5 Shortcuts to Watching Your Swing Bed Program This project is - - PowerPoint PPT Presentation

Georgia State Office of Rural Health & HomeTown Health

This project is supported by the Georgia Department of Community Health (DCH) State Office of Rural Health (SORH) grant number 16062G.

Rural Swing Bed Management (RSBM) Training Program

5 Shortcuts to Watching Your Swing Bed Program

Best Practices for Compliance & Efficiency

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

• ffers CEUs for its programs that qualify under the ANSI/IACET
• Standard. HomeTown Health, LLC is authorized by IACET to
• ffer 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: 5 Shortcuts to Watching Your Swing Bed Program

Kerry Dunning RSBM Program Trainer Kerry Dunning, LLC

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

• n 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

12

Set the Trend Set the Message

Clinical

• Admissions criteria review
• Therapy vs. Medically

Complex

• Population Health

What reports do you review

now?

What staff meetings are

directed only clinical

• utcomes?

Financial

• ADC
• ALOS
• Cost per episode

Cost per episode Cost per episode Cost per episode

• Staff productivity

What reports are

discussed with your staff?

Are expectations

clearly defined and reviewed routinely?

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

16

17

Physician Cert/Recert Practical Matter MSPs and Admission Packets

• Consent to treat and bill

Patient signs unless POA Medical Necessity Documentation IDT (Interdisciplinary Team) Physician signature AND date

18

Tools in Handouts

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

20

21

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)

22

23

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

25

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

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

• f 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 Dunning,

Trainer & Program Director, Kerry Dunning, LLC

Jennie Price,

Director of Business Development, HomeTown Health University

Desi Barrett,

Webinar Program Manager, HomeTown Health

Kristy Thomson,

COO HomeTown Health

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