According to the National Osteoporosis Foundation, one in two women and one in four men age 50 and older will suffer an osteoporosis-related fracture. Osteoporosis is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to weak and brittle bones. Breaking a bone is serious, especially when you’re older and broken bones can cause severe pain.

How Can Therapy Help?

Physical therapy can help manage and prevent osteoporosis as well as reduce falls and injuries for those diagnosed with the disease. Based on a thorough assessment of your posture, balance, strength and flexibility, a physical therapist will work one-on-one with you to target your specific areas of weakness. Also, an occupational therapist will work with you to evaluate your lifestyle, home environment and activities of daily living to ensure you can safely do all the things that you want and need to do. Talk to your doctor about your fall risk and ask if physical or occupational therapy could help. Be sure to have your doctor or pharmacist to review you prescriptions regularly.

Therapy Goals for Preventing & Treating Osteoporosis:

  • Maintain or Increase Bone Mass Density Using Exercise
  • Improve Muscle Strength, Balance, Posture, and Cardiovascular Fitness
  • Improve Psychological Well-being
  • Prevent Fractures
  • Reduce Falls
  • Provide Education

For more information, please contact the therapy department.


References: National Osteoporosis Foundation

The Physical Therapy Team at Heritage Pointe Huntington Celebrates National Physical Therapy Month

We are certainly proud of our awesome Physical Therapy team at Heritage Pointe Huntington. One of the PT therapy students made these shirts for the therapists. How great is that?!

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

On October 23, 2019, a new consumer alert icon will be present on the Nursing Home Compare website next to facilities that have had:

  1. Abuse that led to harm of a resident within the past year; and/or

  2. Abuse that could have potentially led to harm of a resident in each of the last two years.

The icon and CMS inspection results will be updated monthly. This is a welcome change when compared to the quarterly updates the site was receiving. Seema Verma, CMS Administrator, stated the information is “for incentivizing nursing homes to compete on cost and quality.”

In April 2019, CMS announced its plan for more transparency which will be done through a five-part approach to maximize safety and quality in nursing homes. The initiative emphasizes five pillars:

  • Strengthening Oversight
  • Enhancing Enforcement
  • Increasing Transparency
  • Improving Quality
  • Putting Patients over Paperwork

Click here to read more about this five-part approach.

CMS announced the MDS 3.0 RAI Manual v1.17.1 which will take effect on October 1, 2019 is now available. 
This version of the RAI manual provides clarification to existing coding and transmission policy.

Click here to download the manual.

Exclusive PDPM Training For HTS Partners

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.”

Moving From RUG-IV to PDPM:  The Transitional IPA

Wednesday, September 25, 10:00 a.m. – 11:00 a.m.

Join us for the 1st High Impact PDPM Workshop where we will review how to successfully navigate the upcoming transition from RUG-IV to PDPM. This webinar will focus on completion of the required transitional Interim Payment Assessment (IPA) for current Medicare Part A beneficiaries including gathering quality assessment data and considerations for ARD scheduling.

Presented by: Eleisha Wilkes, RN, RAC-CT

 

PDPM Billing Processes

Wednesday, October 23, 10:00 a.m. – 11:00 a.m.

The importance of billing accuracy becomes more important than ever under the PDPM (Patient-Driven Payment Model) effective October 1, 2019. This session will focus on tools and strategies to establish a robust Triple Check process that providers cannot afford to overlook.

Presented by: Stacy Baker, OTR/L, CHC, RAC-CT

 

Please contact us to register. Not a partner? Contact us to learn how we’re providing even more value to our partners.

Have you recently experienced a fall? If so, you are not alone. Each year, one in three adults 65+ experience a fall that requires medical attention. Falls can lead to hip fractures and other serious injuries. Falls are not a normal part of aging and most falls can be prevented.

Outdoor Hazards & Safety

▶ Use a walker or cane for added stability.
▶ Wear warms boots with rubber soles for added traction.
▶ If sidewalks look slippery, walk on the grass for better traction.
▶ Carry a small bag of rock salt or kosher salt and sprinkle on slick surfaces.
▶ Beware of highly polished marble or tile floor surfaces in public buildings. Stay on carpet runners whenever possible.
▶ Allow for extra commute time to ensure safe travel.

Home Safety Tips

▶ Keep all rooms free from clutter, especially on the floors.
▶ Wear supportive, low-heeled shoes even at home.
▶ Remove rugs or use double-sided tape to secure rugs so they won’t slip.
▶ Put a non-slip rubber mat or self-stick strips on the floor of the shower or tub.
▶ Install easy-to-reach grab bars in the bathroom.
▶ Use a shower chair or transfer bench.
▶ Place a lamp close to the bed where it’s easy to reach.

How Can Physical & Occupational Therapy Help?

Maintaining proper balance and sense of body position is critical to preventing falls. A physical therapist can help you prevent falls by designing an individualized program of exercises and activities with an emphasis on strength, flexibility, and proper gait. Occupational therapists can review your home environment for hazards and assess any individual limitations. By identifying these factors that contribute to falls, the occupational therapist can recommend strategies to safely perform daily tasks, modify the home environment, and change activity patterns and behaviors.

Talk to your doctor about your fall risk and ask if physical or occupational therapy could help. Be sure to have your doctor or pharmacist to review you prescriptions regularly.

The transition to PDPM will be on October 1, 2019 resulting in a “hard stop” of RUG-IV on September 30, 2019. Strategies for a successful transition include:

  • Development of a plan for data collection for IPA look-back periods which may creep back into September dates of service.
  • Completion of a triple check process to assure COTs are accurate and completed (missed COT will be provider liable).
  • Assuring no principal diagnoses map to “return to provider”.
  • Collection of section GG interim performance data.
  • Completion of resident interviews on or before the transitional IPA ARD.
  • Optimization of processes to code diagnoses for Nursing, NTA, and SLP components accurately.

A transitional IPA will be required for each Medicare A resident present in the facility on October 1, 2019. Transitional IPAs are not to be confused with an IPA. See below for key differences:

Click here for the Variable Per Diem Adjustment Factor Fact Sheet.

 

Transition to PDPM Example

Admission Date: 9/22/19  |  5 Day ARD: 9/29/19  |  Transitional IPA ARD: 10/4/19

Source: McGill J., (Producer). (2019). Strategies for PDPM transition and IPAs [Video Webinar].
Retrieved from www.aanac.org

  • RUG-IV will be used for payment for admission of 9/22 through 9/30.
  • Payment for the transitional IPA begins 10/1 and continues through the end of the Medicare stay unless another IPA is done.
  • The Transitional IPA ARD window is October 1-7. The provider may select any of these 7 days.
  • For this example, the transitional IPA will be 10/4.
  • The variable per diem begins 10/1.
  • The NTA is adjusted by 3.0 for Oct 1-3.
  • PT/OT component will not decrease by 2% until Oct 21.

Successful transition to PDPM will undoubtedly involve optimization of efficiency in providing care and improving patient outcomes. It’s never too late to reassess and tweak your facility’s operational strategies to get ready for the transition. Don’t know where to start or stuck on a process change solution? Contact your HTS Regional Director or the HTS Director of Clinical Outcomes today!

 

We had a Great Time at the MCHS Back-to-School Bash

Thanks for including us, Metcalfe Health Care Center, at the Back to School Bash. We are proud to be your partner in therapy!

“Starting the School Year off Strong! We had a great time at the MCHS Back to School Bash last Thursday. Amy Neighbors and our therapy department conducted grip strength testing for both adults and kids and made it a bit of healthy competition. We are proud to provide outpatient therapy services for all ages. Just another way we serve our entire community. Here’s to a great 2019-2020 school year. Go Hornets!”

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1. Start Date: October 1, 2019

2. Applies only to traditional Medicare Part A Skilled Nursing Patients

3. PDPM is a site-neutral reimbursement structure for post-acute care.

4. May impact SNF episodic spending

5. May create opportunities for SNF to increase their clinical scope to accept higher acuity patients

6. Increase of information needed from the hospitals transfer documentation to justify all active conditions:

  • History
  • Physical
  • Medication List
  • Labs
  • Therapy progress notes
  • Chest X-ray
  • Immunizations

Additional requested information under PDPM

  • ICD.10 codes with specificity
  • All active diagnoses
  • Post-Operative Reports
  • Any physician consults

7. PDPM should NOT affect the timeliness in which patients are accepted by Skilled Nursing Facilities

8. PDPM should not drastically reduce the amount of therapies provided or weekend availability

9. This is the largest change to SNF reimbursement in 20 years

10. There is opportunity to improve processes and care collaboration between hospitals and SNFs for optimal success under PDPM

Every year, the National Rehabilitation Awareness Foundation designates a week in September to educate people about the benefits and impact of rehabilitation.

Physical Therapy ◆ Occupational Therapy ◆ Speech Therapy

The goal of rehabilitation is to help an individual heal and achieve their highest level of independence possible. Physical Therapists (PT), Occupational Therapists (OT), and Speech-Language Pathologists (SLP) all work together to help individuals overcome obstacles and accomplish normal tasks of daily living. These therapists work on an individual level, which is beneficial for a range of conditions/diseases, ages and abilities.

Physical Therapy are experts in the examination and treatment of musculoskeletal and neuromuscular problems that affect peoples’ abilities to move the way they want and function as well as they want in their daily lives. Treatment is aimed to reduce pain and improve range of motion, flexibility, strength, endurance, and mobility.

Occupational Therapy uses goal-directed activity in the evaluation and treatment of persons whose ability to function is impaired by normal aging, illness, injury or developmental disability. Treatment goals in occupational therapy include the promotion of functional independence and prevention of disability.

Speech-Language Pathology (Speech Therapy) is the study, diagnosis, and treatment of defects and disorders of the voice and of spoken and written communication. Speech therapy also evaluates and treats neurological and physical disorders and conditions caused by an injury or illness.

When Can Therapy Help?

  • Joint Replacements
  • Post-Orthopedic Surgeries
  • Balance & Gait Training
  • Arthritis
  • Fractures
  • C.V.A (Stroke)
  • Lymphedema
  • Cardiac Conditions
  • Pain Management
  • Back & Neck Pain
  • Parkinson’s
  • Neurological Conditions
  • Swallowing Disorders
  • Language & Cognitive Function
  • Generalized Weakness, or Decrease in Strength