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Survey: Clinicians Face Sizable Knowledge Gap as PDGM Deadline Nears

Homecare execs want PDGM refinement from lawmakers on elimination of behavioral adjustments

Agoura Hills, CA – May 8, 2019 – With just under eight months until the rollout of the Patient-Driven Groupings Model, a recent survey of homecare and hospice leadership found a lot of work needs to be done to get the clinical staff up to speed on this new payment system. The results also showed a strong desire for refinement of certain aspects of PDGM itself, something that is currently being considered in the U.S. Senate.

According to the survey conducted by Casamba between April 30 – May 3, less than 33 percent felt their staff was adequately prepared for PDGM. When asked to respond to “My staff understands the elements of PDGM to be implemented on January 1, 2020,” only 3 percent said “Strongly Agree” while just over 29 percent said “Agree.” When asked of their own understanding, more than 80 percent these same respondents either agreed (50 percent) or strongly agreed (31 percent), almost 2.5 times that of their staff.

“Much work needs to be done in a relatively short period of time to ensure clinicians are up to speed on the regulatory changes going forward,” said Billie Nutter, president of Casamba. “What’s encouraging is that leadership believes they have a strong knowledge base to leverage to help prepare their staff.  Using that understanding to educate practitioners will be critical during this transition to PDGM.”

Casamba, a leading provider of electronic medical record (EMR) solutions for home health agencies, outpatient therapy, skilled nursing facilities and contract therapy providers, also asked about other topics that have been the talk of the industry as PDGM nears.

With a bi-partisan group of lawmakers including Senators Susan Collins (R-ME), Rand Paul (R-KY) and Jeanne Shaheen (D-NH) sponsoring/co-sponsoring a PDGM refinement bill, Casamba asked which elements of the payment model they would like to see changed. More than 75 percent (76.4%) of respondents said they’d like to see “Elimination of behavioral adjustment(s) that decrease rates.” Greater than 50 percent of those surveyed also said they’d like to see “Consideration of additional clinical information from the OASIS in PDGM classification methodology” (52.7 percent), “Clarification of the transition to PDGM for patient episodes that begin in 2019 and continue into 2020” (50.9 percent) and “The definition of ‘eligibility’ for home health” (50.9 percent).

“PDGM may face some adjustments as we head toward the go-live date. While there may be several items for legislators to consider, the executives we surveyed were definitive in their preference,” Nutter added.

The company also asked “Do you think that payment reform jeopardizes patient choice and access to home health services in all markets?” When posed with that question, nearly half (49.1 percent) said “Yes,” with the remainder split between “No” (21.1 percent) and “Not Sure” (29.8 percent).

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ABOUT CASAMBA

Founded in 1997, Casamba provides EMR solutions in contract therapy, skilled nursing facilities, outpatient clinics, and home health and hospice care settings. Its solutions are designed to maximize both business and clinical success for providers across the entire continuum of post-acute care. Casamba’s acquisitions of TherapySource and HealthWyse have enabled the organization to become one of the largest post-acute care software and services companies in the industry, servicing over 275,000 providers in more than 10,500 clinics nationwide. Casamba is headquartered in Agoura Hills, CA and has locations in Wilmington, MA, and Hoover, AL. For sales inquiries, contact 800-648-2596.

Media Contact:

David Eckstein, 818-991-9111 x 243
david.eckstein@casamba.net

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