My efforts to explain life and death to my 4-year-old, it seems, have failed and as a result she wants to make sure all current members continue living. If I remain positive and continue to say our family doesn’t die, then they will not. Or such is the logic for a 4-year-old.
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-Driven 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.