Triaging for Post-Acute Care: An Acute-Care Therapist’s Dilemma
Speaker(s): Greg Hartley, PT, DPT, GCS
Continuing Education Unit Hours: 8
The purpose of this course is to help practitioners become more efficient and more effective in making recommendations for patient care transitions along the continuum of care, specifically from acute care to post-acute care settings. The course will emphasize clinical decision-making and evidence-based outcomes related to efficacy of rehabilitation based on settings. , Regulatory requirements for each setting, including documentation for the acute care provider and payment structures in post-acute care that impact care delivery in these settings will also be presented.
By the end of the presentation, participants will learn to:
1. Make appropriate discharge and continued care recommendations for patients leaving acute care based on sound, evidence-based criteria.
2. Compare and contrast post-acute care environments: criteria for admission, services provided, intensity of care, fundamentals of current payment methodology.
3. Discuss CMS coverage criteria for a wide variety of post-acute care settings.
4. Describe what rehabilitation professionals in acute care settings should document in order to assist in the post-acute admission decision-making process.
5. Discuss medical necessity vs. rehabilitation necessity as it relates to admission criteria in post-acute care settings.
6. Discuss likely future trends in patient management models and payment models in the acute care setting that will directly impact the provision of post-acute care services.
7. Define the role rehabilitation professionals play in the overall healthcare continuum of care, specifically for individuals with Medicare.
COURSE SUMMARY: This course is designed primarily for PT's, OT's, PTA's, COTA's, and Case Managers working in acute care hospitals and post-acute settings. Often, rehabilitation therapists are asked early in a patient's acute care episode, where they recommend the patient go when discharge arrives. Complex payor rules and regulations govern which settings are able to accept certain types of patients and therapists in acute care settings may find this a frustrating moving target. The course teaches therapists in this environment to make well-informed, evidence-based decisions about post-acute care placement and discharge planning. The course will explore the basic tenets that help determine if patients should go home with home health, home with outpatient care, to an ALF, to a SNF, to an inpatient rehabilitation hospital, to an LTACH, and so forth. In addition, the course includes discussion of and practice with evidence-based functional tools that may assist therapists in making accurate and confident decisions which are patient-centered and use healthcare resources in cost-effective ways. Helpful strategies for documentation related to discharge planning and post-acute care placement will be discussed. There is also discussion of future trends and models of healthcare that will impact the delivery of acute and post-acute care in the near future, including P4P, VBP, the CARE Tool, bundled payments, etc.
Registration and continental breakfast begins at 7:30am
8:00 am Overview of Post-Acute Care, terminology and acronyms
8:30 Skilled Nursing Facilities and Long Term Care (SNF, LTC)
10:15 Inpatient Rehabilitation Facilities and Units (IRF)
11:15 Long Term Acute Care Hospitals (LTACH)
11:35 Outpatient and Assisted Living Facilities (ALF)
12:15 pm Lunch (on own)
1:15 Home Health (Part A and Part B)
2:15 Evidence-based Assessment Tools for Discharge Planning and Case Management
3:30 Documentation Strategies for Rehabilitation Staff in the Discharge Planning Process
4:00 Case Studies
5:00 Future Models and Trends in Acute and Post-Acute Care
Rudd Heart & Lung Conference Center
201 Abraham Flexner Way
Louisville, KY 40202Get Driving Directions
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