Georgia State Office of Rural Health & HomeTown Health Best Practices for Compliance & Efficiency Rural Swing Bed Management (RSBM) Training Program 5 Shortcuts to Watching Your Swing Bed Program This project is supported by the Georgia Department of Community Health (DCH) State Office of Rural Health (SORH) grant number 16062G.
Webinar Etiquette Questions or Comments? • Lines will remain muted except for Panelists • Open “questions” pane in dashboard • Type in comments or questions • Comments will be monitored through out webinar. • Questions will be addressed at end of the presentation.
Continuing Education Unit Conditions As an IACET Authorized Provider, HomeTown Health, LLC offers CEUs for its programs that qualify under the ANSI/IACET Standard. HomeTown Health, LLC is authorized by IACET to offer 0.1 CEUs/1 credit hour for this program today. In order to obtain these CEUs, you must: • View recording in its entirety within 30 days • Pass online quiz with 80% or better. • Complete webinar evaluation.
Agenda Welcome & Introduction Desi Barrett, Webinar Program Manager Opening Comments Jimmy Lewis HomeTown Health CEO Swing Bed Presentation: Kerry Dunning 5 Shortcuts to Watching Your Swing RSBM Program Trainer Kerry Dunning, LLC Bed Program Next Steps Dashboard & Calendar Kristy Thomson, COO
Opening Comments Jimmy Lewis, CEO of HomeTown Health, is a graduate in industrial engineering from Auburn University. He grew up in South Georgia, then worked in senior executive positions in six fortune 500 companies, formed HomeTown Health, LLC in 1997 as an advocate for the survival of rural hospitals. He has lobbied, advocated and contributed to the formation of HomeTown Health with management advisory services throughout hospitals in several states, online education with over 10,000 students across the U.S., and has conducted extensive lobby work in all aspects of rural health policy in the State of Georgia. Jimmy is on the State of Georgia Governor's Rural Hospital Stabilization Committee and serves on the Global Partnership for Telehealth Board.
RSBM Program Trainer Kerry Dunning LLC • Ms. Dunning has 20 years in health care consulting and over 30 years in the industry. • She specializes in the post-acute market working with hospital based skilled nursing and swing bed programs, critical access hospitals, freestanding skilled facilities, inpatient/outpatient rehab programs, inner city teaching hospitals and rural health care systems. • Ms. Dunning worked for HCA and HealthTrust hospitals in administrative roles; Horizon Rehabilitation and ServiceMaster Rehabilitation as a Sr. Vice President and Chief Operating Officer; with GPS Healthcare as the Chief Senior Services Officer; and has spent more than 20 years as an independent consultant. • In addition to serving as an Adjunct Instructor in the College of Health at the University of North Florida, Ms. Dunning regularly leads workshops and webinars regarding Medicare, skilled nursing (including MDS), swing bed programming, and reimbursement cycle improvement. She also works on international health care projects and research. • Her favorite job is on-site helping facilities take better care of patients.
Kerry Dunning, MHA, MSH, CPAR, RAC-CT Kerry Dunning LLC December 2017
Kerry Dunning has no proprietary interest in any product, instrument, device, service, or material discussed during this learning event. The education offered by Kerry Dunning, LLC in this program is compensated by the Georgia Department of Community Health (DCH) State Office of Rural Health (SORH) under Grant #16062G.
After completing this webinar, participants should be able to: 1. Gather key clinical and financial checks for swing bed programs 2. Review a checklist of Medicare required items that can cause an audit or loss of payment 3. Develop an internal plan for once a week or once a month meeting with your SWB leadership 4. Add or change tracking graphs for the leadership team and outside referral source Based upon Center for Medicare and Medicaid (CMS) Swing Bed Providers guidelines, and hospital based skilled nursing and swing bed program best practices
� How do I measure the success of our swing bed program? ◦ Beds filled ◦ Staffing productivity ◦ Ancillary usage ◦ Length of stay ◦ Cost per episode ◦ Admissions from referring hospitals � Does it matter if it’s in a CAH or PPS setting? 10
� Swing bed programs adjunct acute and outpatient services ◦ Admissions and discharges ◦ Secures proper payment ◦ Productive staffing ◦ Patient and Physician satisfaction CEO, CFO, CNO, COO! � BUT you have to remember Swing Beds are POST Acute and have different rules and success measures 11
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� Financial � Clinical ◦ ADC ◦ Admissions criteria review ◦ ALOS ◦ Therapy vs. Medically ◦ Cost per episode Cost per episode Cost per episode Cost per episode Complex ◦ Population Health ◦ Staff productivity � What reports are � What reports do you review discussed with your now? staff? � What staff meetings are � Are expectations directed only clinical clearly defined and outcomes? Set the reviewed routinely? Set the Trend Message 13
� Focus on process-of-care metrics: monitor all swing patients falling into one RUG or one admission type to initiate real-time intervention to secure right treatment, right time, right place � Significantly expanded community care coordination: focus on social networks that influence health; AND bring together social service, nonprofit, governmental and health care organizations supporting elderly and those who can help “interrupt” return to hospital patterns 14
� Changes coming: ◦ Site Neutral Payments ◦ Value Based Purchasing ◦ MSPB (Medicare Spending per Beneficiary) � The Skilled Nursing Facility Utilization and Payment Public Use File (SNF PUF) contains information on utilization, payments, and submitted charges 15
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� Physician Cert/Recert � Practical Matter � MSPs and Admission Packets Tools in ◦ Consent to treat and bill Handouts � Patient signs unless POA � Medical Necessity Documentation � IDT (Interdisciplinary Team) � Physician signature AND date 18
� Who is tracking? � Who is reviewing? � Who is controlling cost? � Who is watching admissions? � Who is calling after discharge? FORM IN HANDOUTS FOR WEEKLY/MONTHLY MEETING 19
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� Rehab factors impacting the Medicare Rate: CAHs must consider types of patients being admitted and addressing “patterns” of therapy delivered (i.e., minutes, PT vs OT) 21
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What are your takeaways? 1. Attend Spring Conference, April 25-27, 2018, in Savannah to get the latest updates on swing beds 2. 3. 4. 5. 24
After completing this webinar, participants should be able to: 1. Gather key clinical and financial checks for swing bed programs 2. Review a checklist of Medicare required items that can cause an audit or loss of payment 3. Develop an internal plan for once a week or once a month meeting with your SWB leadership 4. Add or change tracking graphs for the leadership team and outside referral source Based upon Center for Medicare and Medicaid (CMS) Swing Bed Providers guidelines, and hospital based skilled nursing and swing bed program best practices 25
QUESTIONS? Kerry Dunning Kerry.dunning@kerrydunningllc.com 904-923-7229 OR hthtech@hometownhealthonline.com
Program Dashboard & Ongoing Communication Online Dashboard: www.hthu.net/swingbedcah Password Protected: cah www.hthu.net/swingbedpps Password Protected: pps Ongoing Email Communication will come from HomeTown Health on a monthly basis.
Next Webinar Physician Certification Compliance and Industry Updates Webinar ▪ Target Audience: Swing Bed Leadership, Case Manager, Social Worker, Therapy Director Presented By: Kerry Dunning Description: Let's prepare for the new CMS requirements the first of the year will bring. This is a chance to review the compliance hot topics as well as look forward to new medical necessity reviews and targeted audits. We're finding over 90% of your programs have physician cert errors which is a current CMS audit. ▪ https://attendee.gotowebinar.com/register/2263386853539066113
Your RSBM Team Kerry Desi Barrett , Kristy Jennie Price , Dunning , Webinar Thomson , Director of Program Business Trainer & COO Manager, Development, Program HomeTown HomeTown HomeTown Health Director, Health Health University Kerry Dunning, LLC
Contact Information Desi Barrett, Webinar Program Manager hthtech@hometownhealthonline.com Kristy Thomson, COO Kristy.Thomson@hometownhealthonline.com Jennie Price, Director of Business Development Jennie.price@hometownhealthonline.com Kerry Dunning, RSBM Program Trainer Kerry.dunning@kerrydunningllc.com
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