This webinar is part two of the Section GG and Functional Measures series. This webinar will discuss the Section GG process measure and care plan as well as the four outcome measures (Change in Self-Care score for SNF residents, Change in Mobility score for SNF residents, the Discharge Self-care score for SNF residents, and the Discharge Mobility scores for SNF residents). In addition, the webinar will report the specifics of the new Healthcare Associated Infections measures.
Why do these SNF QRP Measures matter?
- Outcomes are reported publicly on Care Compare which could possibly impact placement decisions for potential residents.
- Dashes in any of the assessment items or risk adjustment items can impact the APU for the next fiscal year.
- CMS has stated that they would be looking at the therapy/modalities provided under PDPM along with comparing the outcomes with RUG IV.
- Medicare reviews will most likely target long lengths of Medicare stay/long therapy stays with outcomes that are lower than the national average.
- Outcomes will be compared between post-acute settings.
- Could be a survey issue when documentation does not support MDS coding. This would especially be a concern when the outcomes are lower than national average.
Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC
Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.
Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).
- 1.5 credit hours for RNs
- 1.5 credit hours for NABs
This pre-recorded webinar expires on April 28, 2024.