Medicare payment system is in the midst of a paradigm shift—away from the fee-for-service payment structure, in which providers are rewarded solely by the volume of services provided, and toward a structure that holds providers accountable for patient outcomes and costs. This move to value-based care is intended to advance the goals of health care's "triple aim"—improving the patient experience of care (including quality and satisfaction), bettering the health of populations, and reducing the per-capita cost of health care.
As part of this effort, CMS has finalized significant changes that will affect the home health and skilled nursing facility payment systems—beginning in FY 2020 for SNFs and CY 2020 for home health agencies. These payment systems align payment with patient characteristics and patient needs, and eliminate the connection between therapy utilization and reimbursement. CMS finalized the Skilled Nursing Facility Patient-Driven Payment Model (PDPM) and Home Health Patient-Driven Groupings Model (PDGM) in 2018.
Links to two PDPM Q&A sessions are below:
Tuesday, March 12: http://apta.adobeconnect.com/p4jqrt2c5467/
Thursday, March 14: http://apta.adobeconnect.com/pdvlv2jsjbiu/
APTA staff and members of the Home Health Section Government Affairs committee recorded an overview of the Patient-Driven Groupings Model and recorded 2 live Q&A sessions.
Challenging the Myths Associated With PDPM and PDGM - 11/15/18
Unfortunately, there are a number of myths about these 2 new payment systems, shaping biases and working against the long-term success of these models.
APTA Recorded Webinar via Adobe Connect
How Changing Post-Acute Payments Impact the Role of PT- 10/11/18
Recorded Webinar (October 2018) Free to APTA Members via APTA Learning Center
Geriatric Certified Specialist (GCS) Examination
Regional Item Writing Workshop at the University of Michigan Medical Center
Co-Sponsored by the Oncology and Neurology Specialty Councils
The Geriatric Specialty Council would like to invite GCS’s from the Great Lakes and Michigan area to participate in an item writing workshop for the GCS Examination. Individuals participating in the workshop will be trained on how to write questions for the geriatric specialty examination and will receive Maintenance of Specialty Examination (MOSC) credits for items accepted in the GCS Exam item bank.
When: April 13, 2019 (Saturday), from 8:30 am to 3:30 pm
Where: University of Michigan Medical Center (Michigan Health),
Michigan Medicine Spine Center
325 East Eisenhower parkway
Ann Arbor MI 48108
What to bring: Laptop
Coffee/light breakfast and lunch will be provided.
Please RSVP to Derek Stepp (email: [email protected]) by March 31st, 2019.
If you have any questions, please email Morris Beato (email: [email protected])
A New SNF PDPM Webinar Recording is Now Available
An Overview of the Skilled Nursing Facility Patient-Driven Payment Model webinar is now available at http://apta.adobeconnect.com/pch0i3flsz1w/
The webinar was put together by the Post-Acute Care Educational Collaborative and was done by AGPT and HPA members along with APTA staff. The webinar recording is open to all members and non-members.
A new MLN Matters Article MM11081 on Home Health Patient-Driven Groupings Model (PDGM) – Spilt Implementation is available. Learn about the payment reform requirements.
A new MLN Matters Article MM11152 on Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) is available. Learn about the required changes.
On February 5, the Centers for Medicare and Medicaid Services (CMS) posted on their MDS 3.0 Technical Information Webpage a new draft version (V3.00.0) of the MDS 3.0 Data Specifications. This version is scheduled to become effective October 1, 2019. These specifications are used for software developers and vendors to update SNF PPS grouper, MDS, electronic health record, and billing systems to align with annual updates to the MDS-RAI (yet to be issued) and SNF PPS billing requirements. Note that there are many significant changes, to align with the transition to the new Skilled Nursing Facility Prospective Payment System (SNF PPS) from the Resource Utilization Groups, Version 4 (RUG-IV) to the Patient Driven Payment Model (PDPM). These changes include the removal of eight RUG-IV assessment item sets (NS, NSD, NO, NOD, SS, SSD, SO, SOD), the addition of two new PDPM assessment item sets (IPA – Interim Payment Assessment and OSA – Optional State Assessment), and item additions in Sections A, GG, I, J, O and Z. See this link for the draft MDS 3.0 Item Sets v1.17 for October 1, 2019) that were issued on January 3. The MDS draft data specifications also accommodate the utilization of the PDPM grouper (not issued yet) , which also begins on October 1, 2019. In addition, a new version (V1.04.0) of the MDS 3.0 CAT Specifications was posted. This version is also scheduled to become effective October 1, 2019. The specification for CAT 12 (Nutritional Status) has been updated in accordance with the changes in V3.00.0 of the MDS 3.0 Data Specifications.
Embracing aging and empowering adults to move, engage, and live well
Building a community that advances the profession of physical therapy to optimize the experience of aging
Goal 1: AGPT provides education that enhances practice by producing value, empowering advocates, and promoting the use of evidence informed practice
Goal 2: AGPT attracts, engages, and mobilizes physical therapists, physical therapist assistants, and students serving aging adults
Goal 3: AGPT builds relationships to expand its influence and the reach of physical therapy
With aging might come changes in older adults’ ability to get around and do the things they want and need to do. These mobility changes may affect older adults’ health and independence and are related to an increased risk of falls and motor vehicle crashes—the two leading causes of older adult injury.
The CDC released a new mobility planning tool to help older adults create a personalized MyMobility Plan. This planning tool, along with a supporting fact sheet about medicines that might increase risk of a fall or motor vehicle crash, helps older adults plan for mobility changes similar to the way that many plan financially for retirement.
New Home Study Modules Now Available on the APTA Learning Center
Management of Falls and Fall Prevention in Older Adults
Tool Kit for the Prevention of Diabetic Foot Ulcers
Assistive Devices, Adaptive Equipment, Orthotics, and Wheeled Mobility for the Older Adult
Bariatric Obesity in the Older Adult
End of Life Ethics
Breast Cancer Related Lymphedema
Biopsychosocial and Environmental Aspects of Aging
Full details can be found at http://geriatricspt.org/?dd90jb
June 7-8, 2019
8 am – 4:40 pm both days
St. Catherine University
2004 Randolph Avenue
St Paul, MN 55105
This 2-day course will focus on the Physical Therapist Assistant’s (PTA) use of exercise as an advanced rehabilitation
intervention for the aging adult. Several common functional outcome measures will be actively performed by
participants or demonstrated by instructors. The physical stress theory regarding proper exercise intensity will be
presented. PTA’s will learn how to utilize this concept in exercise programs for aging adults, as indicated by the physical
therapy (PT) plan of care (POC), for aerobic conditioning, balance, gait and strength training. A variety of diagnoses
commonly treated in aging adults will be reviewed and discussed relative to the application of exercise principles,
treatment progression, and precautions. A discussion of barriers and motivation strategies to assist the aging adult in
achieving goals will be included. The course will include both lecture and hands-on practical lab activities
Spaces are limites so Register for this course early at http://geriatricspt.org/?35w774
Please listen to this audio file form the AGPT Director of Publications and Partnerships Jackie Osborne, PT, DPT