Riding the Winds of Change: BPCI, CJR and IMPACT Act Expert Panel Speaker(s): Dan Kevorkian, PT, MSPT Diana Kornetti, PT, MA Bud Langham, PT, MBA Session Type: Educational Sessions Session Level: Intermediate This information is the property of the author(s) and should not be copied or otherwise used without the express written permission of the author(s). www.homehealthsection.org Home Health Section of the American Physical Therapy Association Page 1 of 10 total pages
Riding the Winds of Change Bundled Payments, CJR & IMPACT Act An Expert Panel Disclosure Speakers have no relationships that could reasonably be viewed as creating a conflict of interest, or the appearance of a conflict of interest, that might bias the content of this presentation. Speakers confirm no relevant financial relationship exists. 1
Session Learning Objectives Upon completion of this session, the attendee will be able to: Discuss relevant regulatory, clinical practice and operational issues directing and impacting BPCI. Identify key elements of evidence-based and best practices that support success in bundled payment and CJR care delivery models. Connect with content experts currently in partnerships/developing partnerships in BPCI. Interpret and utilize publicly reported outcome and satisfaction data to enhance practice patterns. Your Moderator Interactive session Recommendations from Section experts currently involved in HH alternate payment methodologies 2
Meet Today s Panel CJR Demonstration Project Your agency provides care within 1 of CMS CJR Medicare Service Areas (MSAs). The local hospital is interested in working with a limited number of post-acute providers and you have been approached to present to the large group of orthopedic surgeons. You are being asked to provide information on the value of HH as a 1 st post-acute setting of choice. What key information can position your agency as a preferred partner relationship? 3
Panel Discussion Additional Questions from Audience Follow Up Questions: CJR What can home health agencies do to reduce overall spend for joint replacements? How should care complications be handled? What tools/resources are available? Recommended? 4
Bundled Payment Initiatives Your organization is positioning itself to participate in bundled payment care initiatives (BPCI). As the director of therapy clinical services, you are asked to assess department/therapy clinical staff readiness for this transition. What are relevant factors that support success in a bundled payment model? What drivers will be important to evaluate? What characteristics are important in clinical staff? Panel Discussion Additional Questions from Audience 5
Follow Up Questions: BPCI What metrics are important to hospitals/episode initiators? How can/should HH approach discharging patients? What is the impact of hospital readmissions in 60- or 90-day post-dc period? IMPACT Act Your organization is discussing the IMPACT Act and you have been volunteered to provide agency-wide education. You are excited to be able to bring regulatory events to the practicing clinicians, but are concerned about maintaining interest/attention and achieving buy in. What post-acute quality measures are currently being collected? What measure(s) are slated for future collection? What new or revised items are present on OASIS-C2 to meet IMPACT Act requirements? 6
Panel Discussion Additional Questions from Audience Follow Up Questions: IMPACT What OASIS-C2 items do you think are biggest risk for tripping up clinicians? Where do the new HH Conditions of Participation relate to CMS Triple Aim Where can additional information be gathered? 7
Shifting Our Paradigm I will leave CSM and return home, and work next week. I see the need for care redesign to meet the challenges of providing care into the future. What would you recommend to me A member of my organization s leadership team? A director of therapy? A practicing clinician, carrying a daily caseload? Panel Discussion Additional Questions from Audience 8
Follow Up Questions: Next Steps Can you recommend a specific resource? What should I know about publically reported outcomes? Patient satisfaction reports? What is your favorite workrelated website? 9