Embed Size (px)
Citation preview
8/25/2016
For more Information, please contact:
Georgia State Office of Rural Health & HomeTown Health, LLCWelcome you to the:
This project is supported by the Georgia Department of Community Health (DCH) State Office of Rural Health (SORH) grant number 16062G.
2016-2017 Rural Swing Bed
Management (RSBM) Training Program
CAH Kickoff Webinar
Best Practices for Compliance & Efficiency
Webinar Etiquette
• All attendees are in “Listen Only” mode
• Questions or comments?- 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 webinar.
Webinar Resources
• This webinar will be recorded and emailed to you to share with others on your team
• Handouts are available for download in the Handouts pane, and will also be emailed out to attendees after the webinar.
8/25/2016
For more Information, please contact:
Kickoff Agenda
Welcome & Introduction Jennie Price, Director of Business Development,
HomeTown Health
The Need for Swing Bed Education in
Georgia
Lisa Carhuff, Director Hospital Services
SORH
Swing Bed Compliance & Efficiency
Program Goals & Overview
Kerry DunningRSMB Program Trainer
Kerry Dunning, LLC
Next Steps
Dashboard, Calendar, & Pre-Assessment Completion/
Registration
Kristy Thomson, COO, HomeTown Health
Continuing EducationProvide over 300 courses online, over 100 Webinars a year, and various live training conference and workshops.Accredited Education from the International Association for Continuing Education & Training (IACET). (Who accepts the IACET CEU? Full list at www.iacet.org)
• American Association of Respiratory Therapy• American Board of Medical Microbiology• American Society for Clinical Laboratory Science• American Society for Quality• American Speech-Language-Hearing Association• Board of Certified Safety Professionals• The Child Care Development Associate National Credentialing
Program• Clinician’s View (Occupational, Speech, and Physical Therapy)• Federal Emergency Management Agency• Georgia, Massachusetts and Ohio Board of Nursing• Georgia Professional Standards Commission• Human Resources Certification Institute (for their Professional
in Human Resource Designation)• National Association of Rehabilitation Professionals in the
Private Sector• National Association of Social Workers
• National Board for Certification in Occupational Therapy, Inc. (NBCOT)
• National Council for Therapeutic Recreation Certification• National Registry of Emergency Medical Technology (EMT)• National Registry of Microbiologists• National Society of Professional Engineers• Society for Human Resources Management• State of Georgia, FL and Iowa Board of Professional
Engineers• The American Association of Integrative Medicine• The American College of Forensic Examiners Institute• The American Council on Pharmaceutical Education• The American Psychotherapy Association• The International College of The Behavioral Sciences• The National Board for the Accreditation of Occupational
Therapy (NBCOT)
Continuing Education Unit Conditions
As an IACET Authorized Provider, HomeTown Health, LLC offers CEUs for its programs that qualify under the ANSI/IACET Standard. HomeTown Health, LLC is authorized by IACET to offer 0.1 CEUs/1 credit hour for this program.
In order to obtain these CEUs, you must: • Attend webinar/view recording in its entirety
within 30 days• Pass online quiz with 80% or better.• Complete webinar evaluation.
8/25/2016
For more Information, please contact:
Continuing Education Unit Conditions
Following this webinar, all attendees who have viewed the
recording in its entirety will receive an email with an HTHU.net
link to the optional webinar recording, online quiz, online evaluation and online certificate of completion.
Anyone that misses the webinar will receive an email with the webinar recording and steps to obtain CEUs.
New to HTHU? Register for Free, Make sure to select your hospital from the Organization Dropdown
Returning Students? Login
Continuing Education Unit Conditions
Are you attending in a group?
Please add other attendees’ first name,
last name and email address in the Questions pane.
Kristy Thomson
Chief Operating OfficerHomeTown Health
• Kristy Thomson joined the HomeTown Health team in 2006 and
served for 9 years as the Director of Education where she has directed the education services offered to HomeTown’s hospital members and their affiliated clinics and physician practices.
• In 2015, Kristy moved into the Chief Operating Officer position for HomeTown Health where she is responsible for both the HomeTown Health operations and the education programs of
HomeTown Health University.• Kristy earned her degrees which are a B.S. from Clemson
University and an M.S. from the University of Georgia, both in
math and sciences. Prior to joining HomeTown, she worked as Special Projects Manager for the Town of Jupiter in Jupiter, Florida. She currently lives in Clarkesville, Georgia with her
husband, John Lee, and her two sons, Jack and Luke. • Among other community and industry related arenas, she
currently serves as IACET Awards Committee Member and
Georgia Medicaid RAC Provider Relations Committee Member.
8/25/2016
For more Information, please contact:
Who is HomeTown Health?
• Founded in 1999 as an organization of stakeholders committed to “Working Together for the Survival of Rural Hospitals”
• Started in Georgia, and have since expanded into other states
• Currently provide advocacy, education, grant management, business partner program, conferences, and other events to support Rural and Critical Access Hospitals
HomeTown Health University
• Started over 10 years ago as the online education arm of HomeTown Health; have served nearly 20,000 students!
• We work with individuals and facilities across the US and in several countries to provide accredited healthcare professional training – accredited by IACET.
• Areas such as Annual Education/ Compliance, Revenue Cycle Management, Nursing Continuing Education, Health IT, Coding Training, etc.
• Together with HomeTown Health, we provide grant education support.
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,COOHomeTown Health
8/25/2016
For more Information, please contact:
Lisa Carhuff, MSN, RN
Director Hospital ServicesGeorgia State Office of Rural Health
In June 2015, Ms. Carhuff was appointed Hospital Services Director of the State Office of Rural Health by the
Commissioner of the Georgia Department of Community Health. In this position, Ms. Carhuff is responsible for
the development and management of the Small Rural Hospital Improvement Program (SHIP) Grant and the
Medicare Rural Hospital Flexibility (Flex) Grant; concept development and implementation of additional State
Office of Rural Health State funding grants, and ongoing technical assistance to Georgia’s sixty two (62) rural
and critical access hospitals.
Ms. Carhuff serves on the National Rural Quality Advisory Council coordinated by the Federal Office of Rural
Health Quality Rural Quality Improvement Technical Assistance (RQITA) Stratis Health Team.
Prior to her appointment, Ms. Carhuff has served the health care industry for over thirty (30) years serving in
much of the time in quality improvement, case management, and patient safety leadership roles across the
healthcare continuum. Notable achievements include; selection into Robert Wood Johnson Fellowship Ladder
to Leadership Program and the development and implementation of the Centers for Medicare and Medicaid
Services (CMS) Care Transitions Pilot Program in Alabama (2.75M award) focused on reducing avoidable
readmissions in the Tuscaloosa Hospital Referral Region, which included the “Black Belt” of underserved rural
counties.
Ms. Carhuff received her Bachelor of Science in Nursing from the University of Mississippi Medical Center in
1985 and her Master of Science Degree in Nursing Case Management - Rural Populations in 2003 from the
University of Alabama. She has been Master Trainer for AHRQ TeamSTEPPS since 2008 and completed the
Stanford Medicine Chronic Disease Self-Management Master Trainer Program in 2009. She obtained a Green
Belt in Lean Six Sigma in 2014 and is an active member of the National Association of Healthcare Quality,
National Association of Patient Safety Professionals and Case Management Society of America.
The Need for Swing Bed Education in GeorgiaLisa Carhuff, Director Hospital Services, Georgia State Office of Rural Health
Georgia State Office of
Rural Health
OBJECTIVES• Empower communities to strengthen and maintain the best possible health care using
existing resources.• Provide up-to-date health systems information and technical assistance.
• Build strong partnerships to meet local and regional needs.• Be the single point of contact for all regional issues related to heath care.
8/25/2016
For more Information, please contact:
Swing Bed Compliance & Efficiency: Program Goals & Overview
Kerry Dunning, MHA, MSH, CPAR, RAC-CTRSBM Program TrainerKerry Dunning, LLC
Kerry Dunning, MHA, MSH, CPAR, RAC-CT
RSBM Program TrainerKerry Dunning LLC
• Ms. Dunning has almost 20 years in health care consulting and
nearly 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 on international health care
projects and research. • Her favorite job is on-site helping facilities take better care of patients.
Swing Bed Compliance & Efficiency: Program Goals & Overview
Kerry Dunning, MHA, MSH, CPAR, RAC-CTRSBM Program Trainer - Kerry Dunning LLC
Learning Outcome Standard: Based upon Centers for Medicare and Medicaid (CMS) Swing Bed Providers guidelines, and hospital based skilled nursing and swing bed program best practices.
Rural Swing Bed Management: Best Practices for Compliance & Efficiency
8/25/2016
For more Information, please contact:
Disclosure of Proprietary Interest
Kerry Dunning has no proprietary interest in any product, instrument, device, service, or materialdiscussed 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 number 16062G.
Learning Outcomes
After completing this training, you should be able to:
• recognize the need for improved focus on Swing Bed Programs in rural hospitals
• identify areas of compliance for Swing Bed programs • identify the benefits of efficient Swing Bed Programs• identify the goals of the RSBM Training Program • locate additional program resources to take next steps
for program participation
I. Compliance and Efficiency
CAH Swing Beds
Rural Swing Bed Management: Best Practices for Compliance & Efficiency
8/25/2016
For more Information, please contact:
What is Swing Bed Compliance?
Critical Access Hospitals (CAHs) must:
▪ Comply with CoPs
▪ Conform to Federal/State laws and regulations
▪ Complete Medicare required paperwork
▪ Admit patients appropriate to a post-acute, skilled level of care
▪ Meet medical necessity documentation requirements
▪ Be compliant with billing and coding regulations specific to skilled services
What is Swing Bed Efficiency?
Critical Access Hospitals (CAHs) advantages:
▪ Provides a vital post-acute level of care for the community– Allows at-risk patients to stay closer to home and support
services
– Assists with frail and medically complex patients who might not be able to go to a LTC facility initially
– Gets patients ready to go home
▪ Assists small hospitals financially– Provides an additional revenue source
– Helps small hospitals with staffing productivity and ancillary services utilization
End Result?
CAH Swing Bed Programs:
▪ Increase community satisfaction– Sicker patients feel “safer” in a hospital setting
– Short-stay patients don’t want to “transfer”
– Keeping closer to home allows friends, ministers and others to visit during the recuperation period
▪ Increased Physician satisfaction– Call continue to follow patients after discharge from acute
– Can follow their patients returning to the community from a tertiary hospital stay
▪ Hospital bottom line improvement
8/25/2016
For more Information, please contact:
Overview
Swing Beds were meant to address two issues impacting rural health systems:
1. Hospitals were built on a scale that often resulted in their having more beds than patients to fill them
2. Frail elderly people who were disabled often needed to go to nursing homes far from where they lived because of high occupancy rates leaving rural residents with difficult choices
Sounds simple . . .
Here’s how we would like to help BUT you must participate fully in the program:
1. Webinars specific to CAH swing beds will be offered
2. Several site visits will help the team determine primary training needs but YOUR input will help determine topics for review
3. Conference/training days will be available
4. Help Desk assistance will be available
5. Tracking key quality and financial indicators so you can help tertiary hospitals avoid “penalties”
Opportunity to Change Starts Now!
8/25/2016
For more Information, please contact:
On a scale of 1-10, how would you rate your facility’s
swing bed program?
Group Poll
II. Program Goals & Overview
Rural Swing Bed Management: Best Practices for Compliance & Efficiency
Working Together to Improve Compliance & Efficiency
Goals of the Program
The goal of this RSBM Training Program is to assist rural Critical Access Hospitals (CAHs) with expert training and guidance for their staff to:
• understand Swing Bed Conditions of Participation (CoP),
• improve the quality of their swing bed programs,• optimize the patient outcome, and• increase utilization and revenue for post-acute
care services.
8/25/2016
For more Information, please contact:
Program Format
The RSBM Program includes:
• 6 Training Webinars
• Four Live Training Meetings
• Consultation & Assistance with RSBM Dashboard
Program Webinars
Topics for Best Practice Training Webinars:
• Focus on… Compliance & Efficiency• Focus on… Medicare• Focus on… Working with Your Administration• Focus on… Skilled Therapy• Focus on … Ancillary Services• Focus on … Moving Forward
Program Live Meetings
• Focus on Administration: Live Workshop for CEOs Oct 24, 2016, 12pm to 3pm at Callaway GardensIntended Audience: CEOs Program Overview & Support Including: Policies and Procedures, Admissions, Appropriate Patients, Physician Oversight
• Focus on Financials: Live Workshop for CFOs April 26, 2017 in Savannah, GAIntended Audience: CFOs and Business Office DirectorsCoding Review, Billing Review, Dashboard/ Benchmarks
8/25/2016
For more Information, please contact:
Program Live Meetings• Focus on Compliance: One Day Workshop
August 18th in Cordele, Georgia or August 25th CAH in North Georgia (Location TBD)Intended Audience: RSBM Program Lead/Director (RNAC, MDS Coordinators, Swing Bed Directors) and IDTSwing Bed Compliance, Medicare Intent, Medical Necessity Documentation, Case Studies/Small Groups, Identified Issues Review
• Focus on the Future: Live WorkshopOct 18, 2017 at Callaway GardensIntended Audience: RSBM Program Lead/Director (RNAC, MDS Coordinators, Swing Bed Directors) and CEOUpcoming CMS Change training and Future Needs
Get Ready for Change: RSBM Dashboard
III. What Has to Happen
CAH Swing Beds
Rural Swing Bed Management: Best Practices for Compliance & Efficiency
8/25/2016
For more Information, please contact:
How to get the most from this program:
1. Recommend Monthly Hospital Team Meeting
2. Discuss RSBM training, resources & recommendations to date- What have we learned?
- What practices need to be altered or changed at our hospitals? Where are areas we can improve?
- Who else needs to know?
3. Attend training webinars and live workshops
4. Update your RSBM Dashboard
5. Provide ongoing feedback
Assign a Team Leader
Team Leader Responsibilities:– Watch Monthly Webinars– Invite and encourage/assign others on
your team to participate in webinars/courses
– Lead monthly team meetings to gather feedback
– Work with other leaders in the hospital to distribute resources
– Lead the group in working together to improve compliance & efficiency
Who else is on your RSBM Team?
▪ Team Sponsor – C-Suite/Administration
representative
▪ Also Include:
– Nursing, Therapy, Ancillary Services,
Coding and Billing
8/25/2016
For more Information, please contact:
Keep on Direction with Leadership
▪ C-Suite Sponsor
▪ Team Leader
▪ ?????????
Resources & Next StepsKristy Thomson, COOHomeTown Health, LLC
Getting Started:
Program Webpage:
www.HTHU.net/swingbed
for calendar and registration next steps
8/25/2016
For more Information, please contact:
Getting Started:
Next Steps:
Next Steps:
8/25/2016
For more Information, please contact:
Next Steps:
Next Steps:
Getting Started:
8/25/2016
For more Information, please contact:
Program Dashboard & Ongoing Communication
Online Dashboard:
www.hthu.net/swingbedcah
Password Protected: To be provided after submitting Pre-Assessment via “Welcome
email” from the team
Ongoing Email Communication will come from Desi Barrett on a monthly basis
“Focus on Administration” Meeting
On behalf of the State Office of Rural Health & HomeTown Health
"Rural Swing Bed Management Program," we would like to invite
you, as CEO of your hospital, to attend the "Rural Swing Bed
Management Program training session specifically developed for
you on Monday, October 24th, 2016 from 12pm-3pm at Callaway
Gardens; pending review/approval for 2.5 NAB Credits.
Training Session, including Lunch,
for CEOs at no charge.
We would also like to extend an
invitation to attend the HTH Fall
Conference on October 25,26th-
join us at Callaway! Register
today!
Program Calendar
In your Handouts Pane, you will
find a pdf of your
RSBM Program Calendar.
8/25/2016
For more Information, please contact:
Learning Outcomes
Now that you have completed this training, you should be able to:• recognize the need for improved focus on
Swing Bed Programs in rural hospitals• identify areas of compliance for Swing Bed
programs • identify the benefits of efficient Swing Bed
Programs • identify the goals of the RSBM Training
Program • locate additional program resources to take
next steps for program participation
Resources & References
Public Law 42 CFR Part 485 – Subpart F: Conditions of Participation: Critical Access Hospitals (CAHs), Section §485.601 deals with the Conditions of Participation for Critical Access Hospitals. Section §485.645 identifies special requirements for CAH providers of long‐term care services
Publication 07: Medicare State Operations Manual, Chapter 2: “The Certification Process,” and Chapter 7—“Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities”
Public Law 42 CFR Part 409, Subpart C, Section 409.27; and 42 CFR Part 409, Subpart D, §§409.30 – 409.36. Subpart D: (Includes requirements for coverage of post‐hospital SNF Care)
Medicare State Operations Manual, Appendix W: “Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing‐Beds in CAHs”
http://www.cms.gov/Outreach-andEducation/MedicareLearning-NetworkMLN/MLNProducts/downloads/CritAccessHospfctsht.pdf
http://www.cms.gov/Outreach-andEducation/MedicareLearning-NetworkMLN/MLNProducts/downloads/SwingBedFactsheet.pdf
http://www.cms.gov/Outreach-andEducation/MedicareLearning-NetworkMLN/MLNProducts/downloads/RuralChart.pdf
http://www.cms.gov/Outreach-andEducation/Medicare-Learning-NetworkMLN/MLNProducts/downloads/CritAccessHospfctsht.pdf
Contact Information
Desi Barrett, Webinar Program Manager
Kristy Thomson, COO
Jennie Price, Director of Business Development
Kerry Dunning, RSBM Program Trainer
8/25/2016
For more Information, please contact:
Questions?
www.HTHU.net/swingbed
