Kenyon HomeCare ConsultingMoving Into 2020: Wrapping Your Head Around Evolving Clinical Staff Into The New PDGM Model Of Care. By The Way, This Includes Every Person Who Sees The Patient. - Kenyon HomeCare Consulting (206) 721-5091

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Moving Into 2020: Wrapping Your Head Around Evolving Clinical Staff Into The New PDGM Model Of Care. By The Way, This Includes Every Person Who Sees The Patient.

changeThis is a big time for transition in homecare. This industry just came off a year with the first changes to the Conditions of Participation in decades. It is a big deal. Now, you are faced with new a payment model for 2020. If you think this is just about payment, then you need to research more about the PDGM model. 

Bye Bye Therapy Thresholds: 

The industry knew this was coming. No longer will there be additional reimbursement related to the number of therapy visits. This is a good change. In order to “see” all members of the homecare team working together, there should not be incongruence in reimbursement for one over the other. Many providers continue to struggle with therapy providers not willing to comply with coordination of care or working towards shared care plan goals. This can’t happen in the PDGM model. 

Working As A True Team: 

This is huge too.  For years, healthcare has pushed to eliminate the silos of care between providers. However, the focus has been from hospital to SNF or SNF to homecare. It has not been focused on homecare discipline to homecare discipline. It is always the assumption that all clinicians within a realm of healthcare already work as a tight knit unit. Reality is, this isn’t the case in so many agencies. If you don’t have true interdisciplinary care and care planning, then it is unrealistic to think it will be successful with outside providers. So, this means fix the issues in your own house before the PDGM model hits and 30-day payments are in place. 

Begin With Education: 

Chronic disease care is the key to a true medical home model. It requires clinicians to be laser-focused on a shared patient care plan. All caregivers need educated about working in this type of model. It means more than nurses rattling off signs and symptoms of a CHF exacerbation. It is more than the aide documenting blood sugar readings. The COPD patient with pulse ox readings from the therapist doesn’t manage chronic disease. These items are all task-related and not about management of the disease. A comprehensive chronic disease management program gives you the paradigm shift you need in a PDGM model. It sets you up to be efficient and profitable. 

Call Us For Help: 

At Kenyon Homecare Consulting, we have comprehensive online disease management programs on the clinician and agency level. Call us at 206-721-5091 or contact us online for more into how chronic disease management is the key to future success.

Category: Education & Training, Regulatory Compliance

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