The Phase 3 Requirements of Participation and PDPM - Are You Ready?
Wednesday, June 19, 2019 | 2:00 - 3:00pm EDT
The new Phase 3 Requirements of Participation for Medicare and Medicaid go into effect in November on the heels of the new Patient Driven Payment Model (PDPM). These two impactful changes intersect in Compliance and Quality Assurance (QAPI). This session will discuss the background of these changes, and the challenges skilled nursing facilities face in keeping up with them. Learn the requirements from Phase 3 in these areas, understand the Compliance risk areas for PDPM, and take away potential QAPI activities to help mitigate them.
- Summarize the Phase 3 Requirements of Participation (ROP) for Compliance and Quality Assurance/Performance Improvement (QAPI).
- Identify areas of Compliance concern under the new Patient Driven Payment Model (PDPM).
- Apply potential QAPI activities to address potential Compliance risk areas.
Jennifer Gross, BSN, RN-BC, RAC-CT, CPHIMS
Senior Healthcare Specialist, PointRight
Jennifer Gross's experience in the nursing field includes work in psychiatric rehab and in long term care as a staff nurse, MDS coordinator, and as a consultant. Her role at PointRight is to support our clients in understanding the intricacies of the MDS, enabling them to maximize quality of care, identify residents at risk, and prevent decline. Jennifer provides ongoing clinical education and client support for users of our web-based data analytics and clinical assessment tools. She is certified by the American Association of Nurse Assessment Coordinators, the Healthcare Information and Management Systems Society, and the American Nurses Credentialing Center. Jennifer has a Bachelor of Arts in Psychology from Boston University and a Bachelor of Science in Nursing from the University of Massachusetts at Boston.
Pam Kaiser, MSN, RN
Vice President, Provider Services, PointRight
Pam has enjoyed 27 years in the healthcare field. A second career for her, she worked her way from a certified nursing assistant through the long term care ranks to become a leader in clinical reimbursement and compliance for several large long term care providers. She has a B.A in Advertising from Michigan State University and an MSN in Community Health Nursing from the University of Southern Maine.