Frontline nurses may face additional pressure to document and justify skilled care that is reimbursable under Medicare, once changes to the Patient-Driven Payment Model (PDPM) for Skilled Nursing Facilities (SNFs) are fully in place. Changes to PDPM will take effect later this year, on October 1. The purpose of the change is to reduce mistakes on a patient’s initial evaluation, which can needlessly increase costs—and worse, result in unnecessary or even counterproductive treatment. Experts say the changes to PDPM should also result in more Medicare recipients receiving care in lower-cost environments, including their own home. The changes also represent a change from a single fixed idea of how and where treatment should occur. The new requirements also recognize that the most effective and efficient approach to care relies on a far more flexible approach to care. In other words, though changes to the PDPM will potentially place additional burdens on nursing staffs, the changes align with Fusion5’s core belief that the best treatment occurs when the right care, the right people, and the right setting are in place. “The shift to a model explicitly focused on accurately assessing patient needs reflects the broader shift to a more value-based approach throughout healthcare,” said Fusion5 CEO Jim Gera. “While that shift is important, we recognize the additional burden this could create. With a large contingent of nursing professionals on our staff, we know the load these amazing individuals carry. It’s why we’ve focused on creating a platform and a company that eases the overall burden on nursing professionals within a value-based care environment.” Interested in learning more about the changes to PDPM—and how our suite of technology and services can help providers (including nurses in skilled care facilities) thrive in a value-based environment? Contact us today!

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