RMB-3 - PDPM Clinical Care Pathways – Assessing Admission Opportunities

Tuesday, October 11, 2022

9:30 AM – 10:30 AM CT

CE: NAB: 1.0 | ANCC: 1.0

Speaker(s)

Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA

President & CEO
Celtic Consulting

Slides Handouts
Susan M. Battaglia, RN-BC, RAC-CT

Director of Case Mix Management & Clinical Services
Tara Cares

Participants should be aware of the following financial/non-financial relationships:

Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Susan M. Battaglia, RN-BC, RAC-CT: I do not have any relevant financial / non-financial relationships with any proprietary interests.

The Patient-Driven Payment Model (PDPM) created new opportunities for delivering care more and more medically complex patients. Examples include End-Stage Renal Disease and Dialysis and Ventilator Dependent Patients. During this session participants will learn how to assess your SNF market and target patient needs as well as design clinical care pathways based on new possible patients. Action steps discussed will include liaison with referral sources and payers, assessment of outside clinical support, such as access to specialists, internal clinical capabilities assessment with a focus on workforce challenges, and insights on complex clinical conditions treated in SNFs based on PDPM data.

Learning Objectives:

Describe how to assess your marketplace’s clinical care needs.
Discuss how to position your SNF(s) to meet patient needs and design clinical care pathways based on new potential patients.
Summarize PDPM trends in care for medically complex patients.