Course Code: REL-PAC-BT-HHPDGM
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2024
Learning Objectives:
Describe at least five of the PDGM regulations.
Identify at least three operational challenges faced by home healthcare providers under PDGM.
Indicate at least five strategies home healthcare providers should follow to comply with PDGM.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: What Is PDGM?
The Patient-Driven Groupings Model (PDGM)
PDGM Unique Regulation Highlights
Payment Periods
Patient-Driven Grouping/Payment Groups
Low Utilization Payment Adjustments (LUPAs)
Notice of Admission
What PDGM Didn’t Change
Review
Summary
Section 3: PDGM Categories
Broad Categories of PDGM
Home Health Resource Group
HIPPS Codes
Review
Summary
Section 4: PDGM Challenges and How to Manage Them
PDGM Challenges
Evaluate Current Processes and Workflows
Educate Staff
Leverage Technology
Review
Summary
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Reviewer: Nick Seabrook
Nick Seabrook is a Managing Principal of SimiTree, where he is responsible for the oversight of the Consulting division. A Villanova University alumnus, Mr. Seabrook’s personal and professional life have been defined by passion. Whether cheering on the Wildcats, volunteering for a cause with his family, or advocating for home care and hospice agencies alongside industry leaders in Washington, he is consummately involved with his community. Notably, he is a Board Member of the Home Care and Hospice Association of NJ, and the Association for Home Health & Hospice Care of North Carolina. He is also an Advisory Board Member of HHFMA He has presented at numerous state and national conferences. Mr. Seabrook’s participation in these and many other industry forums and events over the past 20-plus years has garnered recognition as a leading authority on solutions to the latest operational, clinical, and regulatory challenges.
Subject Matter Expert: Tameka N. Warren, MSN, RN, CLC
Tameka N. Warren, MSN, RN, CLC, earned her Bachelor and Master of Science in Nursing degrees from Indiana University School of Nursing at IUPUI, and her Associate of Science in Nursing from Ivy Tech College. She has over 19 years of nursing experience in public health, regulation, home health, leadership, education, maternal child community health, and long-term care environments. Tameka has served as a leader in home healthcare practices, quality improvement, and education as a community health nurse and a Public Health Nurse Surveyor (Home Health & Hospice) certified by CMS for a State Agency. She has served as a maternal and infant mortality advocate in managing home visiting services, supporting legislation to improve maternal child care in diverse communities, and as an ALPP Certified Lactation Counselor. She has also served as an Adjunct Clinical Professor to further awareness about the importance of community health nursing. Tameka’s passion is to serve the most vulnerable populations affected by health disparities and to inspire a new generation of nurses to do the same successfully.
Target Audience:
The target audience for this course is: Administrators; Nurses; in the following settings: Post-Acute Care.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.