • Contains 16 Component(s) Recorded On: 11/22/2019

    An important feature of your PDPM Academy participation is access to monthly live 90-minute webinars on recently announced CMS information, AHCA PDPM training resources, and transition updates. These webinars will be held the last Tuesday of each month, 3:00PM – 4:30PM (Eastern). Access to the monthly calls will require a specific login for each individual. If you need assistance with your login information please email educate@ahca.org The webinars also include at least 30-minutes of question and answer. Additionally, the webinars will be recorded and FAQs and related materials posted with the video file. Please note we anticipate large participant numbers. If we are unable to respond to your question due to the number of participants, please direct questions to the pdpm@ahca.org email address. We incorporate questions submitted at the email address into our FAQ documents.

    An important feature of your PDPM Academy participation is access to monthly live 90-minute webinars on recently announced CMS information, AHCA PDPM training resources, and transition updates. Access to the monthly calls will require a specific login for each individual. If you need assistance with your login information please email educate@ahca.org

    The webinars also include at least 30-minutes of question and answer.  Additionally, the webinars will be recorded and FAQs and related materials posted with the video file. Please note we anticipate large participant numbers. If we are unable to respond to your question due to the number of participants, please direct questions to the pdpm@ahca.org email address. We incorporate questions submitted at the email address into our FAQ documents.

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    ​Because CMS has provided limited to no guidance to SNF care delivery partners impacted by the PDPM implementation on October 1, AHCA members have asked if we could create a webinar about PDPM that providers could share with referring hospitals, physicians, Medicare Advantage plans, Accountable Care Organizations, and Bundled Payment program partners. To help facilitate AHCA member discussions with care delivery partners about PDPM, we have prepared a one page document that includes links to the following five pre-recorded webinars and slides that are intended to be viewed by SNF care delivery partner to get a better understanding about what PDPM is, and how PDPM may impact their relationships with SNF providers.

    Because CMS has provided limited to no guidance to SNF care delivery partners impacted by the PDPM implementation on October 1, AHCA members have asked if we could create a webinar about PDPM that providers could share with referring hospitals, physicians, Medicare Advantage plans, Accountable Care Organizations, and Bundled Payment program partners.

    To help facilitate AHCA member discussions with care delivery partners about PDPM, we have prepared a one page document that includes links to the following five pre-recorded webinars and slides that are intended to be viewed by SNF care delivery partner to get a better understanding about what PDPM is, and how PDPM may impact their relationships with SNF providers. No password is necessary to access this content. 

    Each webinar recording (approximately 30 minutes each) contains the following content:

    • An overview of the PDPM payment model
    • Key clinical characteristics impacting PDPM
    • Specific PDPM considerations for SNF partners, and (each recording has partner-specific content)
    • Where SNF care delivery partners can go for more information

    Each recording is identical except for the third item that includes content that is customized to the specific type of SNF care delivery partner.  AHCA Members are encouraged to open a dialogue with their care delivery partners as part of their PDPM transition preparations.  We also encourage SNFs to consider sharing the respective links below with these partners as a supplement to your discussions. 

    Please submit questions related to these webinar resources to pdpm@ahca.org.

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
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