Clinicians Who Inspire – Andrew Gerber – July 2024

This month’s Clinician Who Inspires is Andrew Gerben, COTA/DOR, and Champion Level I Therapist at The Woodlands. Andrew shared that taking an interdisciplinary, “all hands-on deck”, approach to patient care has been a huge factor in his team’s success. He emphasized that getting along and working well with team members allows the utmost focus to be on the patient. They see great value in co-treatments and multi-disciplinary group activities, which are common practice in their gym.

Andrew discussed unique group ideas and said that his team utilizes Reliant’s monthly activity idea emails and A Year of Wellness themes for inspiration. Some of the groups gain such positive feedback from the residents that they are made into yearly traditions, such as the blooming spring gardening.

Andrew’s “team” mentality goes far beyond his therapy team. He also takes pride in his role of being a facility liaison and bridging communication and education between therapy and nursing. He hosts monthly in-services for all staff to review proper transfer techniques and make sure that everyone feels confident. He enthusiastically shared that everyone knows if there is a question, he will find the answer!

Andrew discussed the importance of continuous learning. His entire team is now part of Reliant’s Clinical Ladder, and each therapist is focusing on a different track. He said that this allows for them to share knowledge and be more well-rounded as a team.

Andrew, you are an inspiration to all of us! We appreciate your dedication to not only your patients but your facility’s success as a whole. Thank you for being a Clinician Who Inspires!

Career Compass – July

Therapy Opportunities: Embrace the Summer Job Market

Career Compass, The Path to your Clinical Future

July 11, 2024 — 3 min read

Just Posted—Top Therapy Opportunities

With Reliant Rehabilitation on the move to expand our Total Rewards package available to all employees, therapists are jumping at the therapy opportunities as they post. So, if you’re pursuing a career in rehabilitation, you can find exciting opportunities for therapists, coordinators, rehab techs, and more at Reliant Rehab. 

As a leading therapy partner, Reliant Rehab offers nationwide career opportunities in rehabilitation for every stage of your professional journey. Whether you’re a recent graduate looking to gain more experience, or aiming for a leadership role, Reliant is committed to supporting career growth. We have the latest therapy positions for July, all in one place. Find a rewarding career in therapy today.

Physical Therapy Jobs

On the horizon ahead, spot a variety of careers in physical therapy with Reliant! Receive competitive compensation, direct access to leadership, performance recognition, and more. As a company with a national footprint, Reliant offers flexible roles and unique physical therapy leadership opportunities. Discover detailed job descriptions for in-demand PT opportunities below.

Occupational Therapy Jobs

Are you interested in a rehabilitation job as an Occupational Therapist? With 20- plus years of dedicated experience in the industry, Reliant can provide various opportunities in occupational therapy. Each career comes with a Total Rewards package, thoughtfully curated by Reliant’s employees, to support your professional journey and ensure a healthy work-life balance. Your OT career awaits—explore jobs now!

Speech Therapy Jobs

Capture your potential with a fulfilling career in speech therapy, featuring a wealth of online resources, engagement activities, training programs, and more. Reliant collaborates with over 900 skilled nursing facilities to provide Speech Language Pathologists and other clinicians with a supportive environment where they can deliver exceptional patient care. Apply for the hottest SLP jobs today.

Therapy Leadership Opportunities

Set sail towards a rewarding career in rehabilitation, offering flexibility, competitive pay, and a comprehensive benefits package. As a company founded by therapists, Reliant is committed to providing all our employees with opportunities for career advancement and growth into leadership roles. Explore the latest rehab careers.

Work at Reliant

We do our best for you so that you can do your best for patients. Reliant Rehab is committed to providing employees with the compensation, development, and support they need so that they can focus on their commitment to patient care. 

If you cannot find the career your compass points towards, keep an eye out for the next Career Compass Blog released monthly with featured hot jobs in rehabilitation. If you are interested in a corporate career or student role at Reliant, don’t see your specialty above, or just can’t wait for the next blog, check out the full list of opened positions at Reliant or contact us directly for more info! Keep up with Reliant, get insight into our culture, and learn more about our team through our LinkedIn Life Page. 

Clinicians Who Inspire – Stephanie Garza – June 2024

This month’s Clinician Who Inspires is Stephanie Garza, Champion Level II Therapist, PTA, and Director of Rehabilitation at Lone Star Ranch Rehabilitation and Healthcare Center. Stephanie discussed the importance of therapy for our residents and therapists’ responsibility to provide tools that will allow them to be as functional as possible.

In conversation, Stephanie spoke about the residents’ love for group therapy, sharing that the excitement is palpable on their journey to the gym to participate in a fun group sessions. Stephanie and her team are constantly thinking of creative ways to perform therapy, citing a deer hunt interdisciplinary group as one of her favorites. During this activity, they brought blow up deer and Nerf guns to the facility and gathered the residents outside for a “deer hunt”.  PT worked with the residents on standing balance, OT focused on fine motor skills and hand eye coordination, while ST worked on following Nerf gun instructions. These interactive experiences during group therapy allowed residents to enjoy themselves while working on functional progress.

Professional growth is of utmost importance to Stephanie; not just for herself, but the growth of her team as well. Stephanie explained that most of the therapy staff at Lone Star are also clinical instructors. With the new addition of the Clinical Instructor path on Reliant’s Clinical Advancement Ladder, Stephanie has encouraged her team to continue to climb the ladder. She added that it’s important to share education with the team because “the more knowledge you have, the more effective you are.”

Stephanie, you are an inspiration to all of us. Thank you for being a Clinician Who Inspires!

Career Compass – June

Summer Opportunities: Explore Hot Therapy Jobs

Career Compass, The Path to your Clinical Future

June 17, 2024 — 3 min read

Newly Added — Hot Therapy Jobs

The summer heat of June brings a sizzling market for therapy jobs! So, if you’re pursuing a rehab career, now is the best time to find exciting opportunities for therapists, coordinators, rehab techs, and more at Reliant Rehabilitation. 

As a leading therapy partner, Reliant Rehab offers nationwide career opportunities in rehabilitation for every stage of your professional journey. Whether you’re a recent graduate, looking to gain more experience, or aiming for a leadership role, Reliant is committed to supporting career growth. We have the hottest therapy jobs for June, all in one place. Your rewarding career in therapy is just around the corner.

Physical Therapy Jobs

Are you interested in a rehabilitation job as a Physical Therapist? With over 20 years of dedicated experience in the industry, Reliant offers a variety of opportunities in physical therapy. Each career comes with a Total Rewards package, thoughtfully curated by Reliant’s own employees, to support your professional journey and ensure a healthy work-life balance. Your PT career awaits—explore jobs below!

Occupational Therapy Jobs

Unlock your potential with a fulfilling career in occupational therapy, featuring a wealth of online resources, engagement activities, training programs, and more. Reliant collaborates with over 900 skilled nursing facilities to provide Occupational Therapists and other clinicians with a supportive environment where they can deliver exceptional patient care. Explore and apply for the latest OT jobs today.

Speech Therapy Jobs

Embark on a rewarding career in speech therapy, offering flexibility, competitive pay, and a comprehensive benefits package. As a company founded by therapists, Reliant is committed to providing Speech Language Pathologists and other employees with opportunities for career advancement and growth into leadership roles. Explore the latest SLP careers here.

More Therapy Jobs

Explore the vast landscape of rehabilitation jobs with Reliant! Expect competitive compensation, direct access to leadership, performance recognition, and more. As a company with a national presence, Reliant offers flexible roles and unique leadership opportunities in rehabilitation. Discover detailed job descriptions for in-demand rehab positions below.

Work at Reliant

We do our best for you so that you can do your best for patients. Reliant Rehab is committed to providing employees with the compensation, development, and support that they need so that they can focus on their commitment to patient care. Keep up with Reliant, get insight into our culture, and learn more about our team through our LinkedIn Life Page

If you cannot find the career your compass points towards, keep an eye out for the next Career Compass Blog released monthly with featured hot jobs in rehabilitation. If you are interested in a corporate career or student role at Reliant, don’t see your specialty above, or just can’t wait for the next blog, check out the full list of open positions at Reliant or contact us directly for more info!

Career Compass – May

In-Demand Therapy Careers to Consider Before Summer

Career Compass, The Path to your Clinical Future

May 24, 2024 — 3 min read

Just Released — Open Therapy Positions

May’s temps are on the rise with the recent heat wave of therapy positions in high demand! If you are looking for a career in rehabilitation, discover nationwide opportunities for therapists, coordinators, rehab techs, and more at Reliant Rehabilitation.

As a leading therapy partner, Reliant Rehab provides careers in rehabilitation at every stage of your professional journey. Whether you are fresh out of college, seeking more experience, or aiming for a leadership role, Reliant is here to help you grow. We have the hottest jobs on the market for the month of May, all in one place. Your career in therapy is on the horizon.

Physical Therapy Careers

Uncover your potential with a meaningful physical therapy career that includes a wide range of online resources, engagement activities, training programs, and more. Reliant partners with over 900 skilled nursing facilities to give Physical Therapists and other clinicians a supportive workplace where they can fully care for patients. Apply for the newest PT opportunities below.

Occupational Therapy Careers

Dive into an impactful career in occupational therapy with flexibility, competitive pay, and a full benefits package. As a company founded by therapists, Reliant strives to provide you with opportunities to advance in your career and grow into leadership positions. Research the latest physical therapy opportunities today!

Speech Therapy Careers

Survey the land ahead and scope out top speech therapy careers! At Reliant, you can expect competitive compensation, real-time access to leadership, performance recognition, and more. Working at a company with a national footprint creates flexible roles and unique opportunities in rehabilitation. Find the job descriptions below for in-demand Speech Language Pathologist roles.

More Therapy Careers

Interested in rehabilitation but not as a therapist? Or maybe you are therapist looking to level up your career. With over 20 years of dedicated experience in the industry, Reliant offers opportunities for leadership, technicians, coordinators, and corporate roles in addition to therapist positions. Each career comes with a Total Rewards package curated by Reliant’s employees to support your career and maintain a healthy work-life balance. Click to reveal your dream job!

Work at Reliant

We do our best for you so that you can do your best for patients. Reliant Rehab is committed to providing employees with the compensation, development, and support they need so that they can focus on their commitment to patient care.

If you cannot find the career your compass points towards, keep an eye out for the next Career Compass Blog released monthly with featured hot jobs in rehabilitation. If you are interested in a corporate career or student role at Reliant, don’t see your specialty above, or just can’t wait for the next blog, check out at Reliant or contact us directly for more info!

Clinicians Who Inspire – Tricia Peña – May 2024

Join us in celebrating this month’s Clinician Who Inspires: Tricia Peña, SLP and Champion Level I Therapist from Westgate Hills Rehabilitation and Healthcare Center! As the month of May welcomes bright skies, colorful blooms, and National Speech-Language-Hearing Month, it seems only fitting to shine a light on Tricia’s positivity and fresh take on speech therapy in skilled nursing homes. 

Tricia didn’t initially see herself working with geriatrics, but as she became aware of the perseverance and wisdom this population embodies, she saw it as a privilege. Tricia recognizes that some of her residents feel as though they are nearing their final stages of life. She believes that her attitude, as well as yours and mine, have the capacity to bring joy to these moments that may be precious to our residents.

Practically speaking, Tricia shared three factors to success as an SLP in the skilled nursing setting. First: teamwork. Tricia painted the picture of an SLP siloed in their efforts with a resident and contrasted this image to one of an SLP working in collaboration with PT, OT, social work, nursing, and the physician. In her comparison of these two scenarios, it was evident that not only the SLP’s training and techniques, but those of all disciplines, were more effective when carried over by all members of the interdisciplinary team. Next, Tricia discussed the importance of implementing her interventions within an authentic, functional context. She shared that she tries to provide her treatments outside of the resident’s room and incorporate real-life scenarios, to increase meaning and relatability to the task. Finally, Tricia touched on the value of continued learning throughout her career as an SLP. Tricia has taken advantage of some of the courses available on Reliant University, as well as the opportunity to participate in the Clinical Ladder program. Specifically, she highlighted the course “Disorders and Medications That Impact Swallowing,” describing it as eye-opening and beneficial to her everyday practice.

As Tricia shared her experiences, her light and her love for speech language therapy shined bright. Thank you, Tricia, for your inspiration, and Happy National Speech-Language-Hearing Month!

Clinicians Who Inspire – Diane Heiderman – April 2024

Join us in celebrating April’s Clinician Who Inspires — Diane Heiderman! As an aspiring Champion Level II Therapist, COTA and Director of Rehab at Collingswood Nursing and Rehab, Diane shared that she contributes much of her success to being proactive versus reactive. She explained that being proactive with communication regarding any changes noted to a resident can help the entire care team intervene early, which in turn is a win for the patient. She loves nothing better than celebrating those wins with her patients!

Diane spoke of the importance of working together as a care team. She said it is important to always be teachable and moldable because many times we wear many different hats in a day. Working together to make the whole patient story come together is what she feels maximizes the patient’s quality of life and leads to successful discharge.

For fun team building, Diane and her team celebrate wacky holidays! Recently they celebrated National Cereal Day. Each team member brought a different box of cereal, and they had many laughs throughout the day trying the different cereals.

Diane loves her profession and says that helping people is what drives her endless commitment. Thank you, Diane, for sharing your passion and inspiring other clinicians to continue the important work we do every day! Happy Occupational Therapy month!

Career Compass – April

Spring into the Hottest Therapy Jobs of the Season

Career Compass, The Path to your Clinical Future

April 25, 2024

Just Released — Open Therapy Roles

As spring brings in new jobs across the rehabilitation industry, it also attracts top applicants. Whether you are a new graduate fresh out of college or a seasoned professional climbing further up the ladder of success, you can explore therapy jobs nationwide at Reliant.

As a leading therapy partner, Reliant Rehab offers rewarding rehabilitation careers, ranging from rehab techs to physical therapists to Directors of Rehabilitation. This is the season of exciting opportunities, so spring into the hottest therapy jobs of the month!

Physical Therapy Roles

Plant yourself in a fulfilling physical therapy career that rewards you with growth opportunities, competitive pay, and a comprehensive benefits package. From a company started by therapists, Reliant always aims to provide you with a role that is flexible to your needs and compatible with your goals. Explore the latest physical therapy opportunities today! 

Occupational Therapy Roles

April is showering you with exclusive roles for Occupational Therapy Month! Earn competitive compensation, get real-time access to leadership, and receive performance recognition for your achievements. Working with a company with a national footprint means creating a perfect career for you. Browse the most recent occupational therapy jobs now!

Speech Therapy Roles

Warm up your career with a rewarding career in speech therapy that grants you access to an abundance of online clinical resources, engagement activities, training programs, and more. We partner with over 900 skilled nursing facilities to give speech-language pathologists and other clinicians meaningful careers and the support they need to focus on what they do best: patient care. Apply for the newest SLP opportunities below.

Work at Reliant

We do our best for you so that you can do your best for patients. Reliant Rehab is committed to providing employees with the compensation, development, and support they need so they can focus on their commitment to caring for patients.

Keep your eye on the horizon to find the next Career Compass Blog, which is released monthly and features in-demand jobs. If you are interested in a corporate career or student role at Reliant, don’t see your specialty above, or can’t wait for the next blog, check out the full list of open positions at Reliant or contact us directly for more info!

Clinicians Who Inspire – Rochelle Healy – March 2024

This month’s Clinician Who Inspires is Rochelle Healy, SLP and Champion Level II Therapist at St. Sophia Health and Rehabilitation Center.

Rochelle reminisced on how she wanted to become an SLP for as long as she could remember.  With her love of all things language, her fascination with the brain and its many functions, and her love of helping others it seemed that speech language pathology was the perfect fit. 

To this day, her passion for speech and language persists. As a way of paying it forward and building the future of SLP, Rochelle mentors students and facilitates their growth. She enjoys giving students as many opportunities as possible to build their knowledge base and provide them with practical application scenarios to build on their classroom studies. She stated, “I actually learn just as much from them as they do me, their fresh take on things is invaluable.”

When she’s not educating students and learning from her peers, she is implementing “Fun Fridays” with her patients.  On each Friday they have fun groups which entail patient-led ideas to address focused goals.  From modified “catch phrase” to learning new card games, Rochell ensures a FUN time is had by all. Rochelle shared that her primary motivation as a therapist is getting to watch her patients succeed.  She said that the biggest factor in success with her patients is allowing them autonomy to lead their sessions, letting them use their voice to decide how the treatment session will flow.

Thank you, Rochelle, for sharing your passion and inspiring other clinicians to continue the important work we do every day!

Clinicians Who Inspire – Blake Allen, PTA – February 2024

When Blake Allen, PTA from St. Simeon’s in OK, experienced a neurological event that resulted in loss of function on her right side, her entire world changed in a moment. Through this life-changing experience and her journey through rehabilitation, she attained an unanticipated capacity to serve others through example and inspiration.

In conversation, Blake shared how her empathy equips her to relate to her patients’ fear, frustration, or weariness when a medical event like a fall or onset of a new condition alter how they function in daily life. She uses her personal experience as a relatable example of the power of therapy, and how dedication to treatment sessions “really works”, even if it is a slow race to the new normal.

Through Blake’s story, clinicians are inspired to embrace the power of empathy with each patient we encounter. Though we may not have the same experience as Blake or our patients, we are equipped with the ability to imagine what our patients may be thinking or feeling. We have the opportunity for conversations to seek understanding and guidance in developing patient-centered goals and encouragement. Each interaction impacts those in our care. As Blake puts it, “we are the friendly face that the patient gets to see every day.”

Thank you, Blake, for sharing your incredible resiliency, recovery, and the important reminder that our care matters. You serve as an inspiration to us all!

Clinicians Who Inspire – Catherine Shafer – January 2024

This month’s Clinician Who Inspires is Catherine Shafer, Champion Level I Therapist, COTA and Therapy Coordinator at Thunder Care and Rehab.

Catherine shares her primary motivation as a therapist is the joy her patients bring her. She recalled a recent day where she walked into her patient’s room to find him excitedly awaiting her arrival for their therapy session, stating that he was ready to get better. Beyond the enthusiasm and progress of her patients, Catherine also recalled the many stories, learning experiences, and wisdom that her patients have bestowed upon her during her time as a therapist. Catherine smiled as she stated, “sometimes I wonder whose therapy session it really was.”

When she’s not learning from the nuggets of wisdom she receives from her patients, she’s engaging with her peers, searching Reliant University, and logging into the Lunch and Learn trainings to grow clinically and foster her purpose. She encourages all therapists to do the same to refresh knowledge and remind us why we do what we do every day.

Catherine looks forward to the spring season with opportunities for fun gardening activities with her patients, continued relationship building with her interdisciplinary team, and more invaluable nuggets of elderly wisdom. Catherine, thank you for sharing your passion in what you do. Your dedication to Care Matters inspires us all!

Clinicians Who Inspire – Alex Johnson – December 2023

In this month’s Clinicians Who Inspire series, we interviewed Alex Johnson, PTA, Director of Rehabilitation, and Champion Level I Therapist at Jolley Acres Healthcare. Alex believes in keeping the interdisciplinary team and patients excited in order to achieve the best outcomes. He and the team at Jolley Acres often use PC gaming platforms to help keep patients engaged while working on difficult tasks. With the gaming platform, Alex explained that it provides challenging and dynamic activities such as weight shifting, single limb support, bending, and rotating. A favorite, Elf on the Slope, allows patients to work on dynamic sitting or standing balance while navigating “Buddy the Elf” through ski slopes on an action-packed adventure. Alex emphasized the importance of the intensity of each treatment session, explaining that it’s the therapist’s role to ensure the patient is getting “the most value” from each treatment session. 

Alex spoke of using the abundance of resources provided by Reliant. He encouraged other therapists to use programs such as Reliant’s Clinical Advancement Ladder to grow their expertise as a therapist in the field. Alex also promoted the use of group therapy sessions ranging from full body workouts to address global strengthening needs to carnival games in which the patients encourage each other to complete activities such as ball toss and bowling. Thank you, Alex, for being a Clinician Who Inspires!

Clinicians Who Inspire – Jennifer Saldaña – November 2023

This month’s Clinician Who Inspires is Jennifer Saldaña, Therapy Coordinator, and rising Champion Level I SLP. Jennifer believes providing personalized care and being a constant learner helps her to thrive as a clinician.

When providing treatment, Jennifer focuses on what motivates the patient. She gave an example of a patient who was an avid gardener. Jennifer made sure to keep a plant in her office so the patient could speak to the plants as they targeted speech and language goals together.

She has also provided training and encouraged housekeeping staff to browse through residents’ memory books with them and to engage in conversations with the patient while they are tidying their rooms. Along with improving socialization opportunities and carryover, she finds that staff enjoy these interactions and appreciate learning effective, individualized methods to communicate with residents.

For residents who enjoy group therapy, Jennifer works with other disciplines to collaborate and provide multifaceted activities. Recently, she worked with OT. They utilized balance balls for an exciting cardio-drumming exercise where she implemented verbal recall tasks and music-based conversation starters. Her favorite holiday season group activity is sending out cards to loved ones. Residents have even opted to send cards to staff members who have retired and are no longer working at the facility. This exchange has proven heart-warming to both the senders and recipients.

Jennifer values learning and recommends Aging Process: What is Happening to the Body and What Does it Mean?located in Reliant University. She appreciated the comprehensive examination of the normal aging process and has applied this knowledge to improve patient health literacy with healthy aging education. She also encourages clinicians to discuss different perspectives and to always continue to learn from each other.

Thank you, Jennifer, for sharing your personal contributions and innovative ideas and also for your dedication to providing patient-specific, meaningful care.

Clinicians Who Inspire – Nicole Burrough – October 2023

This month’s Clinician Who Inspires is Nicole Burrough, Champion Level II Therapist, DOR and COTA at Yazoo City Rehabilitation and Healthcare Center. In conversation, Nicole shared her biggest takeaway in her time as a therapist and DOR is that teamwork is the key to success. She discussed her belief that effective communication, a “willingness to help attitude”, and being receptive to others’ input contributes to positive relationships with the other professionals on her team. This, ultimately, fosters a great team that is able to produce great outcomes.

With this communication and receptivity, Nicole’s team frequently implements group therapy sessions that incorporate training of multiple skills at one time. They are currently planning a pumpkin painting group that will address balance, gross and fine motor coordination, and sequencing all at once! Nicole shared that these groups are important in providing encouragement and motivation to the residents at their facility.

Finally, Nicole discussed the importance of educating other healthcare professionals on the benefit of therapists in SNFs. This education not only demonstrates the value of each therapy discipline, but also provides increased opportunities to ensure each resident meets their maximal level of functional independence.

Nicole, thank you for sharing your team player attitude! Your dedication to Care Matters inspires us all!

MDS Changes Countdown – Day 1

COUNTDOWN DAY 1: Interdisciplinary Collaboration

When it comes to MDS assessments, teamwork makes the dream work. The MDS is a critical component of comprehensive resident care in long-term care facilities. Completing these assessments effectively requires an interdisciplinary team (IDT) approach. Interdisciplinary collaboration in MDS streamlines the assessment process and has the power to elevate the quality of care delivered to residents.

IDT meetings are the cornerstone of effective interdisciplinary collaboration, and the frequency of these meetings should be carefully considered. Regular meetings provide a platform for team members to share insights, discuss resident cases, and align on care plans.

Effective communication is at the heart of interdisciplinary collaboration. To create meaningful plans of care, it is crucial to communicate with various IDT members. This includes residents themselves, other disciplines who have recently interacted with the resident, direct staff from all shifts, and the resident’s physician. Each of these sources can provide valuable insights into the resident’s condition, preferences, and progress. By involving multiple disciplines, care plans can be tailored to align with the resident’s unique preferences and goals. This ensures that residents not only receive medically necessary care, but also maintain their dignity and quality of life.

Achieving success in MDS assessments is a collective effort. By fostering interdisciplinary collaboration, long-term care facilities can navigate the evolving landscape of MDS assessments while continuing to deliver high-quality, resident-centered care. Collaboration truly is the key to unlocking success in resident assessments and care planning. 

Reliant’s Interdisciplinary Team Meeting Clinical Resource

IN CASE YOU MISSED IT

 

MDS Changes Countdown – Day 2

COUNTDOWN DAY 2: Quality Measure Impact

Minimum data set (MDS) assessments provide the data foundation for many quality measures. The transition from MDS 3.0 version 1.17.2 to version 1.18.11 brings significant impacts to several quality measure specifications; one of the biggest changes being the shift from Section G: Functional Status to Section GG: Functional Abilities and Goals, as well as the inability to generate a RUG-IV grouper directly impacting staffing measures.

To account for these changes, CMS released Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual V16.0 and Nursing Home Five-Star Quality Rating System: Technical Users’ Guide last week.

Quality Measure Updates:
New Measures

  • SNF Discharge Function Score measure (CMS ID: S042.01) will replace Percent of Residents Who Made Improvements in Function (Short Stay) (CMS ID: N037.03)
  • Percent of Residents With Pressure Ulcers (Long Stay) (CMS ID: N045.01) will replace Percent of High-Risk Residents With Pressure Ulcers (LS) (CMS ID: N015.03)
  • Percent of Residents With New or Worsened Bowel or Bladder Incontinence (LS) (CMS ID: N046.01) will replace Percent of Low-Risk Residents Who Lose Control of Their Bowel or Bladder (Long Stay) (CMS ID: N025.02)

Re-specified Measures to utilize Section GG items due to the removal of Section G

  • Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased (Long Stay) (CMS ID: N028.03)
  • Percent of Residents Whose Ability to Walk Independently Worsened (LS) (CMS ID: N035.04)

Starting in April 2024, CMS will freeze (hold constant) impacted quality measures on Nursing Home Care Compare.

Public reporting for these measures is scheduled to resume in January 2025 or as soon as technically feasible.

Nursing Home Five-Star Quality Rating Staffing Updates

  • In July 2024, CMS will post nursing home staffing measures based on the new staffing case-mix adjustment methodology derived from PDPM as outlined in the appendix: Updated Case-Mix Adjustment Methodology for Staffing Level Measures
  • CMS will revise the staffing rating thresholds to maintain the same overall distribution of points for affected staffing measures.
  • Beginning in April 2024, CMS will freeze (i.e., hold constant) the staffing measures for three months while they transition to a SNF payment PDPM replacing the RUG-IV methodology.

Resources

Be on the lookout for tomorrow’s blog: Interdisciplinary Communication

IN CASE YOU MISSED IT

MDS Changes Countdown – Day 3

COUNTDOWN DAY 3: Impact to State Case Mix

Federal regulations mandate that all nursing facilities, regardless of the Medicaid system in their state, must conduct patient specific MDS assessments, known as OBRA assessments, at specific intervals for each resident, regardless of their payer. Many states utilize these federally mandated MDS assessments to inform and calculate the case mix index (CMI). For decades, case mix states have adopted models for the MDS assessment that are similar to the Prospective Payment System (PPS) of their time, such as RUGs III or IV. However, beginning 10/1/2023, federal support for the calculation of RUG scores will end. States who continue to apply RUG methodology will have to implement the Optional State Assessment (OSA) which can no longer be combined with any other assessment. The MDS v. 1.18.11 will only support PDPM determinations. In an effort to prepare for this change, states that implement a Case Mix system, may be transitioning or have already transitioned to PDPM.

While case-mix methodologies vary from state-to-state, there are universal strategies to enhance CMI, regardless of individual state practices:

  • Timing is everything: Ensure each member of the interdisciplinary team (IDT) has the most up to date calendar of quarterly and annual Assessment Reference Dates (ARDs).
  • Verify your state plan as of 10/1/2023 for Case Mix determination and whether the OSA will be required.
  • Ensure the IDT is trained to conduct interviews timely and accurately so that all relevant information is recorded (See Section GG Assessment Quick Card).
  • Plan, implement, communicate, and assess processes for effectiveness regularly.

In the event your state is continuing to require the use of the OSA, the OSA Manual provides these instructions/coding tips:

  • Not federally mandated, but may be mandated by state
  • Contact state for clarification
  • Must be a stand-alone assessment

Effective case mix management through thorough and complete MDS assessments are critical. Now more than ever, it is essential for each member of the IDT to be educated about the changes, enabling them to contribute their expertise accordingly. Navigating case mix management through evolving payment structures is challenging, but with effective systems in place, success can be both achievable and sustainable.

Resources

Be on the lookout for tomorrow’s blog: Quality Measure Updates

IN CASE YOU MISSED IT

MDS Changes Countdown – Day 4

COUNTDOWN DAY 4:
Care Area Triggers and Care Area Assessments

The Care Area Assessment (CAA) process is designed to assist assessors in systematically interpreting the information recorded on the MDS. This process enables clinicians to focus on key issues identified during assessments so decisions as to whether and how to intervene can be explored with the resident.

The MDS information, coupled with the CAA process, forms the foundation upon which care plans are developed. Within this framework, there are 20 problem-oriented CAAs, each incorporating MDS-based “trigger” conditions that signal the need for additional assessment and review of the triggered care area.

Previously, Section G items were used to trigger Care Areas in the MDS; however, with the retirement of Section G, CMS has updated Appendix C (CAA Resources), placing a much larger emphasis on Section GG for the CAA process. In fact, 17 of the 20 Care Areas now utilize Section GG as triggers or indicators for the Care Area.

Therefore, accurate Section GG assessment is imperative to ensure precise mapping within the Care Area Assessment process. It serves as a crucial link between the MDS and the development of each resident’s care plan. Strong interdisciplinary collaboration should extend throughout the MDS assessment process and continue during the CAA process. By understanding the components and the importance of accurate assessment, healthcare professionals can ensure thorough resident-centered care plans are developed that promote each resident’s optimal outcomes.

Be on the lookout for tomorrow’s blog: Impact to State Case Mix

IN CASE YOU MISSED IT:

MDS Changes Countdown – Day 5

COUNTDOWN DAY 5: Section D – Mood

Beginning October 1st, the depression screening tool in the Minimum Data Set (MDS) will transition to the PHQ-2 to 9©. The PHQ-2 to 9© introduces a skip pattern logic to guide the completion of the depression screener.

The resident mood interview begins with two gateway questions that address the cardinal symptoms of depression: a persistent depressed mood and an inability to experience pleasure. By honing in on these symptoms, this tool can quickly identify those who may be at risk for depression. Based on the responses to the first two questions, the interview will either end or continue through the remaining seven questions. The embedded skip pattern is designed to reduce the length of the interview assessment for residents who fail to report the cardinal symptoms of depression. Although the interview coding may conclude with the first two questions, asking the remaining questions provides insight to the resident’s thoughts, feelings, and ideas can provide insight and impact care planning.

Beyond the initial screening, the information gathered from the PHQ-2 to 9© interview plays a crucial role in guiding supportive treatment planning and resource utilization, including:

  • Nursing component classification in the Patient Driven Payment Model (PDPM).
  • Addressing the physical, mental, emotional, social, and spiritual factors contributing to the resident’s ability to participate in meaningful activities.
  • Implementing leisure or identified interests within therapy sessions.
  • Facilitating participation in activities of interest outside of therapy.
  • Improving the resident’s health literacy to promote overall wellness.
  • Initiating referrals for additional evaluation of possible depression or other mood disorders.

Early identification of residents at risk for depression will allow for healthcare providers to intervene more effectively and efficiently. This proactive approach can lead to timely interventions and better outcomes for patients struggling with depression.

Resources

Be on the lookout for tomorrow’s blog: Care Area Triggers & Care Area Assessments

IN CASE YOU MISSED IT:

MDS Changes Countdown – Day 6

COUNTDOWN DAY 6: Section GG – Functional Abilities

Gone are the days of the “rule of 3” and ADL self-performance versus support provided. In less than 2 weeks, Section G will be retired on all federal assessments, and Section GG will be the center of the MDS self-care and mobility universe. Elements of Section G will be transitioning to Section GG as outlined in the provided crosswalk.

Section GG is used in healthcare settings to assess functional abilities and care needs of residents. The data collected through this assessment serves as the foundation for creating individualized care plans designed to address each resident’s unique needs and goals. Accurate scoring of Section GG will become crucial in Care Area Assessments and Care Area Triggers (CATs), fundamentally shaping each resident’s individualized plan of care. Of the twenty Care Areas, seventeen use Section GG as CATs or indicators, thereby charting a new course in the determination of care needs. Additionally, Section GG will have a greater impact on 5-Star ratings, SNF quality reporting program (QRP), and SNF value-based purchasing (VBP) initiatives.

As healthcare facilities gear up for this monumental change, it is imperative that staff members proactively address additional training requirements. This includes a change in existing facility processes, a thorough review of coding language, aligning with the parameters of Section GG, and review of GG assessment periods. It is critical to foster a culture of strong interdisciplinary team (IDT) collaboration. By sharing expertise and insights from all departments within the facility, a seamless and successful transition to the era of Section GG can be assured.

Be on the lookout for Monday’s blog: Section D – Mood.

In Case You Missed It