We LOVE our friends and partners at Golden Years Homestead!

Set Your Community Apart with Rehab Services
HTS Outpatient Rehabilitation provides your senior living community with convenient, on-site therapy and wellness services to support independence, safety and quality of life for your residents. We provide the very best in programming, equipment and care collaboration to restore your residents to their maximum potential.

Follow along with our Facebook page to see how we’re helping communities just like yours!

Physical & Occupational Therapy

More people in America suffer from pain than diabetes, cancer and heart disease combined. When pain lasts for a long time (more than 6 months), it is called chronic pain. Chronic pain affects more than 130 million Americans.

“Older Adults should not accept pain as a common and accepted part of ageing.
There are ways to manage it.” – American Chronic Pain Association

 

Managing & Treating Your Pain

Treating chronic pain can be difficult because it varies from person to person as well as many different causes and possible treatments. Developing the right treatment plan for your diagnosis is often the work of a multidisciplinary team of medical professionals. When consulting with your doctor, he may refer you to visit a physical and occupational therapist.

Physical Therapy (PT)
Physical therapists can assess your chronic pain and establish a therapy treatment plan fit for you. Treatment may include both passive and active treatments. Passive treatments help you to relax, while active treatments are therapeutic exercises that strengthen your body and help you deal with your pain.

Occupational Therapy (OT)
Occupational therapists understand that pain is subjective and complex. OT’s work to evaluate how pain may be impacting your desired activities and quality of life. They can teach skills and strategies to help manage and cope with your pain.

Pain Reducing Technology
Therapists may use non-invasive technology such as electrical stimulation (e-stim) which blocks the pain signal to the affected area while reducing inflammation. Also, ultrasound therapy and a combination of heat and cooling therapies may be used to reduce pain.

If pain is affecting your ability to perform daily tasks or keeping you from enjoying activities, talk with
your doctor about physical and occupational therapy treatment options.

The Spring Conference Season has Sprung!

HTS leadership and corporate office team members exhibited at the Leading Age Indiana Spring Trade Show on May 6th, 2019 in Indianapolis. It was wonderful to see our partnering communities and hear all the wonderful things they have to say about our therapists. Hot topics this year included staff retention and PDPM.

Pictured left to right: Holly Skidmore, Shaleen Bhatnagar, Katie Grissom, Amanda Green, Cassie Murray, Steve Chatham and Kory Coleman.

Article by:  Sheena Mattingly, HTS Clinical Specialist

ST’s role is going to become exceedingly important under PDPM. This is due to the change in reimbursement which will be focused on patient characteristics rather than therapy minutes. Here are the top 5 things you need to know:

  1. Medical complexity & clinical outcomes are the basis for the new patient-driven payment model (PDPM). SLPs will play an important role in determining SNF payment which will require system optimization for timeliness in order to code the most accurate information.
  2. PDPM does not change coverage criteria for skilled care. SNF care is still only covered if all four of the following are met:
    1. SNF or skilled rehab services are required to be performed by or under the supervision of professional or technical personnel and is ordered by a physician for the condition which the patient received inpatient hospital services.
    2. Skilled services are required daily
    3. Daily skilled services can only be provided on an inpatient basis in a SNF
    4. Services delivered are consistent with the nature of the severity of the illness or injury, medical needs, and accepted standards of medical practice, and are reasonable in duration and quantity
  3. Understanding the components related to the payment model will help with adjustment to the new system. The need for ST is related to the presence of a swallowing disorder, a mechanically altered diet, a ST comorbidity related, and/or cognitive impairment. Combinations of these characteristics produce 12 ST case-mix groups. Our data analytics have observed a trend in need for optimization especially in section K of the MDS. For this reason, we have created tools and resources to help your SLP, dietician, and nursing staff code section K. Please contact us today for more information!
  4. Sections B, C, K, and I are crucial for accurate coding for the ST reimbursement component. Check out our 5 Day Assessment Tool to optimize IDT communication to improve your coding.
  5. CMS will monitor provider practice during PDPM implementation to audit changes in volume and intensity of therapy services, compliance with group & concurrent therapy limit, and coding practices.

Registration NOW OPEN!

We are committed to supporting our partners by offering exclusive PDPM webinar and live trainings in critical areas to foster success as we “Power through PDPM.” Not a partner? Contact us to learn how we’re providing even more value to our partners

 

Supercharge Your MDS:  6-Part Webinar Series

June 14 — Determining Clinical Category & Care Planning for the Complex Resident
June 19 — PDPM: SLP Component & Accurate Reporting of SLP Comorbidities
June 26 — PDPM: NTA Component & Comorbidities
July 10 — PDPM: Section GG & Functional Scoring
July 17 — PDPM: Best Practices for 5-day & IPA Data
July 24 — Transitioning to PDPM & Ensuring Billing Accuracy

New!

July 31 — Supportive Documentation for SNF Level of Care Under PDPM

Physical activity is a vital component to maintaining overall health. According to the CDC, “Older adults can obtain significant health benefits with a moderate amount of daily physical activity. The loss of strength and stamina attributed to aging is in part caused by reduced physical activity.” Did you know walking is one of the very best exercises you can do? Walking is an activity that most everyone can take part in and can be done just about anywhere. For older adults, the World Health Organization recommends at least 150 minutes of physical activity weekly. Walking has many health benefits as it can help prevent coronary heart disease, lower blood pressure, and improve circulation! Below are recommendations that can assist you in developing your own walking program. Always make sure to consult with your physician before beginning any new exercise routine.

Getting Started:

  • Doctor’s permission
  • Good pair of walking shoes
  • Safe place to walk
  • Walking buddy
  • Water bottle

Warm up your muscles to avoid stiffness and to reduce the risk of injury. Try flexibility exercises such as heel and toe raises.

Walk at a speed in which you feel comfortable. Start slow and gradually increase as tolerated. Walking should be continuous
and rhythmic. Pay attention to your posture, hold your head up, eyes forward and walk tall!

Stay Hydrated! Drink plenty of water before, during and after exercise.

Cool down after walking to return your body to its “resting state” and reduce risk of muscle soreness. Try stretching exercises such as a seated arm reach and piriformis stretch.


If you are having trouble standing, walking or moving around, physical therapy can help. Physical therapy can improve mobility and strength, and manage or eliminate pain. Talk to your doctor about any challenges you’re having and if physical therapy can help your condition.

Come see HTS at the Leading Age Indiana Spring Conference on Monday, May 6th!

Indianapolis Convention Center, Indianapolis, IN
Booth 203 & 205

To go along with our Power Through PDPM education, be sure to pick up your very own Apple or Android LED Phone Charger!

And our very own Amanda Green, Executive Director of Marketing & Strategic Development, will be presenting…

Collaborating on Care Transitions
Monday, May 6 | 4:00 – 5:00 PM
What if…all of the companies interacting with your discharging resident worked together instead of operating by their own agenda? We’ve turned the care transition process on its head through strategic collaboration focused on communication, best practice and person-centered discharge practice.

Faculty: Amanda Green (Healthcare Therapy Services, Inc.), Mark Prifogle (GrandView Pharmacy), and Panelists (The Towne House Retirement Community).

Click here for details.

Article by Cassie Murray, OTR, QCP, IASSC CYB, Chief Operating & Clinical Officer, Healthcare Therapy Services, Inc.

On Friday 4/19, CMS released the pre-publication of the FY 2020 Skilled Nursing Facility Prospective Payment System Proposed Rule. As expected, the Patient-Driven Payment Model is confirmed to go into effect October 1, 2019.
SNF Proposed Payment Updates for FY 2020:

  • Proposed SNF payment update is 2.5% (increase of $887 million from FY2019)
  • The proposed updated Base Rates for the PDPM Components (unadjusted federal per diem rates for urban and rural):

TABLE 3: FY 2020 Unadjusted Federal Rate Per Diem–URBAN

TABLE 4: FY 2020 Unadjusted Federal Rate Per Diem-RURAL

SNF Quality Reporting Program:

  • For FY 2022, CMS proposes the adoption of two process measures:
    • Transfer of Health Information to the Provider-Post-Acute Care.
    • Transfer of Health Information to the Patient-Post-Acute Care.
  • CMS proposes to update specifications for Discharge to the Community SNF QRP Measure to exclude baseline nursing facility residents from the measure.
  • CMS proposes to collect standardized patient assessment data using MDS for all patients regardless of payer source.

PDPM Changes:

  • CMS proposes to change the SNF group therapy definition to match the IRF group therapy definition. This would allow for qualified therapists or assistants to treat two to six patients in a group performing the same or similar activities.
  • CMS proposes that non-substantive updates to ICD-10 codes used in PDPM be made through the PDPM website. Substantive changes would continue to be made through traditional notice and rulemaking processes. Non-substantive updates are to maintain consistency with the most recent ICD-10 code set.
  • CMS proposes updates to the regulation text to coincide with the assessment changes under PDPM:
    • Initial patient assessment regulation would state: “assessment schedule must include performance of an initial patient assessment no later than the 8th day of post-hospital SNF care”.
  • The Optional Interim Payment Assessment would be included in the regulation.

Stakeholder comments will be accepted until June 18, 2019.

Click here to view the CMS Fact Sheet.

Click here to view the FY 2020 Proposed Rule Pre-publication.

If you can look this happy at the end of a 6 hour ICD.10 coding session… then it must have been pretty great! Thank you for everyone who turned out for our Evansville event on April 9th!

“Today’s training was excellent! Our speaker was not only dynamic, but she also helped to simplify everything to focus on what is expected under PDPM. I left feeling a lot better about our coding. “ – Norie B, Director of Nursing

We are committed to supporting our partners by offering exclusive PDPM webinar and live trainings in critical areas to foster success as we “Power through PDPM.”  Please contact us to register. Not a partner? Contact us to learn how we’re providing even more value to our partners

April-May:
Generate Powerful Coding—ICD.10 Live Trainings

June-July:
Supercharge Your MDS: 6-Part Series

by Shelly Maffia, Director of Regulatory Services, Proactive Medical Review

CMS released upcoming improvements to Nursing Home Compare and the Five Star Rating system that will go into effect in April 2019. Key changes that will take place in April include:

Health Inspection Rating:

  • The freeze on the Health Inspection rating will end.
  • Surveys occurring after Nov. 28, 2017 will now be included in the rating.
  • Ratings will again be based on 3 cycles of inspections (3 most recent standard inspections and any complaint inspections occurring within the past 3 years).
  • Cycles will return to pre-“freeze” weightings, with the most recent period (cycle 1) assigned a weighting factor of 1/2, the previous period (cycle 2) with a weighting factor of 1/3, and the third period (cycle 3) having a weighting factor of 1/6 of the health inspection score.
  • Star ratings will not be displayed for Special Focus Facilities.

Quality Measure Rating:

  • Separate Quality Measure ratings created for short-and long-stay measures.
  • Each facility will continue to have an overall QM rating, which will be used to calculate the overall nursing home star rating.
  • Overall QM rating will be equally based on the short-stay and long-stay quality ratings.
  • Increased thresholds for ratings, based on the rate of improvement on QM scores since the last revision in February 2015.
  • Every six months, QM thresholds will be increased by 50% of the average rate of improvement in QM scores to incentivize continuous quality improvement.
    • Individual QMs will be weighted and scored differently.
      High and medium weighting levels established.
    • Total number of points available for QMs with high weighting will be 150 points and medium weighing will be 100 points each.
    • Points for QMs weighted “high” will be awarded by thresholds established at each decile, whereas points for QMs weighted “medium” will be awarded by thresholds established at each quintile.
  • Adding the long-stay hospitalization measure and a measure of long-stay emergency department transfers to the QM rating.
  • Short-stay pressure ulcers and successful discharge to community measures are being replaced by the similar measures from the SNF Quality Reporting Program (QRP).
  • Removing long-stay physical restraint measure from QM rating’s calculation, but will continue to report the measure on Nursing Home Compare.

Staffing Rating:

  • Adjusted thresholds for staffing ratings to increase the weight registered nurse staffing has on the staffing rating.
  • Four days (instead of seven days) without RN onsite will trigger automatic downgrade to one-star Staffing Rating.

About Proactive Medical Review
HTS partners with Proactive Medical Review, a third party company who specializes in ensuring compliance with regulatory standards and promoting measurable care excellence. The team includes SNF experienced nurse, MDS, Health Facility Administrator, therapist and reimbursement specialists with experience serving in multi-site contract therapy operations, as corporate directors of quality, clinical program specialists, and Compliance Officers. Proactive is uniquely positioned to assist in managing the many changes and challenges facing providers partnered with HTS. Learn more about our commitment to compliance here.