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The Role of the Clinician Under PDPM

By RehabCare

The implementation of PDPM has marked a monumental change for skilled nursing facilities, and many questions remain about the impact on therapy and patient care. One of the biggest is around the value of licensed practitioners as highly trained clinicians under the new payment model.

Clinicians have always been at the core of patient care. But providers now are asking if highly trained clinicians are still necessary. Contrary to many misconceptions, the value of the licensed practitioner is more important than ever under PDPM.

The Role of the Clinician Under PDPM

Under the new payment model, nurses need to have an in-depth understanding of why each patient is being admitted to the SNF and must complete a thorough initial assessment to determine co-morbidities, level of functional impairment and more. Working closely with the rest of the IDT, the nurse will need to establish a patient-centered care plan and their documentation will need to support that — and it should reflect not only the patient assessment, but also conditions and services that are reimbursed for the nursing and non-therapy ancillary components.

PDPM payment reinforces that every clinician on an IDT needs to be aware of — and understand — the patient’s care plan. Highly trained clinicians have the expertise, critical judgment and thinking skills necessary to not only carry out a therapy plan but also recognize when changes or adjustments need to be made, as well as the ability to properly document for the purpose of PDPM reimbursement. This is particularly important, considering research shows functional status is a better predictor of hospital readmission rates than comorbidities.

In addition, qualified therapists may assist in conducting a cognitive assessment through the BIMS tools with each patient, which is a PDPM requirement whether speech therapy is indicated or not. Therapists also provide education and training to the IDT on how to match the right care with the patient’s cognitive level.

To learn more about the importance of highly trained clinicians under PDPM, read our white paper.

RehabCare is the expert in PDPM. To learn how we can help your facility adapt to PDPM and produce the best possible patient outcomes, contact us by calling 800-545-0749 x 7640.

By RehabCare