- September 24, 2019
9:00 am - 4:00 pm
Home Health Care Clinical Managers/Supervisors of Clinical Services, Quality Management staff and Clinical Educators will play a key role in the successful implementation of the new Medicare Patient Driven Groupings payment Model (PDGM). In this interactive session, attendees will learn the four key elements of the PDGM scoring system: admission source and timing, clinical groupings, functional levels and comorbidities. Managers will leave with specific techniques for obtaining accurate information to support coding, scoring and billing. All, while using the least resources to produce the best outcomes. Areas covered include: optimizing complex care, episode utilization and case management, interdisciplinary teamwork, care coordination and collaboration. The session will also describe key PDGM measures and monitoring techniques to optimize efficiency, achieve success and prevent pitfalls.
Program Objectives (At the completion of this session, participants will be able to….)
• Describe key elements of Medicare’s PDGM payment model
• Explain the impact of the new regulations on clinical operations and clinical managers
• Identify key clinical operations changes that will be required for PDGM success
• Create an initial action plan for successful PDGM implementation
About the Speaker:
Barbara Katz, RN, MSN is an experienced clinician, manager, trainer and health care consultant. She is a graduate of the Yale School of Nursing and she holds a Certificate in Training and Development from Fairfield University. Barbara was the 2013 winner of the Judith A. HriceniakAwardfor Excellence in Nursing Leadership from the Connecticut Association for HealthCare at Home. She is the author of the recently published book (2018) from JB Barlett Learning, Connecting Care for Patients, Interdisciplinary Care Transitions and Collaboration.
Barbara has been a hospital registered nurse, an APRN in internal medicine, a site manager for a Kellogg Foundation self-care education grant, a training manager and a manager of clinical operations for a network of medical practices. She has been Vice President for Clinical Program Development in a large home health care agency where she founded a family caregiver support network.
Barbara provides training in leadership for value based payment, patient self-management support, family caregiver support, process improvement tools and techniques, population health strategies, the use of data in daily work, communication, teamwork and motivational interviewing.