Medicare:  PPS
Restorative Nursing,
Medicare/Medicaid Pre-Surveys and Post-Survey Consultation,
 

Nursing Management

Operational Audits
Case Mix Audit and Education,
Resident Centered Care (Person Centered Care) 

Medicare: PPS:

• Medicare documentation For nursing staff - review charts for completeness; in-services regarding qualifications for Medicare Coverage, and; adequate documentation by nursing staff;
• Consultation regarding appropriate use of resident review to enhance reimbursement;
• Consultation regarding program development from a nursing/financial perspective;
• Consultation and orientation regarding opening of skilled units - hospital or Long Term Care based;
• Workshops available on this topic, including PPS implementation;
• Review of Rehabilitation/Restorative Nursing Programs to enhance reimbursement; and
• Therapy audit/review/education.

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Restorative Nursing:

• Consultation regarding program development, implementation, and evaluation

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Pre Surveys and Post Survey Consultation:

• Perform a pre-survey of your facility 3 months prior to the state survey. Review same issues as the state. Exit includes written review of deficiencies, grid placement with suggestions for correction.
• Follow up consultation regarding pre-survey outcomes available.
• Assist facility with writing a plan of correction.
• Review facility processes with suggested changes and assistance with implementation and oversight of changes
• Hands on management of processes including in-servicing of staff and ongoing audits of process in question

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Nursing Management

• DON orientation
• Department management
• MDS Coordinator Orientation

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Operational Audits

• Audit of facility operations through all departments with a focus on cost effective and quality care
• Team presentation and report

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Case Mix Audit and Education

• Review of facility case mix from both a clinical and administrative perspective
• Audit of charts regarding accurate case mix with recommendations for improvement

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Resident Centered Care

• Review of facility mission and vision to follow Pioneer Network
• Suggestions to develop resident centered care
  • Resident preferences
  • Empowered staff
  • Community involvement
  • Environmental changes
  • Leadership

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