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PDGM National Summit in the Rockies
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Wednesday, February 13
 

7:30am

Registration/Breakfast
Wednesday February 13, 2019 7:30am - 8:30am
TBA

8:30am

PDGM Overview
The Patient Driven Groupings Model (PDGM) is the biggest change that has faced home health agencies in nearly two decades. This program provides a quick overview of the PDGM structure and operation along with a review of the concerns and opportunities triggered by PDGM. It helps form the base of understanding of PDGM needed for the conference in chief.

Objectives
  • Identify the structural framework of PDGM in comparison to the current payment model, HH PPS.
  • Explain the rational behind the PDGM changes
  • Identify the concerns and opportunities in PDGM along with ongoing PDGM reform efforts.

Wednesday February 13, 2019 8:30am - 9:00am
TBA

9:00am

PDGM Clinical
With the implementation of PDGM there are many challenges that agencies will face from a clinical vantage point.  Documentation, care planning and care coordination are at the top of the list of best practice clinical strategies that will need to be reviewed.  This session  focuses on the interdisciplinary care planning, case conferencing and case management that are going to be imperative in effectively transitioning to the PDGM model.

Objectives
•        Outline the OASIS ADL Section & ICD-10 Coding Impact on the Home Health Resource Group (HHRG) under PDGM.
•        Describe how interdisciplinary care planning can manage cost effective and appropriate skill mix, including therapy utilization under the PDGM .
•        Outline best practice clinical strategies for managing LUPA thresholds as defined by PDGM.
•        Define the Clinical Manager role in the Clinical Team’s success under PDGM, including the significance of effective case conferencing and case management.

Speakers
avatar for Karl “Nick” Dobrzelecki

Karl “Nick” Dobrzelecki

Senior Vice President of Coding, Corridor Group
Karl “Nick” Dobrzelecki is a senior-level executive with nearly 25 years of experience in the healthcare continuum.Nick is responsible for strengthening and expanding Corridor’s coding solutions and works in collaboration with the existing Corridor leadership team. Previously... Read More →
avatar for Rochelle (Shelley) Eggleton, RN BS MBA

Rochelle (Shelley) Eggleton, RN BS MBA

Clinical Associate, Quality in Real Time
Rochelle (Shelley) Eggleton, RN BS MBA, is a Clinical Associate who works with QIRT (Quality In Real Time) to support home care and hospice agencies across the country. Shelley understands the challenges executives and employees in the post-acute industry experience in providing... Read More →


Wednesday February 13, 2019 9:00am - 10:15am
TBA

10:15am

Morning Break
Wednesday February 13, 2019 10:15am - 10:30am
TBA

10:30am

PDGM Financial
Thriving (or even surviving) under the PDGM payment reform requires a clear understanding of how PDGM will affect financial outcomes in a home health agency. This session explores the fundamental steps necessary for home health agencies to assess the impact of PDGM on their operations and determine specific implications for budget and cash flow.

Objectives
•        Measure the financial impact on your organization
•        Recognize how PDGM will affect Revenue Cycle department and what you should do to adapt
•        Identify the role that your finance team will play as an integral part in preparing for PDGM

Speakers
avatar for Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C

mgaboury@healthcareprovidersolutions.com, Healthcare Provider Solutions, LLC
Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice... Read More →
avatar for Aaron Little

Aaron Little

Managing Director, BKD, LLP
Aaron has more than 15 years of experience with BKD and oversees the operations of BKD Health Care Billing Services, a special team that manages the billing and revenue cycle operations for more than 100 home care, hospice and senior living organizations throughout the nation.A CPA... Read More →


Wednesday February 13, 2019 10:30am - 11:30am
TBA

11:30am

PDGM Operations
The new PDGM payment model will require agencies to consider process changes in their business operations.  Operational areas likely impacted under the new payment model include referral and sales management, intake, revenue cycle, operational reporting, order and supply management, etc.  This session will outline the areas impacted and provide recommendations for potential process changes to optimize operations performance under PDGM.

Objectives:
  • Outline how PDGM will require agencies to consider process changes in their business operations
  • Define key areas of operations that will likely require process changes and the operational risks involved if process changes are not made
  • Identify recommendations and strategies for process revisions and adjustments to achieve a successful operational transition into PDGM

Speakers
avatar for Allison Cannon

Allison Cannon

Chief Administrative Officer, Quality In Real Time
Allison Cannon has more than 15 years of experience in senior-level business, healthcare and legal operations experience.  She is currently the Chief Administrative Officer for Quality In Real Time (QIRT).Prior to her current position, Allison was a consultant and then led QIRT’s... Read More →
TK

Tom Keyer

Healthcare Consulting Manager, Mueller Prost
Tom brings over 37 years of healthcare experience.  Throughout his career, Tom has served as an Intermediary Senior Auditor, Reimbursement Manager, and Consultant.  In these roles, he gained experience and knowledge in various areas, including Medicare Cost Reporting and the Affordable... Read More →


Wednesday February 13, 2019 11:30am - 12:30pm
TBA

12:45pm

Lunch
Wednesday February 13, 2019 12:45pm - 1:45pm
TBA

1:45pm

PDGM Business Analytics
Changing from the HH PPS reimbursement system after 20 years to PDGM is complicated.  CMS has provided some data on the revenue impacts and new PDGM components, but there is much more to be considered.  This program is a deeper dive into some key data analytics to better inform you of the overall impacts and useful benchmark data you can use at your agencies.

Objectives
•        Achieve meaningful insights on clinical categories, utilization and other characteristics using claims data
•        Provide data drill downs on LUPA, lengths of stay and other operational metrics under PDGM
•        Obtain the tools and Key Performance Indicators to help prepare and run your organizations

Speakers
avatar for Aaron Little

Aaron Little

Managing Director, BKD, LLP
Aaron has more than 15 years of experience with BKD and oversees the operations of BKD Health Care Billing Services, a special team that manages the billing and revenue cycle operations for more than 100 home care, hospice and senior living organizations throughout the nation.A CPA... Read More →


Wednesday February 13, 2019 1:45pm - 3:00pm
TBA

3:15pm

PDGM Technology
Your technology business partners are crucial participants in your preparation and ability to support PDGM.  In this segment, technology leaders from NAHC’s  Homecare Technology Association of America (HCTAA) will share recommendations on how best to engage your business partner for a successful PDGM adoption.  

Objectives:
•        Evaluate your business partner’s readiness
•        Leverage business partner informational and design sessions
•        Identify internal budget and skills in preparation of major system upgrades

Wednesday February 13, 2019 3:15pm - 4:00pm
TBA

4:00pm

Joint Panel: PDGM Overall Change Management Open Forum
We bring together all of the covered topics in an open forum for discussion with attendees. The faculty team will explore the integration and overlap of matters related to Operations, Clinical Services, Financial Management, Business Analytics, and Technology. It is intended  as an interactive faculty/.attendees open forum.

Speakers
avatar for Allison Cannon

Allison Cannon

Chief Administrative Officer, Quality In Real Time
Allison Cannon has more than 15 years of experience in senior-level business, healthcare and legal operations experience.  She is currently the Chief Administrative Officer for Quality In Real Time (QIRT).Prior to her current position, Allison was a consultant and then led QIRT’s... Read More →
avatar for Melinda A. Gaboury, COS-C

Melinda A. Gaboury, COS-C

mgaboury@healthcareprovidersolutions.com, Healthcare Provider Solutions, LLC
Melinda A. Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS). Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing, operational and clinical consulting to the home care and hospice... Read More →
avatar for Karl “Nick” Dobrzelecki

Karl “Nick” Dobrzelecki

Senior Vice President of Coding, Corridor Group
Karl “Nick” Dobrzelecki is a senior-level executive with nearly 25 years of experience in the healthcare continuum.Nick is responsible for strengthening and expanding Corridor’s coding solutions and works in collaboration with the existing Corridor leadership team. Previously... Read More →
TK

Tom Keyer

Healthcare Consulting Manager, Mueller Prost
Tom brings over 37 years of healthcare experience.  Throughout his career, Tom has served as an Intermediary Senior Auditor, Reimbursement Manager, and Consultant.  In these roles, he gained experience and knowledge in various areas, including Medicare Cost Reporting and the Affordable... Read More →
avatar for Aaron Little

Aaron Little

Managing Director, BKD, LLP
Aaron has more than 15 years of experience with BKD and oversees the operations of BKD Health Care Billing Services, a special team that manages the billing and revenue cycle operations for more than 100 home care, hospice and senior living organizations throughout the nation.A CPA... Read More →
avatar for Rochelle (Shelley) Eggleton, RN BS MBA

Rochelle (Shelley) Eggleton, RN BS MBA

Clinical Associate, Quality in Real Time
Rochelle (Shelley) Eggleton, RN BS MBA, is a Clinical Associate who works with QIRT (Quality In Real Time) to support home care and hospice agencies across the country. Shelley understands the challenges executives and employees in the post-acute industry experience in providing... Read More →


Wednesday February 13, 2019 4:00pm - 4:30pm
TBA