Accurate measurement of cognitive-based functioning is an essential area within the forthcoming Patient-Driven Payment Model. Getting it right requires us to consider impacts of the environment, medical complexities that can mirror and complicate cognitive declines, and the need for assessors to have the skill sets needed to frame questions in a manner that allows for an accurate overall measure.
Therapists experience the same impact when facing the ghosts of predecessors in their own therapy departments. And when considering the spirits of old habits needing to be shifted by significant changes facing our post-acute care industry.
I have, unfortunately, heard some off-track conversations about the “goals” and “outcomes” of what the Patient Drived Payment Model will do to the industry. To say I have been shocked, appalled and troubled by some of these statements would be an understatement.
Beginning on 10-1-2019, with the implementation of PDPM, interdisciplinary data collection between therapy and nursing, and accuracy for entry in our current (i.e.Prior to 10-1-2018) Section GG items sets will be crucial.
With all the buzz, excitement, and, need I say, even moments of panic around the final rule and clarifications for the Patient Driven Payment Model (PDPM), we as an industry need to remain purposeful in our planning.