Home Health PDGM

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: What Is PDGM?

The Patient-Driven Groupings Model (PDGM)

PDGM Unique Regulation Highlights

Payment Periods

Patient-Driven Grouping/Payment Groups

Low Utilization Payment Adjustments (LUPAs)

Notice of Admission

What PDGM Didn’t Change

Review

Summary

Section 3: PDGM Categories

Broad Categories of PDGM

Home Health Resource Group

HIPPS Codes

Review

Summary

Section 4: PDGM Challenges and How to Manage Them

PDGM Challenges

Evaluate Current Processes and Workflows

Educate Staff

Leverage Technology

Review

Summary

Section 5: Conclusion

Course Summary

Course Contributors

Resources

References

Nick Seabrook is a Managing Principal of SimiTree, where he is responsible for the oversight of the Consulting division. A Villanova University alumnus, Mr. Seabrook’s personal and professional life have been defined by passion. Whether cheering on the Wildcats, volunteering for a cause with his family, or advocating for home care and hospice agencies alongside industry leaders in Washington, he is consummately involved with his community. Notably, he is a Board Member of the Home Care and Hospice Association of NJ, and the Association for Home Health & Hospice Care of North Carolina. He is also an Advisory Board Member of HHFMA He has presented at numerous state and national conferences. Mr. Seabrook’s participation in these and many other industry forums and events over the past 20-plus years has garnered recognition as a leading authority on solutions to the latest operational, clinical, and regulatory challenges. 

Tameka N. Warren, MSN, RN, CLC, earned her Bachelor and Master of Science in Nursing degrees from Indiana University School of Nursing at IUPUI, and her Associate of Science in Nursing from Ivy Tech College. She has over 19 years of nursing experience in public health, regulation, home health, leadership, education, maternal child community health, and long-term care environments. Tameka has served as a leader in home healthcare practices, quality improvement, and education as a community health nurse and a Public Health Nurse Surveyor (Home Health & Hospice) certified by CMS for a State Agency. She has served as a maternal and infant mortality advocate in managing home visiting services, supporting legislation to improve maternal child care in diverse communities, and as an ALPP Certified Lactation Counselor. She has also served as an Adjunct Clinical Professor to further awareness about the importance of community health nursing. Tameka’s passion is to serve the most vulnerable populations affected by health disparities and to inspire a new generation of nurses to do the same successfully.