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Measuring and Improving Outcomes in Post-Acute Care

presented by Ellen R. Strunk

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Disclosure Statement:

Financial: Ellen Strunk receives an honorarium from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Ellen Strunk has no non-financial interests or relationships with MedBridge.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact support@medbridgeed.com. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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This course examines the current state of rehabilitation outcomes measurement in post-acute care (PAC) settings: inpatient rehabilitation, skilled nursing facility, long term acute care and home health care. Patients cared for in these settings often transition between multiple sites of care when their health and functional status changes, and therefore are particularly vulnerable and costly to the health care system. Currently, performance measurements across PAC settings are fragmented due to the heterogeneity of patient populations, as well as the various reporting mechanisms across settings. This course provides participants with a context for understanding the complex issues that contribute to the questions raised by external agencies and policymakers who seek to understand the value of rehabilitation in post-acute care. Instructor Ellen Strunk describes the efforts currently underway to gather more information and develop meaningful outcome measures to support the value of rehabilitation services in disease management as well as future models of payment.

Meet Your Instructor

Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC

Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC, has worked in various roles and settings as both a clinician and manager/director: hospital, transitional care, Director of Rehab for a hospital home health agency, Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long-term care,…

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Chapters & Learning Objectives

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1. The Value Equation

Medicare is going through challenges right now, where the population is aging and the amount of money spent on Medicare beneficiaries continues to climb. This chapter provides a comprehensive overview of the present healthcare environment, including the state of chronic illness in the aging population and the scope of healthcare integrity issues.

2. Current Quality Measures in Post-Acute Care: Hospital, SNF, IRF

How do we define post-acute care (PAC)? PAC is generally defined as these four settings: Skilled Nursing Facilities, Inpatient Rehab Facilities, Home Health, and Long Term Acute Care. This chapter focuses on what these settings currently do to measure quality.

3. Current Quality Measures in Post-Acute Care: Home Health, Medicare Part B

In Home Health, there has also been a shift in case mix weight, meaning that those who receive Home Health are also receiving therapy services. This chapter discusses the impacts of that shift, as well an overview of Medicare Part B services.

4. Current Measures Are Not Enough

After examining in the previous chapter what we have today in terms of quality measures, Ellen Strunk explains why these measures are not enough.

5. Efforts to Move Ahead in Quality Measurement

Chapter Five asks the question, “What do we need?” Ellen Strunk explains what we need, moving forward, from a rehabilitation standpoint in order to show the value of the therapist’s services.

6. Where Do We Go From Here?

So where do we go from here? This chapter examines how we need to think about and use all of the information covered in this course.

7. Today and Tomorrow

Throughout the course, Ellen Strunk has discussed the urgency of why outcomes are important, and how to develop and collect those outcomes. This chapter examines the analytics of those outcomes and what value they can bring to your patient practice.

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