THE PDGM NATIONAL SUMMIT
Medicare Patient-Driven Groupings Model
A Revolution in Medicare Home Health Payment
One-Day Intensive Educational Program
Preparing Home Health Agencies for 2020 and Beyond
February 5, 2019 - JW Marriott, New Orleans, LA
8:30 am - 4:30 pm
Click HERE to Make Hotel Reservation
$259.00 Room Rate
Click HERE for Registration Form
(If you are not an HCLA member, but a member of another state association or NAHC, you will need to call the HCLA office 337-231-0080 or email Liz at email@example.com to receive the member rate)
The HomeCare Association of Louisiana will co-sponsor with the National Association for Home Care & hospice (NAHC), the Forum of State Associations, and the Home Health Financial Management Association, a PDGM Summit on February 5, 2019.
Is your agency prepared to deal with the most consequential changes to impact home health in decades? The Patient-Driven Groupings Model (PDGM) will revolutionize the payment methodology for all Medicare Home Health Agencies in the United States. PDGM, created by CMS, is slated to debut on January 1, 2020. Agencies must prepare immediately for these important regulatory changes. Significant operational and organizational reforms must be undertaken by your agency in early 2019 to successfully transition to PDGM.
To enable home health leaders to successfully manage this new payment landscape, we invite you to join us for a one-day summit on transitioning to the PDGM. This in-depth summit, which will be held at the JW Marriott, 614 Canal Street in New Orleans, LA 70130, will cover all aspects of managing the change to PDGM -- operations, financial, clinical, data analytics, and technology.
PDGM is critical to your future success.
PDGM represents the most significant change in the Medicare home health program in the 21st Century. It will radically change the payment methodology, including the unit of payment, the case mix adjuster, Low Utilization Payment Adjustment standards, and payment for Non-Routine Medical Supplies.
You must begin preparing immediately!
Home Health Agencies must initiate significant organizational and operational changes in early 2019 in order to successfully transition to PDGM. Join us for our PDGM Summit on February 5, 2019 for an intensive one-day program that will prepare your Medicare HHA for the PDGM revolution.
Why should you attend?
It is critical for you to have the new tools and knowledge necessary to understand and adapt your business to these important changes. These in-depth, one-day summits will cover all facets of managing change to PDGM – operations; clinical; financial; data analytics; and technology. Faculty drawn from the top home health consulting firms in the nation will provide you with the skills you need to smoothly and successfully transition to PDGM.
Take action now! For more information, visit: pdgm2019.NAHC.org.
||William Simione III
||Simione Healthcare Consultants
||Healthcare Provider Solutions
||BlackTree Healthcare Consulting
||Strategic Healthcare Programs (SHP)
Continuing Education - Information about CEs
PDGM NATIONAL SUMMITS SUMMARY
7:30-8:30 – Registration/Breakfast
8:30- 9:00 PDGM OVERVIEW
The Patient Driven Groupings Model (PDGM) is the biggest change that has faced home health agencies in nearly two decades. This program provides a quick overview of the PDGM structure and operation along with a review of the concerns and opportunities triggered by PDGM. It helps form the base of understanding of PDGM needed for the conference in chief.
Identify the structural framework of PDGM in comparison to the current payment model, HH PPS.
Explain the rational behind the PDGM changes
Identify the concerns and opportunities in PDGM along with ongoing PDGM reform efforts.i
9:00 - 10:15 PDGM CLINICAL
With the implementation of PDGM there are many challenges that agencies will face from a clinical vantage point. Documentation, care planning and care coordination are at the top of the list of best practice clinical strategies that will need to be reviewed. This session focuses on the interdisciplinary care planning, case conferencing and case management that are going to be imperative in effectively transitioning to the PDGM model.
• Outline the OASIS ADL Section & ICD-10 Coding Impact on the Home Health Resource Group (HHRG) under PDGM.
• Describe how interdisciplinary care planning can manage cost effective and appropriate skill mix, including therapy utilization under the PDGM .
• Outline best practice clinical strategies for managing LUPA thresholds as defined by PDGM.
• Define the Clinical Manager role in the Clinical Team’s success under PDGM, including the significance of effective case conferencing and case management.
10:15 - 10:30 – Break
10:30 - 11:30 PDGM FINANCIAL
Thriving (or even surviving) under the PDGM payment reform requires a clear understanding of how PDGM will affect financial outcomes in a home health agency. This session explores the fundamental steps necessary for home health agencies to assess the impact of PDGM on their operations and determine specific implications for budget and cash flow.
• Measure the financial impact on your organization
• Recognize how PDGM will affect Revenue Cycle department and what you should do to adapt
• Identify the role that your finance team will play as an integral part in preparing for PDGM
11:30 - 12:45 PDGM OPERATIONS
The new PDGM payment model will require agencies to consider process changes in their business operations. Operational areas likely impacted under the new payment model include referral and sales management, intake, revenue cycle, operational reporting, order and supply management, etc. This session will outline the areas impacted and provide recommendations for potential process changes to optimize operations performance under PDGM.
Outline how PDGM will require agencies to consider process changes in their business operations
Define key areas of operations that will likely require process changes and the operational risks involved if process changes are not made
Identify recommendations and strategies for process revisions and adjustments to achieve a successful operational transition into PDGM
12:45 - 1:45 – Lunch
1:45 - 3:00 PDGM BUSINESS ANALYTICS
Changing from the HH PPS reimbursement system after 20 years to PDGM is complicated. CMS has provided some data on the revenue impacts and new PDGM components, but there is much more to be considered. This program is a deeper dive into some key data analytics to better inform you of the overall impacts and useful benchmark data you can use at your agencies.
• Achieve meaningful insights on clinical categories, utilization and other characteristics using claims data
• Provide data drill downs on LUPA, lengths of stay and other operational metrics under PDGM
• Obtain the tools and Key Performance Indicators to help prepare and run your organizations
3:00 - 3:15 – Break
3:15 - 4:00 PDGM TECHNOLOGY
Your technology business partners are crucial participants in your preparation and ability to support PDGM. In this segment, technology leaders from NAHC’s Homecare Technology Association of America (HCTAA) will share recommendations on how best to engage your business partner for a successful PDGM adoption.
• Evaluate your business partner’s readiness
• Leverage business partner informational and design sessions
• Identify internal budget and skills in preparation of major system upgrades
4:00 - 4:30 JOINT PANEL: PDGM OVERALL CHANGE MANAGEMENT OPEN FORUM
This part of the program brings together all of the covered topics in an open forum for discussion with attendees. The faculty team will explore the integration and overlap of matters related to Operations, Clinical Services, Financial Management, Business Analytics, and Technology. It is intended as an interactive faculty/.attendees open forum.
Members (Of HCLA, Other State Associations & NAHC)
Early Rate Before January 8, 2019 - $249.00, Regular Rate January 9 - February 1 - $299.00, Late/Onsite Rate - $349.00
Early Rate Before January 8, 2019 - $449.00, Regular Rate January 9 - February 1 - $499.00, Late/Onsite Rate - $549.00
Orlando, Florida (1/23) | Kansas City, Missouri (1/24) | New Orleans, Louisiana (2/5)
Portland, Oregon (2/6) | Valley Forge, Pennsylvania (2/7) | Denver, Colorado (2/13)
Columbus, Ohio (2/21) | Charlotte, North Carolina (2/27) | Chicago, Illinois (3/5)
Boston, Massachusetts (3/12) | Los Angeles, California (3/19) | Dallas, Texas (3/TBD)