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Medical Rehab

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The Pennsylvania Department of Health has released the State Health Improvement Plan (SHIP). This plan represents a multi-year strategic plan developed in collaboration with a diverse public partnership of stakeholders across the Commonwealth. It is a data-driven, comprehensive process and a primary, expert resource for establishing and maintaining public health programs and policies.

The SHIP identifies Pennsylvania health priorities and includes goals, objectives, and strategies for improving those priorities. For each priority area, a work group with goal and strategy teams meets to implement the strategies and reassess, as necessary, to improve the health of Pennsylvanians.

RCPA has participated in the plan development process, and if members have feedback that may impact implementation of the plan, please contact RCPA Policy Director Jim Sharp.

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Late yesterday, the Centers for Medicare and Medicaid Services (CMS) issued the fiscal year (FY) 2024 inpatient rehabilitation facility prospective payment system (IRF PPS) proposed rule.

The proposed rule includes a 3.7 percent payment increase, compared to the 3.9 percent payment update that CMS finalized for FY 2023. This payment update reflects the effects of the proposed IRF market basket update for FY 2024 of 3.0 percent, which is based on the proposed IRF market basket increase factor (3.2 percent), productivity adjustment (0.2 percent), and outlier payment increase (0.7 percent).
** Please note that these figures are subject to change in the final rule if updated forecasts become available, which typically occurs.

CMS is making a number of changes to the Quality Reporting Program (QRP), including the future addition of a discharge function score measure and patient-level COVID vaccination measure as well as a modification of the current healthcare personnel COVID-19 vaccination measure to reflect the latest vaccination recommendations.

In addition, CMS is proposing to allow hospitals to open a new IRF unit and begin being paid under the IRF PPS at any time during the cost reporting period (rather than the current restrictive enrollment rules). The proposed rule does not address any of the COVID-19 PHE waivers, including the three-hour rule and virtual team conferences, nor does it include any further discussion of the expanded transfer policy (to include certain discharges under the care of home health) that was the subject of a Request for Information (RFI) in last year’s rule.

A more detailed and extensive summary of the proposed rule will be forthcoming.

The proposed rule will be published in the Federal Register for April 7, 2023. Comments on the proposed rule will be considered until 5:00 pm on June 2, 2023. For additional information, CMS also released a fact sheet.

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IPRC Webinar Transition Readiness: Strategies to Prepare Pediatric Patients and Their Families for the Next Steps
Thursday, April 6, 2023
12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT;
10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT
REGISTER

Speakers and Panelists:
Carrie Cuomo, DNP, CPNP
Julie H. Corder, RN, MSN, CNP
Tim Flynn, PT
Kara M. Pickering, MA, CCC-SLP

Speaker Bios:

Carrie Cuomo
Carrie Cuomo, DNP, CPNP, is the Director of Advanced Practice Registered Nurse services in the Pediatric Institute at Cleveland Clinic. She is a clinical provider in the Department of Pediatric Hospital Medicine at Cleveland Clinic. Dr. Cuomo holds a Bachelor’s Degree in Nursing from Case Western Reserve University, a Master’s Degree from The University of Akron, and a Doctor of Nursing Practice Degree from The University of Akron. She has experience in teaching, nursing leadership, and clinical practice. She was a fellow in the Duke Johnson and Johnson Nurse Leadership program 2014–2015 and 2020–2021. Dr. Cuomo is a member of the National Association of Pediatric Nurses Practitioners and Ohio Association of Advanced Practice Nurses. She is a Co-Investigator on the Project IMPACTT grant sponsored by HRSA. She serves on the Advanced Practice Registered Nurse Council and the Advanced Practice Registered Nurse Preceptor Council. Dr. Cuomo’s professional interests are in the area of pediatric to adult transition.

Julie H. Corder
Julie H. Corder is a Pediatric Nurse Practitioner in the Pediatric Complex Care Clinic at the Cleveland Clinic. This multidisciplinary program cares for pediatric patients with multiple chronic conditions with a dependence on technology. A primary interest and passion for Julie is developing processes to ensure high level care for this population throughout their lifespan as they transition from pediatric to adult care. Julie holds a Bachelor’s Degree in Nursing from The University of Akron, a Master’s Degree in Nursing from Case Western Reserve University, and was a fellow in the Duke Johnson and Johnson Nurse Leadership program from 2020–2021. Julie is a member of the National Association of Pediatric Nurses Practitioners. She is a Co-Investigator on the Project IMPACTT grant sponsored by HRSA. She serves on the Advanced Practice Credentialing and Privileging Committee for the Cleveland Clinic.

Objectives:
At the end of this session, the learner will:

  • Define the (6) core elements of transition and review how they can be incorporated into practice;
  • Identify tools available to assist providers and examine ways to incorporate them into clinical workflow;
  • Explore one organization’s process to enhance care and assist with the transition of care for young adults to adult providers; and
  • Discuss tools to utilize with clients and families to support transition of services.

Audience: This webinar is intended for all members of the rehabilitation team, including medical staff, nurses, physical therapists, occupational therapists, speech language pathologists, licensed psychologists, mental health professionals, and other interested professionals.

Level: Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Registration: Registration is complimentary for members of IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today. Multiple registrations per organization are permitted.

REGISTER

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RCPA congratulates the following RCPA members for being listed among the 2023 Health Care Power 100. This list details individuals who are “framing, influencing and trying to change the conversation around one of Pennsylvania’s most crucial economic sectors, including public officials, hospital and health care executives, nonprofit leaders, union heads, academics and others.” City & State staff recognized the following individuals:

  • Diane S. Hupp of UPMC Children’s Hospital of Pittsburgh;
  • Jill Bowen of Philadelphia Department of Behavioral Health and Intellectual disAbility Services;
  • Tom McGough of UPMC;
  • Michelle Trupp of Reading Hospital at Tower Health;
  • Paul DeAngelo of Mission Autism Clinics; and
  • Jennifer Taubert of Johnson & Johnson.

See the full 2023 Health Care Power 100 here.

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The Centers for Medicare and Medicaid Services (CMS) has created short videos and developed patient cue cards to assist providers with learning how to code patient assessment instruments for the following Post-Acute Care (PAC) Quality Reporting Programs (QRP):

Help LTCH, IRF, and HH patients select responses by showing them the new cue cards for:

See LTCH, IRF, HH, and SNF Quality Reporting Program Training for more information.

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The Centers for Medicare and Medicaid Services (CMS) has released the updated inpatient rehabilitation facility (IRF) provider preview reports. These ‎reports contain provider performance scores for quality measures and contain IRF-Patient Assessment Instrument (PAI) data submitted ‎by IRFs from Quarter 4 2021 through Quarter 3 2022, as well as Centers for Disease Control and Prevention (CDC) Clostridium Difficile (CDI) and Catheter-‎Associated Urinary Tract Infections (CAUTI) measures from Quarter 4 2021 through Quarter 1 2022 and Quarter 4 2021 ‎through Quarter 1 2022 of the Healthcare Personnel (HCP) Influenza measure. The HCP COVID-19 Vaccination ‎Coverage measure data for Quarter 3 2022 is also included. ‎

Providers have until April 14, 2023, to review their performance data. Providers can request CMS ‎review their data during the preview period if they believe the scores are inaccurate. The final reports ‎will be published on Care Compare and Provider Data Catalog (PDC) during the June 2023 refresh of ‎the website. For additional information, visit the CMS IRF QRP Public Reporting website.

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The Pennsylvania Department of Labor and Industry’s (L&I) Office of Vocational Rehabilitation (OVR) seeks collaborative opportunities with qualified entities in meeting the needs of the Disability Innovation Fund (DIF) Subminimum Wage to Competitive Integrated Employment (SWTCIE) Grant Award PR# H421D220003.

OVR is seeking a single entity to manage the delivery of grant services identified as the “InVEST” (Integrated Vocational Engagement & Support Team) Project at six district project sites throughout the 5-year term of the grant (date upon award of contract — 9/30/27). Interested parties should access information regarding this opportunity here.

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